Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献_第3页

The 7 Pillars of Techniques to Treat and Repair Tricuspid Endocarditis. 治疗和修复三尖瓣心内膜炎技术的 7 大支柱。

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Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-09 DOI: 10.1177/15569845241282662

Michele Gallo, Jaimin R Trivedi, Mark S Slaughter

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Program. 计划

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-01 DOI: 10.1177/15569845241271442a

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Message From the President of the Japan MICS Summit 2023. 2023 年日本多指标类集调查峰会主席致辞。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-10-01 DOI: 10.1177/15569845241271442

Toshihiko Shibata

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The Stradivari Violin of Robotic Heart Surgery: The Robotic EndoWrist Stabilizer. 机器人心脏手术的斯特拉迪瓦里小提琴：机器人腕内侧稳定器

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-23 DOI: 10.1177/15569845241279259

Gianluca Torregrossa, Andrea Amabile, Sarah Nisivaco, Michiel Algoet, Wouter Oosterlinck, Husam H Balkhy

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Novel Retractor-Camera System Facilitates Less Traumatic Minimally Invasive Procedures and Declutters the Operation Field. 新颖的牵引器-摄像头系统有助于减少微创手术的创伤并简化手术视野。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-23 DOI: 10.1177/15569845241277487

Faizus Sazzad, Wee Han Ng, Gao Feng, Irwan Shah Bin Mohd Moideen, Abdulrahman El Gohary, Ki Han Kim, John C Stevens, Theo Kofidis

{"title":"Novel Retractor-Camera System Facilitates Less Traumatic Minimally Invasive Procedures and Declutters the Operation Field.","authors":"Faizus Sazzad, Wee Han Ng, Gao Feng, Irwan Shah Bin Mohd Moideen, Abdulrahman El Gohary, Ki Han Kim, John C Stevens, Theo Kofidis","doi":"10.1177/15569845241277487","DOIUrl":"https://doi.org/10.1177/15569845241277487","url":null,"abstract":"Objective: To develop a novel endoscopic system that reduces trauma to the patient and declutters the surgical field for the surgeon in minimally invasive heart valve surgery.Methods: We designed and developed a retractor-camera combination for minimally invasive heart surgery; the cable and camera were connected to the underbelly of the left atrial retractor blade to provide an illuminated, wide-angle view of the mitral valve. We conducted ex vivo, in vivo, and, ultimately, a first-in-man randomized, nonanonymized clinical trial on 20 patients who required minimally invasive mitral valve surgery. Data from the preoperative period and the immediate postoperative period were gathered, and patients were followed for 3 months.Results: Our camera-retractor combo demonstrated safe and efficient exposure and vision in all detailed studies. The total operation time for the intervention group (316.5 ± 65.1 min) was slightly shorter than for the control group (317.5 ± 50.8 min). There was no significant difference in the ability to provide exposure of the mitral valve and surrounding left atrial tissue for both control and test articles. The novel camera-retractor reduced clutter in the operation field substantially and eliminated chest penetration for the camera. We also observed that the camera did not fog, did not stain with blood, and did not require frequent corrections to its position.Conclusions: We launch a novel atrial retraction-imaging platform that is less invasive for the patient and eliminates clutter and redundant movements for the surgeon.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845241277487"},"PeriodicalIF":1.6,"publicationDate":"2024-09-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286205","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}

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The 10 Commandments for Proximal Anastomosis During CABG: Techniques and Technologies for Vein and Arterial Grafts. CABG 期间近端吻合的十诫：静脉和动脉移植物的技术和工艺。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-23 DOI: 10.1177/15569845241279249

Massimo Baudo, Gianluca Torregrossa, John D Puskas

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Left Thoracoscopic Robot-Assisted Excision of a Left Lower Paratracheal Parathyroid Adenoma for Cure of Primary Hyperparathyroidism. 左胸腔镜机器人辅助下切除左下气管旁甲状旁腺腺瘤，治愈原发性甲状旁腺功能亢进症。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-23 DOI: 10.1177/15569845241277529

Matthew L Inra, Dominick Guerrero, Adin Reisner, Subroto Paul, Brett A Miles

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Right Anterior Minithoracotomy Approach for Aortic Valve Replacement. 主动脉瓣置换术的右前小开胸手术入路

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-21 DOI: 10.1177/15569845241276876

Ali Fatehi Hassanabad, Melissa A King, Wojtek Karolak, Aleksander Dokollari, Aizel Castejon, Dominique de Waard, Holly N Smith, Daniel D Holloway, Corey Adams, William D T Kent

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Hybrid Biatrial Ablation Versus Catheter Ablation for Patients With Nonparoxysmal Atrial Fibrillation and Enlarged Left Atrium. 非阵发性心房颤动和左心房扩大患者的混合生物心房消融术与导管消融术。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-21 DOI: 10.1177/15569845241275161

