Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery最新文献_第6页

Ten Commandments on Decision Making for Open, Hybrid, and Endovascular Arch Repair. 开放式、混合式和血管内弓修复决策的十诫。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-06-30 DOI: 10.1177/15569845251350673

Stefano Fazzini, Giorgia Cibin, Eugenio Martelli, Augusto D'Onofrio

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Schedule-at-a-Glance. Schedule-at-a-Glance。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-31 DOI: 10.1177/15569845241304055a

引用次数: 0

Robotic Totally Endoscopic Reverse Hybrid Coronary Revascularization: Early and Midterm Outcomes. 机器人全内窥镜反向混合冠状动脉重建术：早期和中期结果。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-13 DOI: 10.1177/15569845251334117

Yazan N AlJamal, Sarah Nisivaco, Riya Bhasin, Hiroto Kitahara, Sandeep Nathan, Husam H Balkhy

{"title":"Robotic Totally Endoscopic Reverse Hybrid Coronary Revascularization: Early and Midterm Outcomes.","authors":"Yazan N AlJamal, Sarah Nisivaco, Riya Bhasin, Hiroto Kitahara, Sandeep Nathan, Husam H Balkhy","doi":"10.1177/15569845251334117","DOIUrl":"10.1177/15569845251334117","url":null,"abstract":"Objective: Reverse hybrid coronary revascularization (RHCR) is the integration of percutaneous coronary intervention (PCI) followed by sternal-sparing coronary artery bypass grafting in patients with multivessel coronary artery disease (CAD). We sought to review our RHCR experience over a 10-year period using PCI first followed by robotic totally endoscopic coronary artery bypass (TECAB).Methods: We reviewed the indications and outcomes in patients who underwent RHCR (PCI with drug-eluting stents first, followed by TECAB).Results: From July 2013 to August 2024, 882 robotic TECAB procedures were performed at our institution. Of these, 60 patients underwent RHCR. The mean age of the patients was 66.7 ± 10 years, and 74% were male patients. The target vessel stented was the right coronary artery in 52 patients (87%), circumflex coronary artery in 10 patients (17%), and diagonal in 4 patients (7%). The average time from PCI to TECAB was 3.8 ± 1.64 months. A total of 35 patients (58%) underwent multivessel grafting, with 74% bilateral internal thoracic artery (ITA) use. The mean operative time was 253 ± 88 min, and the mean hospital length of stay was 2 ± 0.76 days. There were no conversions, perioperative strokes, or myocardial infarctions. At mean follow-up of 34 ± 27 months, cardiac-related mortality occurred in 1 patient. Freedom from major adverse cardiac or cerebrovascular events including repeat revascularization was 93%.Conclusions: RHCR is safe and feasible in selected patients with multivessel CAD. In experienced hands, stenting first followed by robotic TECAB with left ITA or bilateral ITA grafts resulted in excellent early and midterm outcomes. Further studies are warranted.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"276-282"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143986072","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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Left Ventricular Aneurysm Repair Through the Left Anterior Minithoracotomy. 通过左前小开胸术修复左室动脉瘤。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-14 DOI: 10.1177/15569845251333424

Oleksandr Babliak, Dmytro Babliak, Vasyl Lazoryshynets, Katerina Revenko, Yevhenii Melnyk, Oleksii Stohov

