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

{"title":"Aortic Root Enlargement: Humility and Geometry as Invaluable Guides.","authors":"Jerome Soquet","doi":"10.1177/15569845261474585","DOIUrl":"https://doi.org/10.1177/15569845261474585","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261474585"},"PeriodicalIF":1.7,"publicationDate":"2026-09-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148897285","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 Mitral Valve Repair and Coronary Artery Bypass Grafting.","authors":"Ibrahim Gökçe, Gökhan Arslanhan, Murat Baştopcu, Zeynep Sıla Özcan, Anil Karaağaç, Muharrem Koçyiğit, Gültekin Karakuş, Şahin Şenay, Cem Alhan","doi":"10.1177/15569845261472795","DOIUrl":"https://doi.org/10.1177/15569845261472795","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261472795"},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891414","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":"Reply to Letter to the Editor: Time to Reconsider Surgical Revascularization for Single-Vessel and Two-Vessel Coronary Artery Disease?","authors":"Mohamed Doma, Andrew M Goldsweig","doi":"10.1177/15569845261474567","DOIUrl":"https://doi.org/10.1177/15569845261474567","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261474567"},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891348","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":"Antegrade Cardioplegia via Occlusion Catheter for Aortic Regurgitation in Minimally Invasive Cardiac Surgery.","authors":"Toru Koakutsu, Daiki Yoshiyama, Takafumi Horikawa, Ryuta Seguchi, Norihiko Ishikawa, Shigeyuki Tomita, Toshiya Ohtsuka, Go Watanabe","doi":"10.1177/15569845261474576","DOIUrl":"https://doi.org/10.1177/15569845261474576","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261474576"},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891429","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":"Time to Reconsider Surgical Revascularization for Single-Vessel and Two-Vessel Coronary Artery Disease?","authors":"Dritan Useini","doi":"10.1177/15569845261472993","DOIUrl":"https://doi.org/10.1177/15569845261472993","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261472993"},"PeriodicalIF":1.7,"publicationDate":"2026-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891528","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":"Factors Associated With Chest Tube Output Following Robotic Totally Endoscopic Coronary Artery Bypass Grafting.","authors":"Martin Winter, Syed Faaz Ashraf, Andrea Amabile, Neha Devineni, Kei Kobayashi, Yizhan Guo, Irsa Hasan, David Kaczorowski, Ibrahim Sultan, Johannes Bonatti","doi":"10.1177/15569845261472592","DOIUrl":"https://doi.org/10.1177/15569845261472592","url":null,"abstract":"<p><strong>Objective: </strong>Data on chest tube output following robotic totally endoscopic coronary artery bypass grafting (TECAB) are limited. We aimed to quantify chest tube drainage following robotic TECAB and identify factors associated with increased output.</p><p><strong>Methods: </strong>A total of 125 consecutive patients undergoing robotic TECAB from September 2021 to July 2025 were retrospectively analyzed. Chest tube output was recorded over 96 h postoperatively. Univariable and multivariable linear regression analyses were performed to identify predictors of increased drainage.</p><p><strong>Results: </strong>Median chest tube output over 4 days was 945 mL (interquartile range: 703 to 1,400 mL). Median chest tube duration was 3 (2 to 4) days. Drainage volumes were lower than those reported for open coronary artery bypass grafting (CABG) and comparable with mixed robotic cardiac surgery cohorts. Increased chest tube output correlated positively with the number of transfused red blood cell units (<i>r_s</i> = 0.336, <i>P</i> < 0.001) and the number of postoperative chest radiographs (<i>r_s</i> = 0.378, <i>P</i> < 0.001). On multivariable regression analysis, age (B = 14.2 mL/year, <i>P</i> = 0.049), male sex (B = 353 mL, <i>P</i> = 0.037), and longer procedure time (B = 1.6 mL/min, <i>P</i> = 0.019) were independent factors associated with increased output.