Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献_第4页

Three-Dimensional Heart Modeling of Hypertrophic Obstructive Cardiomyopathy for In Situ Patient-Specific Simulation to Optimize Septal Myectomy. 肥厚型梗阻性心肌病的三维心脏建模，用于原位患者特异性模拟，以优化房间隔切除术。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-09-02 DOI: 10.1177/15569845241273538

Karin C Smits, Ron G H Speekenbrink, Edsko E G Hekman, Maaike A Koenrades, Tijn J P Heeringa, Jutta Arens, Frank R Halfwerk

{"title":"Three-Dimensional Heart Modeling of Hypertrophic Obstructive Cardiomyopathy for In Situ Patient-Specific Simulation to Optimize Septal Myectomy.","authors":"Karin C Smits, Ron G H Speekenbrink, Edsko E G Hekman, Maaike A Koenrades, Tijn J P Heeringa, Jutta Arens, Frank R Halfwerk","doi":"10.1177/15569845241273538","DOIUrl":"10.1177/15569845241273538","url":null,"abstract":"Objective: Hypertrophic obstructive cardiomyopathy (HOCM) develops in at least 1 out of 715 young adults. Patients who are refractory to medical therapy qualify for septal myectomy. Due to anatomy, serious complications such as ventricular septal defect and heart block may occur. Establishing cardiovascular magnetic resonance (CMR)-based 3-dimensional (3D) models as part of preoperative planning and training has the potential to decrease procedure-related complications and improve results.Methods: CMR images were used to segment cardiac structures. Left ventricular wall thickness was calculated and projected on top of the in silico model. A 3D model was printed with a red layer indicating a wall thickness exceeding 15 mm and used for preoperative resection planning and patient counseling. To provide preoperative patient-specific in situ simulation, the planned resection volume was replaced with silicone in a second model. For perioperative quality control, resected silicone was compared with resected myocardial tissue. The impact of the models was evaluated descriptively through consultation of both the cardiothoracic surgeon and patients and through patient outcomes.Results: Three-dimensional in silico and 3D-printed heart models of 5 patients were established preoperatively. Since the introduction of the models in October 2020, the surgeon feels better prepared, more confident, and less difficulty with making decisions. In addition, patients feel better informed preoperatively.Conclusions: Using 3D heart models optimized preoperative planning and training, intraoperative quality control, and patient consultation. Reduction of procedure-related complications and clinical outcome should be studied in larger cohorts.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"532-540"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11613515/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142106973","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

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 : 2024-09-01 Epub 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

引用次数: 0

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 : 2024-09-01 Epub 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":"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":"541-549"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","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}

引用次数: 0

Minimally Invasive Surgical Repair of Simple Congenital Heart Defects Using the Right Vertical Infra-Axillary Thoracotomy Approach. 使用右侧垂直腋下胸廓切开术微创手术修复单纯先天性心脏缺损

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-08-26 DOI: 10.1177/15569845241273650

Dien Minh Tran, Vinh Quang Tran, Mai Tuan Nguyen, Duyen Dinh Mai, Anh Vuong Doan, Son Thanh Hoang, Yasuhiro Kotani, Truong Ly-Thinh Nguyen

{"title":"Minimally Invasive Surgical Repair of Simple Congenital Heart Defects Using the Right Vertical Infra-Axillary Thoracotomy Approach.","authors":"Dien Minh Tran, Vinh Quang Tran, Mai Tuan Nguyen, Duyen Dinh Mai, Anh Vuong Doan, Son Thanh Hoang, Yasuhiro Kotani, Truong Ly-Thinh Nguyen","doi":"10.1177/15569845241273650","DOIUrl":"10.1177/15569845241273650","url":null,"abstract":"Objective: To evaluate the safety and efficacy of surgical repair for patients diagnosed with simple congenital heart defects (CHD) using the minimally invasive right vertical infra-axillary minithoracotomy (RVIAT) approach.Methods: We retrospectively reviewed the clinical data of consecutive patients who underwent minimally invasive RVIAT for repair of CHD between August 2019 and August 2022. There were 382 patients who underwent 8 primary procedures and were included in this study.Results: The median age of the patients was 16.2 (interquartile range [IQR], 7.2 to 41.9) months, and the median weight of the patients was 8.8 (IQR, 6.5 to 14) kg. The preoperative diagnoses were as follows: ventricular septal defect, atrial septal defect, partial anomalous pulmonary venous return, partial atrioventricular septal defect, cor triatriatum, complete atrioventricular septal defect, and myxoma. The mean aortic cross-clamp time, bypass time, and operation time were 45.4 ± 19.3 min, 65.6 ± 23.1 min, and 154.5 ± 29.7 min, respectively. There was no in-hospital mortality or conversion to median sternotomy. Two patients (0.5%) required early reoperation; 1 due to postoperative bleeding and 1 for permanent pacemaker implantation. Other complications included trivial residual shunts (23 of 382, 6%), pleural effusion (3 of 382, 0.8%), pneumothorax (0.8%), and wound infection (4 of 382, 1%). There were 2 late noncardiac deaths. Late reoperation was performed on 1 patient with progressive aortic valve regurgitation who required aortic valvuloplasty.Conclusions: RVIAT is a minimally invasive approach that can be safely performed on patients with simple CHDs. RVIAT may be a good alternative approach for median sternotomy and cardiac intervention.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"520-525"},"PeriodicalIF":1.6,"publicationDate":"2024-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142055441","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}

引用次数: 0

Hybrid Ablation: Passing Fad or Here to Stay? 混合消融术：过眼云烟还是长盛不衰？

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-09-18 DOI: 10.1177/15569845241275238

Stephen D Waterford

引用次数: 0

The 10 Commandments of Endo-Bentall Repair. 内科-本托尔维修十诫。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-11-08 DOI: 10.1177/15569845241288837

Mehrdad Ghoreishi, Shahab Toursavadkohi

引用次数: 0

Robotic Totally Endoscopic Transmitral Septal Myectomy and Secondary Chord Resection for Hypertrophic Obstructive Cardiomyopathy. 机器人全内镜经房间隔髓质切除术和继发性脊髓切除术治疗肥厚型梗阻性心肌病。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-08-09 DOI: 10.1177/15569845241256382

Hiroto Kitahara, Kaitlin Grady, Dinesh Kurian, Husam H Balkhy

引用次数: 0

Augmented Reality-Supported Totally Thoracoscopic Epicardial Left Atrial Appendage Closure in a Patient With Liver Cirrhosis. 在一名肝硬化患者身上应用增强现实技术支持的全胸腔镜心外膜左房阑尾闭合术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-10-09 DOI: 10.1177/15569845241277488

Eleonora Costagliola, Eluisa La Franca, Salvatore Pasta, Manlio Cipriani, Sergio Sciacca, Francesco Musumeci

引用次数: 0

Intraoperative Sternal Elevation for Minimally Invasive Mitral Valve Repair in Severe Pectus Excavatum. 术中胸骨抬高用于重度胸大肌切除术中的微创二尖瓣修复术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-10-09 DOI: 10.1177/15569845241273569

Sara Ranchordás, Gustavo Woll, Elena Sandoval, Daniel Pereda

引用次数: 0

The 7 Pillars of Proctorship in Robotic Thoracic Surgery: A Blueprint for a Successful Start. 机器人胸腔镜手术的 7 大支柱：成功起步的蓝图。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-09-01 Epub Date: 2024-10-09 DOI: 10.1177/15569845241285361

Desmond M D'Souza, Peter J Kneuertz, Danjouma Cheufou

引用次数: 0