Chunyu Yu, Haojie Li, Zhiwei Zeng, Lihui Zheng, Lingmin Wu, Ligang Ding, Yan Yao, Zhe Zheng

{"title":"Hybrid Biatrial Ablation Versus Catheter Ablation for Patients With Nonparoxysmal Atrial Fibrillation and Enlarged Left Atrium.","authors":"Chunyu Yu, Haojie Li, Zhiwei Zeng, Lihui Zheng, Lingmin Wu, Ligang Ding, Yan Yao, Zhe Zheng","doi":"10.1177/15569845241275161","DOIUrl":"https://doi.org/10.1177/15569845241275161","url":null,"abstract":"Objective: There is no consensus on the optimal ablation strategy for nonparoxysmal atrial fibrillation (NPAF) with enlarged left atrium. We aimed to explore whether hybrid ablation (HA) of combined thoracoscopic surgical ablation with catheter ablation (CA) was superior to CA alone in these patients.Methods: Patients with NPAF and left atrial diameter (LAD) ≥45 mm who underwent hybrid biatrial ablation or CA procedure from June 2014 to July 2021 were included in this study. Propensity score matching was applied to select patients in each group. The primary endpoint was freedom from atrial tachyarrhythmias after procedures.Results: After propensity score matching, 52 patients with enlarged left atrium (median LAD = 51 mm) were enrolled in each group. The median follow-up was 36 months. The probability of freedom from atrial tachyarrhythmias at 12, 24, and 36 months on antiarrhythmic drugs (AADs) was 70.1%, 65.4%, and 62.6% in the HA group and 34.3%, 29.4%, and 22.0% in the CA group, respectively (P < 0.001); off AADs was 57.1%, 52.7%, and 50.0% in the HA group and 25.0%, 16.2%, and 11.5% in the CA group (P < 0.001); on AADs after redo CA was 76.2%, 73.7%, and 73.7% in the HA group and 43.6%, 43.6%, and 38.2% in the CA group, respectively (P < 0.001); off AADs after redo CA was 62.5%, 60.1%, and 60.1% in the HA group and 30.4%, 25.1%, and 20.9% in the CA group, respectively (P < 0.001).Conclusions: For patients with NPAF and enlarged left atrium, hybrid biatrial ablation was superior to CA in sinus rhythm maintenance even if redo CA was performed.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845241275161"},"PeriodicalIF":1.6,"publicationDate":"2024-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286198","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}

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Endoscopic Robotic Mitral Operating Room as a Microsystem for Safety and Sustainability. 内窥镜机器人二尖瓣手术室作为微系统的安全性和可持续性。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-20 DOI: 10.1177/15569845241278605

Douglas A Murphy, Sergey Psarev, Amalia A Jonnson, Michael E Halkos

{"title":"Endoscopic Robotic Mitral Operating Room as a Microsystem for Safety and Sustainability.","authors":"Douglas A Murphy, Sergey Psarev, Amalia A Jonnson, Michael E Halkos","doi":"10.1177/15569845241278605","DOIUrl":"10.1177/15569845241278605","url":null,"abstract":"Objective: Safety and sustainability are key elements of a robotic mitral valve (MV) program at any stage of development. Challenges include the positioning of the surgeon at the robotic console, increasing patient complexity, and upstream administrative staffing difficulties. We instituted a systems approach to maximize patient safety and maintain robotic service viability.Methods: A single dedicated robotic operating room (OR) was equipped as a microsystem with team training in the operative steps, ergonomics, digital tools, and an explicit culture of safety. Outcomes of all robotic mitral procedures including concomitant procedures in the microsystem OR by a single surgeon were retrospectively reviewed.Results: From January 2014 through December 2023, 1,529 consecutive MV patients were operated with an endoscopic robotic approach. Ten patients (0.65%) were converted to conventional approaches. Overall, 1,300 MV repairs (85%) were performed with residual MV regurgitation of none to trace in 1,205 patients (92.7%), mild in 92 patients (7.1%), and moderate in 3 patients (0.23%). MV replacements were performed in 229 patients (15%) with no paravalvular leaks. Mortality was 0.08% in the repair group and 0.87% in the replacement group. No deaths have occurred in the last 38 months. Stroke occurred in 0.31% of repair patients and 1.3% of replacement patients. One patient developed transient renal failure.Conclusions: Organization of the robotic OR as a microsystem is associated with surgical efficacy and very low morbidity and mortality. A comparable microsystem approach using all or select components may promote safety and sustainability for robotic MV programs at all levels.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845241278605"},"PeriodicalIF":1.6,"publicationDate":"2024-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142286134","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}

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