Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献_第5页

Unlocking the Potential: Overcoming Barriers to the Adoption of Robotics in Coronary Artery Bypass Surgery. 释放潜力：克服在冠状动脉搭桥手术中采用机器人的障碍。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-03-31 DOI: 10.1177/15569845251325849

Yazan N AlJamal, Husam H Balkhy

{"title":"Unlocking the Potential: Overcoming Barriers to the Adoption of Robotics in Coronary Artery Bypass Surgery.","authors":"Yazan N AlJamal, Husam H Balkhy","doi":"10.1177/15569845251325849","DOIUrl":"10.1177/15569845251325849","url":null,"abstract":"Objective: This study aims to identify the perceived barriers and factors contributing to the slow adoption of robotic technology among coronary surgeons.Methods: We administered an anonymous online survey during the 2023 Society for Thoracic Surgeons (STS) Coronary Conference and included questions about factors associated with the lack of, or slow adoption of, robotics in coronary artery bypass surgery.Results: A total of 75 coronary surgeons completed the anonymous online survey. Of these respondents, 30 surgeons (39.4%) reported having more than 15 years of experience as independent coronary surgeons. Among the 71 surgeons (95%) who were not using robotic technology, the barriers to adoption (from most important to less important) were lack of skill or experience with robotic technology (mean score, 2.56 ± 1.84), followed by the lack of referral of patients with hybrid or single-vessel disease from cardiologists (2.81 ± 1.76), the need for more support and learning opportunities (e.g., hands-on courses, online courses; 3.44 ± 1.98), and more data to support the efficacy and safety of robotic coronary surgery (3.63 ± 2.22). Moreover, 38 surgeons (50%) expressed a willingness to consider robotic coronary surgery if industry provided appropriate devices such as stabilizers and automated anastomotic devices. Finally, 53 surgeons (69.7%) reported being unaware of the Thoracic Surgery Foundation and STS Advanced Robotic Cardiac Surgery Fellowship award with a coronary track.Conclusions: The findings from this survey identify the barriers to adopting robotic technology in coronary surgery. Addressing these barriers through targeted interventions could foster wider acceptance and use of robotic technology in coronary bypass surgery.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"175-179"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143752512","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

State-of-the-Art Review: Advantages and Disadvantages of Femoral Versus Central Cannulation. 最新进展：股动脉插管与中心静脉插管的优缺点。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-04-22 DOI: 10.1177/15569845251333344

Paul Werner, Martin Winter, Iuliana Coti, Amila Kahrovic, Martin Andreas, Thomas Haberl, Daniel Zimpfer, Marek Ehrlich

引用次数: 0

Alfieri Stitch in Minithoracotomy Repair of Degenerative Mitral Regurgitation: Potential Role and Outcomes. Alfieri针在小开胸修复退行性二尖瓣反流：潜在作用和结果。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-05-03 DOI: 10.1177/15569845251325260

Brittany A Zwischenberger, Jeffrey G Gaca, Keith Carr, Andrew Wang, Donald D Glower

{"title":"Alfieri Stitch in Minithoracotomy Repair of Degenerative Mitral Regurgitation: Potential Role and Outcomes.","authors":"Brittany A Zwischenberger, Jeffrey G Gaca, Keith Carr, Andrew Wang, Donald D Glower","doi":"10.1177/15569845251325260","DOIUrl":"10.1177/15569845251325260","url":null,"abstract":"Objective: The Alfieri stitch is a mitral repair technique that can easily be applied in less invasive approaches to the mitral valve. However, the Alfieri stitch is seldom used and has raised concerns about producing mitral stenosis or recurrent regurgitation.Methods: A total of 1,134 consecutive patients undergoing repair of degenerative mitral regurgitation via right minithoracotomy from 1997 to 2019 were examined from a prospectively maintained database. Propensity score matching was performed on patients with and without Alfieri stitch.Results: The Alfieri stitch was used in 697 of 1,134 patients (53%) with annuloplasty in all patients. Patients receiving the Alfieri stitch had more flail leaflet (P = 0.001), larger rings (P < 0.001), more chordal replacement (P < 0.001), and more cleft closure (P < 0.001). In 201 matched patient pairs, Alfieri patients did not differ significantly in baseline characteristics or procedure performed other than the Alfieri stitch. Matched patients with Alfieri stitch had similar clamp and pump times and no difference in postoperative course. Matched patients with Alfieri stitch had only slightly higher mean postoperative gradient (4.0 ± 1.5 vs 3.2 ± 1.3 mm Hg, P < 0.001). At 10 years, matched patients with Alfieri stitch showed nonsignificant differences in survival (P = 0.5), cumulative incidence of severe mitral regurgitation (5% ± 3% vs 3% ± 3%, P = 0.3), and moderate or more mitral regurgitation (17% ± 4% vs 12% ± 4%, P = 0.8) but more mitral reoperation at 10 years (6% ± 3% vs 1% ± 1%, P = 0.02).Conclusions: The Alfieri stitch can be applied via right minithoracotomy to repair a wide variety of degenerative mitral pathology with minimally higher mitral gradient and a late trend toward increased mitral reoperation at 10 years.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"167-174"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995548","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