</p><p><strong>Conclusions: </strong>Chest tube output after robotic TECAB appears comparable with values reported in mixed robotic cardiac surgery and lower than those reported for open CABG. Operative strategy including single versus multivessel TECAB, arrested versus beating heart, and hybrid coronary revascularization did not significantly influence output. Chest tube output after robotic TECAB was driven by age, gender, and procedure time, and higher output was associated with higher resource use.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261472592"},"PeriodicalIF":1.7,"publicationDate":"2026-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148706436","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":"Totally Endoscopic Repair of Chronic Ventricular Septal Rupture.","authors":"Kenta Kan, Soh Hosoba","doi":"10.1177/15569845261469176","DOIUrl":"https://doi.org/10.1177/15569845261469176","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261469176"},"PeriodicalIF":1.7,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148701247","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":"Not All Y-Incisions Are Equal: Anatomical Differences Between the A. Kocher Technique and the Original Yang Procedure.","authors":"Amine Fikani, Victor Jebara","doi":"10.1177/15569845261469181","DOIUrl":"https://doi.org/10.1177/15569845261469181","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261469181"},"PeriodicalIF":1.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684455","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":"Beating Heart Reimplantation of an Anomalous Right Coronary Artery From the Pulmonary Artery.","authors":"Joshua S Newman, Daniel German, Zoran Lasic, Amy Luckert, Rebecca Kalimi, Stevan S Pupovac, Nirav C Patel","doi":"10.1177/15569845261469179","DOIUrl":"https://doi.org/10.1177/15569845261469179","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261469179"},"PeriodicalIF":1.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684512","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":"Zero-Contrast EVAR Can Be Reached Using Automated Carbon Dioxide Digital Angiography, Endoaortic Balloon Occlusion, and IVUS.","authors":"Manuel Miralles, Francesca Maria Mursia, Luis García Domínguez, Noelia Garzón, Eliseo Candela, Emma Plana, Sergi Bellmunt","doi":"10.1177/15569845261471885","DOIUrl":"https://doi.org/10.1177/15569845261471885","url":null,"abstract":"<p><strong>Objective: </strong>To introduce a new method to enhance the visualization of renal arteries and the accuracy of graft deployment during CO₂-assisted endovascular (EV) aneurysm repair (EVAR).</p><p><strong>Methods: </strong>A retrospective observational study of consecutive EVAR cases assisted with CO₂ angiography (CO₂Angio) was conducted. This nonrandomized design reflects real-life progressive attempts to enhance the reliability of CO₂ and intravascular ultrasound (IVUS), minimizing the use of iodinated contrast (IC) and radiation, respectively. Cases were divided into 3 groups according to consecutive periods: CO₂Angio (<i>n</i> = 7), CO₂Angio and balloon occlusion of the infrarenal aorta (CO₂Angio + EVclamp, <i>n</i> = 11), and CO₂Angio + EVclamp + IVUS (<i>n</i> = 18). IC was permitted in case of insufficient visualization with CO₂Angio during any phase of the procedure. Demographic, clinical, and procedure variables (volume of IC and CO₂, radiation, fluoroscopy time, leaks) were collected from electronic clinic histories and statistically analyzed.</p><p><strong>Results: </strong>A significant decrease was found in the third group, after introducing both techniques, for total radiation (air kerma; 3,039 ± 2,792.3 vs 3,434.7 ± 1,289.2 vs 2,284.6 ± 841.5 mGy, <i>P</i> = 0.041), radiation per area, dose area product (47 ± 34.7 vs 54.5 ± 15.3 vs 41.3 ± 12.8 mGy×m², <i>P</i> = 0.03), and IC volume (104.3 ± 102.4 vs 89.2 ± 53.9 vs 15.4 ± 27.4 mL, <i>P</i> < 0.001), arriving at the goal of \"zero contrast\" in the last 12 patients. No significant differences were detected in fluoroscopy time, total operative time, total CO₂ volume, or change in renal function.</p><p><strong>Conclusions: </strong>The introduction of endoluminal occlusion with a balloon and the use of IVUS in CO₂-assisted EVAR enabled us to achieve the objective of zero contrast and a progressive decrease in radiation dose.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"15569845261471885"},"PeriodicalIF":1.7,"publicationDate":"2026-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148684442","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}