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

{"title":"Bentall-DeBono Procedure Via Right-Sided Thoracotomy After Total Retrosternal Esophagoplasty in a Patient With VACTERL Association: Case Report.","authors":"Eduard Charchyan, Denis Breshenkov, Omar Mutaev, Yuriy Belov","doi":"10.1177/15569845261447282","DOIUrl":"10.1177/15569845261447282","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"281-282"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148520284","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 Mitral Valve Repair: TEE Guided Using the Loop Technique.","authors":"Antonios Pitsis, Henri Bartolozzi, Emilija Petrovic, Konstantinos Lolakos","doi":"10.1177/15569845261446639","DOIUrl":"10.1177/15569845261446639","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"279-280"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148149730","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":"Proximal Anastomosis Using HeartString III via the Right Intercostal Space Approach in Minimally Invasive Coronary Artery Bypass Grafting.","authors":"Hiroki Moriuchi, Mamoru Orii, Takayuki Fujii, Nobuhiro Shimabukuro, Kohei Narayama, Akihiko Yamauchi","doi":"10.1177/15569845261453094","DOIUrl":"10.1177/15569845261453094","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"283-284"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148137872","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 Cardiac Surgery: Overview of All Robotic Platforms in Clinical Use.","authors":"Danny Ramzy, Stephen Waterford","doi":"10.1177/15569845261469156","DOIUrl":"10.1177/15569845261469156","url":null,"abstract":"<p><p>Robot-assisted surgery has emerged as a transformative advancement in modern operative care, enabling enhanced visualization, dexterity, and precision. Although adoption has been rapid across multiple surgical specialties, integration into cardiac surgery has evolved more gradually due to the technical complexity of procedures and the requirement for consistently excellent outcomes. Robotic mitral valve repair represents the most mature application of robotic cardiac surgery, demonstrating excellent perioperative outcomes and long-term durability. Emerging robotic platforms are expanding the competitive landscape, while innovations in telerobotics and teleproctoring are poised to improve access and scalability. Robotic cardiac surgery is transitioning toward broader integration. Continued technological innovation, cost reduction, and global dissemination of expertise will define the next phase of its evolution.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"202-209"},"PeriodicalIF":1.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13534763/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148619484","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}

{"title":"Cryoanalgesia for Pain Management in Thoracic Surgery.","authors":"Niv Ad","doi":"10.1177/15569845261435621","DOIUrl":"10.1177/15569845261435621","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"99-100"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716778","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":"Physiologic Mitral Annuloplasty Ring Sizing: Surgical Technique and Animal Model Validation.","authors":"Nikola Dobrilovic","doi":"10.1177/15569845261437227","DOIUrl":"10.1177/15569845261437227","url":null,"abstract":"<p><strong>Objective: </strong>The current method for mitral annuloplasty ring sizing has remained essentially unchanged for a half century and offers surgeons limited actionable information. A novel technique is illustrated and validated in a cadaver swine heart model.</p><p><strong>Methods: </strong>Twenty cadaver swine hearts were used to validate the novel sizing device and method. We hypothesized that the paired-ring sizer would force annuloplasty sutures to conform to its exact shape and therefore accurately predict changes in coaptation length when used to \"downsize\" the mitral annulus. Anterior leaflet coaptation length was measured under conditions of left ventricular saline distention: (1) at baseline, (2) with the sizer in place temporarily holding the sutures in position, and (3) after final implantation of a (corresponding size) Physio II ring (Edwards Lifesciences, Irivne, CA, USA). The \"predicted\" (sizer) and \"actual\" (implanted Physio II ring) coaptation lengths were compared using Bland-Altman analysis to assess accuracy.</p><p><strong>Results: </strong>A moderate (2.0 to 5.5 mm) increase in coaptation length was achieved in 19 hearts and no change (0.0 mm) in 1 heart. The initial predicted (sizer) coaptation lengths corresponded well (≤0.5 mm difference) with the final, actual (implanted ring) coaptation lengths across all 20 hearts. Bland-Altman plots are provided for (derived) coaptation length increases. The mean difference (95% confidence interval) indicated that predicted were slightly greater than actual (0.08 [-0.06, 0.21]) but not different than zero. Limits of agreement were from -0.50 to 0.65. There did not appear to be significant heteroscedasticity.</p><p><strong>Conclusions: </strong>The accuracy of a novel mitral annuloplasty ring-sizing device was validated using a cadaveric swine heart model. Coaptation lengths initially predicted by the sizer corresponded accurately with coaptation lengths observed upon implantation of a corresponding commercially available ring. Continued development of this technology should provide surgeons with precise control over the final coaptation length by previewing several different rings prior to committing to a final implant.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"159-165"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874207","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":"Cryoanalgesia in Thoracic Surgery.","authors":"Lauren Drake, Benny Weksler","doi":"10.1177/15569845261436009","DOIUrl":"10.1177/15569845261436009","url":null,"abstract":"<p><p>Cryoanalgesia is a technique for reducing postoperative pain that involves freezing peripheral nerves while preserving their ability to regain function over time. The technique has been used for decades, and randomized trials have shown a reduction in pain and opioid use in some patients undergoing thoracotomy and pectus excavatum repair. In these trials, outcomes were highly dependent on the control groups. Randomized studies of patients undergoing minimally invasive thoracic surgery have failed to show the same results. Furthermore, several studies have reported chronic pain and neuropathic-type pain in patients treated with cryoanalgesia. In this review, we discuss the electrophysiologic and histopathologic basis of cryoanalgesia, highlight randomized trials of cryoanalgesia in thoracic surgery, and outline potential pitfalls, such as chronic pain, to offer insight into which patients may benefit most from cryoanalgesia and potential future directions of study.</p>","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"106-109"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147837032","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":"Nonrobotic Totally Endoscopic Harvesting of Bilateral Internal Thoracic Arteries Via Pressure Bag-Assisted Positioning and Symmetric Port Access.","authors":"Hiroaki Kaneyama, Kiyoshi Koizumi, Koki Ikebata, Takashi Hashimoto, Hideyuki Shimizu","doi":"10.1177/15569845251408005","DOIUrl":"10.1177/15569845251408005","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"175-176"},"PeriodicalIF":1.7,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13260765/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146100144","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}

{"title":"Management of Difficult Endoscopic Vein Harvesting Cases.","authors":"Sadiq Siddiqui, Henri Bartolozzi, Fabio Bartolozzi, Alan Soo, Ronan Kelly","doi":"10.1177/15569845261425662","DOIUrl":"10.1177/15569845261425662","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"181-182"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147716796","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":"Technical Details of Cryo Nerve Block.","authors":"Curtis C Quinn, Lizabeth A O'Connor","doi":"10.1177/15569845261433540","DOIUrl":"10.1177/15569845261433540","url":null,"abstract":"","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":" ","pages":"110"},"PeriodicalIF":1.6,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147874160","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}