Simultaneous Valve Implantation in Aortic and Mitral Position in High-Risk Patients. 高危患者主动脉二尖瓣位置同时置入术。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-05-19 DOI: 10.1177/15569845251324166

Nina Feirer, Nora Zahlmann, Keti Vitanova, Markus Krane, Hendrik Ruge

引用次数: 0

Active Chest Tube Clearance Added to an Enhanced Recovery After Cardiac Surgery (ERAS) Program Improves Outcomes and Reduces Resource Utilization. 主动胸管清除加入心脏手术后增强恢复（ERAS）计划可改善预后并减少资源利用率。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-05-06 DOI: 10.1177/15569845251326084

Marc W Gerdisch, Chanice Johns, Manesh Parikshak, Andrew Barksdale, Louis P Perrault

{"title":"Active Chest Tube Clearance Added to an Enhanced Recovery After Cardiac Surgery (ERAS) Program Improves Outcomes and Reduces Resource Utilization.","authors":"Marc W Gerdisch, Chanice Johns, Manesh Parikshak, Andrew Barksdale, Louis P Perrault","doi":"10.1177/15569845251326084","DOIUrl":"10.1177/15569845251326084","url":null,"abstract":"Objective: We initiated a cardiac enhanced recovery after cardiac surgery (ERAS) program in early 2019, protocolized it and applied it to all patients in 2020, and added the use of active chest tube clearance (ATC) in 2022. Prospective data collection of ATC patients was compared with historical controls to determine the impact of the device on outcomes.Methods: The study comprised 1,334 patients with 650 in the control group (group 1) and 684 in the ATC intervention group (group 2). Group 1 (historical control) consisted of 650 patients from January 1, 2020, to October 31, 2020, and January 1, 2021, to October 31, 2021. From October 31, 2021, to December 31, 2021, we introduced ATC use per protocol. Group 2 (ATC) consisted of 684 patients treated consecutively from January 1, 2022, to August 31, 2023, with ATC. The preoperative characteristics and operative procedures between groups were similar.Results: Patients in the ATC intervention (group 2) experienced a 41% reduction in the composite of retained blood syndrome (8.2% in group 1 vs 4.8% in group 2, P = 0.014). Postoperative atrial fibrillation was 17% reduced for group 2 (178 [33.8%] in group 1 vs 158 [28.1%] in group 2, P = 0.049). Group 2 had a 30% reduction in median intensive care unit (ICU) hours (51.6 [30.1 to 76.9] h in group 1 vs 36.3 [20.7 to 687] h in group 2, P < 0.001). Twenty-one patients (3.2%) were readmitted to the ICU after initial discharge to the step-down unit in group 1 and only 8 (1.17%) in group 2 (P = 0.013).Conclusions: The addition of the ATC intervention to an established ERAS program in a high-volume private practice setting decreased complications, improved outcomes, and decreased resource utilization.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"194-200"},"PeriodicalIF":1.6,"publicationDate":"2025-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144003808","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

Totally Endoscopic Repair of Isolated Congenital Anterior Mitral Leaflet Cleft: A Case Report. 完全内窥镜修复先天性孤立性二尖瓣前叶裂1例。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-05-04 DOI: 10.1177/15569845251324488

Gianpiero Buttiglione, Can Gollmann-Tepeköylü, Jakob Hirsch, Daniel Höfer, Nikolaos Bonaros

引用次数: 0

Surgical Maneuvers for Aortic Valve Exposure Through the Right Anterior Minithoracotomy. 通过右前小开胸术暴露主动脉瓣的手术技巧。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI: 10.1177/15569845251326546

Oleksandr Babliak, Dmytro Babliak

引用次数: 0

Initial Experience With a Novel Subxiphoid Video-Assisted Left Internal Mammary Artery Harvesting Technique. 一种新型剑突下视频辅助左乳内动脉采集技术的初步经验。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI: 10.1177/15569845251326536

Igor Zivkovic, Milica Ivanovic, Zorana Dancetovic, Zoran Tabakovic, Bogdan Okiljevic, Milos Matkovic, Emilija Petrovic, Miroslav Milicic, Slobodan Micovic, Petar Milacic

引用次数: 0

Endoscopic Aortic Valve Replacement With Bo Yang Annular Enlargement Technique. 内窥镜主动脉瓣置换术与博杨环扩大技术。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-04-15 DOI: 10.1177/15569845251320620

Serdar Akansel, Luke J Rogers, Hristian Hinkov, Markus Kofler, Jörg Kempfert

引用次数: 0

Surgical Unroofing of Anomalous Origin of Coronary Arteries Through a Minithoracotomy. 小开胸术治疗冠状动脉异常起源的外科治疗。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-03-01 Epub Date: 2025-03-27 DOI: 10.1177/15569845251326633

Jessica E Wahi, Joseph Lamelas

引用次数: 0