Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献

{"title":"Beating Heart Versus Arrested Heart for Isolated Tricuspid Valve Surgery: A Kaplan-Meier-Derived Meta-Analysis.","authors":"Massimo Baudo, Serge Sicouri, Yoshiyuki Yamashita, Dimitrios Magouliotis, Francesco Cabrucci, Basel Ramlawi","doi":"10.1177/15569845251375959","DOIUrl":"https://doi.org/10.1177/15569845251375959","url":null,"abstract":"<p><strong>Objective: </strong>The aim of the current study was to analyze the clinical and surgical outcomes of patients undergoing isolated tricuspid valve surgery (ITVS) from the available literature. It currently remains uncertain whether arrested heart (AH) surgery has superior postoperative outcomes over beating heart (BH) for ITVS.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted by searching PubMed, ScienceDirect, Scopus, DOAJ, SciELO, and Cochrane databases from 2000 until November 2024. The protocol was registered with the International Prospective Register of Systematic Reviews under the PROSPERO registration number CRD42024622618.</p><p><strong>Results: </strong>A total of 22 studies met the inclusion criteria. These studies were published between 2012 and 2023 and included a combined total of 1,627 patients, with 1,053 in the BH group and 574 in the AH group. The present analysis showed that patients undergoing BH surgery were generally more comorbid and more frequently underwent minimally invasive procedures as compared with patients undergoing AH surgery. The BH and AH groups reported no significant differences in postoperative outcomes. At follow-up, BH was associated with higher recurrent >2+ tricuspid regurgitation rates (<i>P</i> = 0.048), but this did not affect late survival (hazard ratio [HR] = 0.90, 95% confidence interval [CI]: 0.68 to 1.19, <i>P</i> = 0.457) or reintervention for TV (HR = 1.18, 95% CI: 0.61 to 2.29, <i>P</i> = 0.622) rates.</p><p><strong>Conclusions: </strong>A consensus between BH and AH for ITVS is still lacking. However, BH ITVS procedures appear to be the preferred surgeon choice for higher-risk patients. At follow-up, the BH group showed higher rates of recurrent tricuspid regurgitation >2+, without affecting late survival or rates of TV reintervention.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251375959"},"PeriodicalIF":1.6,"publicationDate":"2025-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145080585","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic Aortic Annular Enlargement With Y-Incision and Rectangular Patch.","authors":"Ahsan Ehtesham, Jai Parkash, Muhammad Zain Shaikh, Korey Zellner, Ghulam Murtaza","doi":"10.1177/15569845251375582","DOIUrl":"https://doi.org/10.1177/15569845251375582","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251375582"},"PeriodicalIF":1.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075211","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous Transcatheter Double Valve Replacement: Aortic Valve-in-Valve Replacement and Mitral Valve Replacement With the Tendyne Valve.","authors":"Ivo Gasparovic, Panagiotis Artemiou, Stefan Durdik, Erika Drangova, Marian Vidiscak, Michal Hulman","doi":"10.1177/15569845251375975","DOIUrl":"https://doi.org/10.1177/15569845251375975","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251375975"},"PeriodicalIF":1.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Application of Augmented Reality in Robot-Assisted Mitral Valve Repair Surgery: A Feasibility Study.","authors":"Jette J Peek, Klaus Hildebrandt, Xucong Zhang, Rohit K Kharbanda, Maurice A P Oudeman, Robert J M Klautz, Meindert Palmen, Edris A F Mahtab","doi":"10.1177/15569845251367418","DOIUrl":"https://doi.org/10.1177/15569845251367418","url":null,"abstract":"<p><strong>Objective: </strong>In mitral valve surgery, it is important to be aware of adjacent intraoperatively invisible anatomy, to avoid complications and enhance safety. In this feasibility study, we aimed to develop semi-automated intraoperative 3-dimensional (3D) augmented reality (3D-AR) overlays for robotic mitral valve repair.