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

Transaortic Partial Septectomy via Right Anterior Minithoracotomy for Hypertrophic Obstructive Cardiomyopathy. 经主动脉右前小胸切开术治疗肥厚性梗阻性心肌病。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-10-03 DOI: 10.1177/15569845251382589

Oleksandr Babliak, Dmytro Babliak, Serhii Yatsuk

引用次数: 0

E-vita Open Neo Hybrid Stent Graft Implantation Technique. E-vita开放式新型混合支架植入术。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-08-21 DOI: 10.1177/15569845251364258

Ryaan El-Andari, Michael C Moon

引用次数: 0

Precision Surgery: Robotic, Augmented Reality, and 3D-Printed Approaches to Complex Giant Hiatal Hernia With Mesenteroaxial Volvulus. 精密手术：机器人，增强现实，和3d打印方法复杂巨大裂孔疝肠系膜轴向扭转。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-10-03 DOI: 10.1177/15569845251382590

Luigi Marano, Sergii Girnyi, Tomasz Cwalinski, Marek Strzemski, Karol Polom, Mateusz Wilcowski, Jaroslaw Skokowski

引用次数: 0

Effect of Geographic and Sociodemographic Factors on the Use of Robot-Assisted Versus Video-Assisted Lung Resection. 地理和社会人口因素对机器人辅助与视频辅助肺切除术的影响。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-11-25 DOI: 10.1177/15569845251388986

Natasha Valas, Aaron R Dezube, Michael Dezube, Virginia R Litle

{"title":"Effect of Geographic and Sociodemographic Factors on the Use of Robot-Assisted Versus Video-Assisted Lung Resection.","authors":"Natasha Valas, Aaron R Dezube, Michael Dezube, Virginia R Litle","doi":"10.1177/15569845251388986","DOIUrl":"10.1177/15569845251388986","url":null,"abstract":"Objective: Robot-assisted thoracoscopic (RATS) lung resection is a widely used treatment modality. We hypothesized that geographic and sociodemographic factors would affect trends in RATS use versus video-assisted thoracoscopic (VATS) for lung resection in the United States.Methods: Retrospective study of patients who underwent either RATS or VATS lung resection from 2016 to 2020 within the National Inpatient Sample. Cohorts were stratified by extent (lobectomy vs sublobar) and technique (RATS vs VATS) of resection and compared with respect to sociodemographic, hospital-level, and geographic factors.Results: From 2016 to 2020, 81,340 patients underwent lobectomy (35.8% vs 64.3% for RATS vs VATS) and 88,620 underwent sublobar resection (24.2% vs 75.8% for RATS vs VATS). RATS lung resection rates varied by year and geographic division (P < 0.05). The odds ratio (OR) of RATS for lobectomies (reference = East South Central) ranged from 1.64 (95% confidence interval [CI]: 1.35 to 2.0) for Pacific to 3.88 (95% CI: 3.23 to 4.67) for East North Central. For sublobar resection, they ranged from 1.64 (95% CI: 1.31 to 2.06) for Pacific to 3.27 (95% CI: 2.69 to 4.02) for South Atlantic. Race, ruralness, treatment year, age, admission status, hospital teaching status, and certain insurance types were independently associated with the odds of RATS lobectomy use (P < 0.05). Findings were similar for sublobar resection use, except for insurance status (P > 0.05) and hospital bed size (P < 0.05).Conclusions: Geographic division remained independently associated with the odds of RATS lung resection after adjusting for sociodemographic factors. The overall rates of RATS use ranged from 16.9% to 44.7% for lobectomy and from 11.5% to 30.6% for sublobar lung resection between geographic regions.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"585-592"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145603874","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

Robotic Totally Endoscopic Coronary Artery Bypass: Coronary Artery Stabilization Without the EndoWrist Stabilizer for a Second Arterial Graft. 机器人全内窥镜冠状动脉搭桥术：无腕内稳定器的冠状动脉稳定用于第二动脉移植。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-11-26 DOI: 10.1177/15569845251388992

Ghulam Murtaza, Korey Zellner, Rebecca Wachowiak, Justin Corbit, Husam H Balkhy

引用次数: 0

The 10 Commandments for Distal Management of Type A Dissection. A型解剖远端处理的十诫。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-11-26 DOI: 10.1177/15569845251394392

Kim I de la Cruz

引用次数: 0

Comparative Outcomes of Right Anterior Minithoracotomy and Ministernotomy for Aortic Valve Replacement: An Updated Meta-Analysis. 主动脉瓣置换术中右前小胸切开术和小胸切开术的比较结果：一项最新的荟萃分析。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-12-02 DOI: 10.1177/15569845251396471

Kristine Santos, Clara Campoverde Fárez, Victoria Zecchin Ferrara, Kensei Oya, Miguel Angel Samaniego, Melissa Chacón Quirós, Victor Lopez Barrios, Tomasz Plonek