{"title":"Left Ventricular Aneurysm Repair Through the Left Anterior Minithoracotomy.","authors":"Oleksandr Babliak, Dmytro Babliak, Vasyl Lazoryshynets, Katerina Revenko, Yevhenii Melnyk, Oleksii Stohov","doi":"10.1177/15569845251333424","DOIUrl":"10.1177/15569845251333424","url":null,"abstract":"Objective: To describe the technique and the results of left ventricular aneurysm (LVA) repair with simultaneous coronary artery bypass grafting (CABG) and/or mitral valve (MV) surgery through the left anterior thoracotomy.Methods: Between October 2018 and June 2024, a cohort of 40 patients underwent repair for postinfarction LVA through left anterior thoracotomy. Simultaneous procedures included CABG (40 patients, 100%) and MV surgery (15 patients, 37.5%) and were performed through the same thoracotomy incision. The mean age of the patients was 61.4 ± 11.4 years (range, 33 to 82 years), the mean body mass index was 27.9 ± 4.3 kg/m2 (range, 19.9 to 35.9 kg/m2), and the mean LV ejection fraction was 29.9% ± 8.6% (range, 10% to 55%). The surgical technique in all patients included peripheral cardiopulmonary bypass, minithoracotomy in the fourth intercostal space, aortic cross-clamping, and cold blood cardioplegia.Results: Successful visualization and repair of the LVA and complete revascularization was achieved in all patients without conversion to sternotomy. The mean number of distal anastomoses per patient was 2.03 ± 1.12 (range, 1 to 5). The mean cardiopulmonary bypass time was 207 ± 51.0 min, and the mean cross-clamp time was 115.5 ± 28.7 min. The average intensive care unit stay was 2.1 ± 1.4 days (range, 1 to 8 days), and the total hospital stay was 6.8 ± 2.9 days (range, 4 to 14 days). No strokes, major complications, or hospital mortality were observed. The 30-day mortality included 1 patient.Conclusions: LVA repair (isolated or combined with simultaneous cardiac surgical procedures) through the left anterior thoracotomy is shown to be efficient and safe in our experience.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"272-275"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144077764","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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Robotic Resection of an Idiopathic Azygos Vein Aneurysm and the Diagnostic Role of Thoracic Venogram. 机器人切除特发性奇静脉动脉瘤及胸静脉造影的诊断作用。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-16 DOI: 10.1177/15569845251334129

Kayla M Keenan, Rekha A Cherian, Frank C Lynch, Pauline H Go

引用次数: 0

FET Repair With the Cook FET-FEN Device. 用库克FET- fen器件修复FET。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-07-06 DOI: 10.1177/15569845251344285

François Dagenais, Kevin Wilger

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The 10 Commandments of the Frozen Elephant Trunk. 冰冻象鼻的十诫。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-07-06 DOI: 10.1177/15569845251353510

Malakh Lal Shrestha, Erik Beckmann

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State-of-the-Art Review of Aortic Arch Reconstruction With the Frozen Elephant Trunk. 冷冻象鼻重建主动脉弓的研究进展。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-07-01 DOI: 10.1177/15569845251347968

Sabin J Bozso, Ryaan El-Andari, Rashmi Nedadur, Brandon Loshusan, Holly Smith, Jennifer C Y Chung, Jonathan Hong, François Dagenais, Marina Ibrahim, Michael C Moon, Michael W A Chu

{"title":"State-of-the-Art Review of Aortic Arch Reconstruction With the Frozen Elephant Trunk.","authors":"Sabin J Bozso, Ryaan El-Andari, Rashmi Nedadur, Brandon Loshusan, Holly Smith, Jennifer C Y Chung, Jonathan Hong, François Dagenais, Marina Ibrahim, Michael C Moon, Michael W A Chu","doi":"10.1177/15569845251347968","DOIUrl":"10.1177/15569845251347968","url":null,"abstract":"Aortic arch replacement operations have undergone substantial evolution with technical advancements, notably the introduction of the frozen elephant trunk (FET) technique. The purpose of this state-of-the-art review is to detail our approach to contemporary aortic arch replacement with FET operations. First, we review the evolution of FET procedures over the years and discuss technical modifications, including cerebral perfusion options, to the aortic arch replacement with FET. We also discuss state-of-the-art technical considerations of head vessel reconstruction and management of the difficult left subclavian artery. We also discuss selected considerations related to the endovascular stent graft component, including landing zone management and when to consider extended distal aortic interventions. We briefly discuss potential complications of which the vigilant clinician should be aware, as well as highlight subtleties in managing aortic dissection compared with aortic aneurysms.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"235-243"},"PeriodicalIF":1.6,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12265930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144527790","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}

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Message from the President. 来自总统的信息。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-05-31 DOI: 10.1177/15569845241304055

引用次数: 0

Proposal for Valve Sizing, Prosthesis Simulation, and Procedure Planning Based on Computed Tomography in Endoscopic Mitral Valve Surgery. 内窥镜二尖瓣手术中基于计算机断层扫描的瓣膜尺寸、假体模拟和手术计划的建议。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2025-05-01 Epub Date: 2025-04-20 DOI: 10.1177/15569845251330863

Miriam Silaschi, André Späth, Marwan Hamiko, Jacqueline Kruse, Ömür Akhavuz, Saad Salamate, Ali El Sayed Ahmad, Farhad Bakhtiary

引用次数: 0