</p><p><strong>Methods: </strong>In 5 patients undergoing robot-assisted mitral valve repair, a 3D point cloud was generated, using intraoperatively recorded images from both eyes of the stereoscopic da Vinci camera (Intuitive Surgical, Sunnyvale, CA, USA). An intraoperative 3D-AR overlay was created using a scale-adaptive iterative closest point algorithm and landmarks placed on the mitral valve annulus. Finally, important anatomical structures such as the circumflex artery, Koch's triangle, and aortic valve leaflets could be visualized as a 3D-AR overlay on top of the surgical vision. To evaluate the accuracy, these 3D point clouds were validated by calculating the 3D point cloud accuracy and landmark registration error (LRE).</p><p><strong>Results: </strong>The 3D point clouds and 3D-AR overlays were successfully created for all 5 patients. The 3D point clouds were accurate, with a median error of -0.92 mm, and the LRE was 5.12 mm. The time for creating the 3D-AR overlay was approximately 5 min. Besides creating the 3D-AR overlays, we could visualize the models directly within the robotic console during the surgical procedure.</p><p><strong>Conclusions: </strong>We present an algorithm for generating accurate semiautomatic 3D-AR overlays, visualizing essential anatomical structures during robot-assisted mitral valve repair. This may lead to automated intraoperative 3D-AR vision during robotic cardiac surgery, with the potential of increasing safety, accuracy, and efficiency.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251367418"},"PeriodicalIF":1.6,"publicationDate":"2025-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145075208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Control of Port Site Bleeding With Liberal Use of Catheter Balloon Tamponade in Robotic Mitral Valve Surgery.","authors":"Steven S Qi, Kaitlin Grady, Hiroto Kitahara, Sarah Nisivaco, Blaine Johnson, Yusuke Tsukioka, Husam H Balkhy","doi":"10.1177/15569845251365733","DOIUrl":"https://doi.org/10.1177/15569845251365733","url":null,"abstract":"<p><strong>Objective: </strong>Port sites are a common source of perioperative bleeding in robotic cardiac surgery, which can be exacerbated by patient anatomy and anticoagulation. We present results from the liberal usage of a balloon-tipped coudé catheter for tamponade of robotic port sites during robotic mitral surgery.</p><p><strong>Methods: </strong>All patients who underwent robotic mitral valve surgery at our institution from August 2016 to July 2022 were studied (<i>N</i> = 320). Patients converted to sternotomy were excluded (<i>n</i> = 5). Patients were then divided into 2 groups for before or after implementation of a protocol for the liberal use of balloon tamponade for patients with port site bleeding refractory to cautery. Catheter balloon tamponade was applied to a bleeding port site while weaning from cardiopulmonary bypass and usually removed after protamine administration. In rare cases of severe coagulopathy, the catheter was left inserted and removed in the intensive care unit after the coagulopathy resolved.</p><p><strong>Results: </strong>A total of 315 patients were divided into a pre-protocol group (\"control,\" <i>n</i> = 127) and a post-protocol group (\"balloon,\" <i>n</i> = 188). The balloon group showed lower rates of reoperation for bleeding (0% vs 4.7%, <i>P</i> = 0.004), lower rates of pacemaker insertion (0.5% vs 3.9%, <i>P</i> = 0.04), and higher rates of chest tube removal on the first postoperative day (83% vs 70%, <i>P</i> = 0.01). Postoperative and intraoperative transfusion rates as well as hospital length of stay were similar between groups.</p><p><strong>Conclusions: </strong>The liberal use of intraoperative balloon tamponade of robotic port sites may decrease the risk of bleeding complications in robotic mitral valve surgery.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251365733"},"PeriodicalIF":1.