{"title":"Comparative Outcomes of Right Anterior Minithoracotomy and Ministernotomy for Aortic Valve Replacement: An Updated Meta-Analysis.","authors":"Kristine Santos, Clara Campoverde Fárez, Victoria Zecchin Ferrara, Kensei Oya, Miguel Angel Samaniego, Melissa Chacón Quirós, Victor Lopez Barrios, Tomasz Plonek","doi":"10.1177/15569845251396471","DOIUrl":"10.1177/15569845251396471","url":null,"abstract":"Objective: Right anterior minithoracotomy (RAMT) and ministernotomy (MS) are established approaches for minimally invasive aortic valve replacement (MIAVR). There is no consensus about which technique offers better results.Methods: A literature search was conducted in MEDLINE, Scopus, and Cochrane Library, focusing on studies that compared RAMT and MS for MIAVR. RevMan 8.13.0 (The Cochrane Collaboration, London, UK) was used to calculate effect estimates reported as odds ratios (ORs) or mean differences (MDs) with 95% confidence intervals (CIs).Results: We included 21 studies with 6,986 patients, of whom 45.8% underwent RAMT. RAMT was associated with a shorter hospital stay (MD = -0.8 days, 95% CI: -1.4 to -0.2, P = 0.002) and reduced blood loss (MD = -22.3 mL, 95% CI: -32.8 to -11.8, P < 0.001), transfusion rates (OR = 0.7, 95% CI: 0.5 to 0.9, P = 0.01), and incidence of acute kidney injury (AKI; OR = 0.7, 95% CI: 0.5 to 0.9, P = 0.02). However, RAMT was also associated with a slightly longer cardiopulmonary bypass (CPB) time (MD = 9.0 min, 95% CI: 0.7 to 17.3, P = 0.03, I² = 97%) and incisional pain score (standardized MD = 0.5, 95% CI: 0.4 to 0.6, P < 0.001). Mortality, stroke, and other complications were similar between the 2 techniques.Conclusions: RAMT offers advantages including shorter hospital stay and reduced blood loss, transfusion, and AKI rates but at the cost of slightly longer CPB time and greater incisional pain. These findings underscore the need for individualized patient selection based on surgical risk, anatomical considerations, and recovery priorities.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"534-546"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145654003","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

Management of Multifocal Benign Acquired Bronchoesophageal Fistulas. 多灶性良性获得性支气管食管瘘的治疗。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-10-03 DOI: 10.1177/15569845251382592

Valeda Yong, Sameer Patel, Gerard Criner, Whitney Burrows, Nathaniel Marchetti, Roh Yanagida, Kewal Krishan, Parag Desai, Charles Bakhos

引用次数: 0

Feasibility and Automation of Intracorporeal Organ Digestion. 体内器官消化的可行性及自动化。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-11-25 DOI: 10.1177/15569845251392568

Jerry Liu, Lindsay Nitsche, Michael Demmy, Saraswati Pokharel, Todd L Demmy

{"title":"Feasibility and Automation of Intracorporeal Organ Digestion.","authors":"Jerry Liu, Lindsay Nitsche, Michael Demmy, Saraswati Pokharel, Todd L Demmy","doi":"10.1177/15569845251392568","DOIUrl":"10.1177/15569845251392568","url":null,"abstract":"Objective: We aimed to study the feasibility and automation of intracorporeal lung specimen dissolution using NaOH to decrease specimen extraction trauma.Methods: Twenty-three cadaveric porcine lungs were weighed, cannulated, placed in laparoscopic tissue extraction sacs, and submerged in water baths (37 °C). Lungs were digested for 6 to 36 h with dissolution fluid replacement through various cannulation strategies. Dissolution was quantified by changes in solid mass and structural and histologic integrities. After optimization, we performed 24-hour lung dissolution in a cadaveric porcine model. Next, a system was built using polyvinyl chloride, solenoid valves, water flow sensors, tubing, a vacuum pump, and an Arduino UNO (Monza, Italy). Flow tests were performed. System feasibility and safety were tested. A vacuum chamber was added for gentle agitation to the digestion solution through fluid oscillation. Functional tests were repeated.Results: There were no containment failures. Compared with saline, NaOH exhibited significant dissolution by 6 h (P < 0.001) progressing to a port-extractable, jelly-like material by 24 h (<20% initial mass). The degeneration of parenchymal histology correlated with NaOH exposure (r = 0.98, P = 0.02). Neither enzyme use (P = 0.3) nor specimen vascular cannulation (P = 0.15) improved dissolution compared with bathing. At 24 h, the clinical emulation model demonstrated no leaks and lung tissue effects proportionate to volume of delivered lye. During the flow tests, inflow was more precise, with minimal deviation. Outflow was more accurate, with measurements closer to the true value. The system passed 6-hour safety tests without leaks, with and without the vacuum chamber.Conclusions: These preliminary results suggest that automation of intracorporeal lung specimen digestion is feasible.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"575-584"},"PeriodicalIF":1.6,"publicationDate":"2025-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145603954","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

Bridging the Gap: Cost-Effective Modifications in Endoscopic Cardiac Surgery for Resource-Limited Settings. 弥合差距：资源有限的内窥镜心脏手术的成本效益改进。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-11-01 Epub Date: 2025-11-25 DOI: 10.1177/15569845251394394

Sandip Sardar, Monalisa Datta

引用次数: 0