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006049","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"VATS Versus Robotic Anatomic Pulmonary Resection in a High-Volume Institution: Cost and Outcomes Analysis.","authors":"Claire Perez, Lucas Weiser, Justin J Watson, Allen Razavi, Shruthi Nammalwar, Charles Fuller, Sevannah Soukiasian, Zishi Li, Raffaele Rocco, Andrew R Brownlee, Harmik J Soukiasian","doi":"10.1177/15569845251365679","DOIUrl":"https://doi.org/10.1177/15569845251365679","url":null,"abstract":"<p><strong>Objective: </strong>This study evaluates the impact of transitioning from video-assisted thoracoscopic surgery (VATS) to robot-assisted thoracoscopic surgery (RATS) on patient outcomes and costs, based on the experience of a single surgeon at a quaternary center.</p><p><strong>Methods: </strong>We reviewed patients who underwent anatomic lung resections by a single surgeon between 2015 and 2022, excluding nonanatomic resections and those involving robotic bronchoscopy followed by resection. We compared baseline characteristics, short-term outcomes, and costs between the VATS (2015 to 2018) and robotic (2018 to 2022) groups. Charges were adjusted to 2023 dollars for comparison across different time periods.</p><p><strong>Results: </strong>A total of 210 patients (140 robotic, 70 VATS) were analyzed, with no significant differences in baseline characteristics. Robotic surgery had a longer median procedure time (161 vs 145 min, <i>P</i> < 0.002). Length of stay was similar (5.3 ± 6.3 days for robotic vs 6.54 ± 7.5 days for VATS, <i>P</i> = 0.23), as were 30-day readmission rates (5% for robotic vs 5.7% for VATS, <i>P</i> = 0.83). Major complications occurred in 5 robotic and 5 VATS cases (<i>P</i> = 0.528). Adjusted direct charges were $40,250.40 (95% confidence interval [CI]: $34,739.0 to $45,761.8) for robotic and $44,124.00 (95% CI: $35,036.0 to $53,211.9) for VATS (<i>P</i> = 0.47). Total hospital charges were $74,199.00 (95% CI: $64,398.9 to $83,999.2) for robotic and $80,549.00 (95% CI: $63,028.9 to $98,069.3) for VATS (<i>P</i> = 0.498).</p><p><strong>Conclusions: </strong>Transitioning from VATS to RATS can be done safely without increasing costs or morbidity. In addition, the robotic approach demonstrated numerically lower charges, even during the surgeon's early learning curve. Hospital cost savings would be expected to increase as operative efficiency improves.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251365679"},"PeriodicalIF":1.6,"publicationDate":"2025-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145006062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Endoscopic Mitral Valve Repair on a Pectus Excavatum Patient.","authors":"Henri Bartolozzi, Katerina Katramadou, Nikos Tsotsolis, Antonios Pitsis","doi":"10.1177/15569845251365731","DOIUrl":"https://doi.org/10.1177/15569845251365731","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251365731"},"PeriodicalIF":1.6,"publicationDate":"2025-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144992469","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"E-vita Open Neo Hybrid Stent Graft Implantation Technique.","authors":"Ryaan El-Andari, Michael C Moon","doi":"10.1177/15569845251364258","DOIUrl":"https://doi.org/10.1177/15569845251364258","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251364258"},"PeriodicalIF":1.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"First Reported Series of Endoscopic Transposition of the Anterior Mitral Leaflet as a Patch for Posterior Annular MAC Debridement.","authors":"Mario Castillo-Sang, Matias Rios, Tom Wilkinson, Mickey Ising, George Christensen","doi":"10.1177/15569845251364312","DOIUrl":"https://doi.org/10.1177/15569845251364312","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251364312"},"PeriodicalIF":1.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144952752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Hybrid Thoracoscopic Redo Mitral Valve Replacement.","authors":"Lindsey Brinkley, Ryan Azarrafiy, Omar Sharaf, Thomas Beaver","doi":"10.1177/15569845251364259","DOIUrl":"https://doi.org/10.1177/15569845251364259","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845251364259"},"PeriodicalIF":1.6,"publicationDate":"2025-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144859082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}