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

Robot-Assisted Multivessel Coronary Artery Bypass Grafting: Step by Step. 机器人辅助多血管冠状动脉旁路移植术：循序渐进。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-07-01 Epub Date: 2024-10-02 DOI: 10.1177/15569845241270527

Chase R Brown, John J Kelly

引用次数: 0

Spontaneous Coronary Artery Dissection, Takotsubo Cardiomyopathy, and Venoarterial Extracorporeal Membrane Oxygenation in Pregnancy. 妊娠期自发性冠状动脉夹层、Takotsubo 心肌病和静脉体外膜氧合。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-07-01 Epub Date: 2024-06-03 DOI: 10.1177/15569845241252443

Jake L Cotton, James Makinen, Sarah Y Park, Alison Halpern Mungo, Muhammad Aftab, Jordan R H Hoffman, Michael T Cain

引用次数: 0

Practice Patterns in Sternal Closure and Evaluation of Adoption of a Novel Sternal Closure Device. 胸骨闭合术的实践模式以及对采用新型胸骨闭合设备的评估。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1177/15569845241247792

Gardner Yost, Thomas Marten, Jeffrey Plott, Jonathan W Haft

{"title":"Practice Patterns in Sternal Closure and Evaluation of Adoption of a Novel Sternal Closure Device.","authors":"Gardner Yost, Thomas Marten, Jeffrey Plott, Jonathan W Haft","doi":"10.1177/15569845241247792","DOIUrl":"10.1177/15569845241247792","url":null,"abstract":"Objective: The technique for sternal closure has remained largely unchanged owing to the efficacy, simplicity, and low cost of stainless-steel sternal wires. Despite their ubiquity, several other closure devices designed to address the complications associated with sternal wires such as sternal bleeding and dehiscence have become popular. We have developed a novel sternal closure device that reduces sternal bleeding and dehiscence. This study quantifies the use of currently available sternal closure devices and determines predicted uptake of the novel device.Methods: An electronic survey, designed to determine practice patterns for sternal closure, was distributed to 70 US cardiac surgeons. The survey included a discrete choice section in which surgeons evaluated relative value of device attributes including cost, ease of emergent sternal reentry, and dehiscence risk.Results: There were 70 surgeons from 30 states who completed the survey. The most frequent means of sternal closure was straight sternal wires (35.8%), followed by straight sternal wires plus figure-of-8 sternal wires (18.1%), double wires (10.9%), plates (10.2%), and other (25%). The relative utilization shifted from sternal wires to sternal plates as the risk for dehiscence increased. The adoption of the novel closure device was estimated at 34.6%.Conclusions: The standard stainless-steel sternal wire remains the most common means of sternal reapproximation, but its utilization is lower in patients at high risk for sternal dehiscence. Based on this survey, there is acceptance in the community for a novel sternal closure device designed to address the limitations of traditional sternal closure methods.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897645","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

Robot-Assisted Bronchoscopy for Identification of Lung Nodules During Minimally Invasive Pulmonary Resection. 机器人辅助支气管镜在微创肺切除术中识别肺结节

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1177/15569845241247549

James Shahoud, Benny Weksler, Sohini Ghosh, Aarthi Ganesh, Hiran Fernando

{"title":"Robot-Assisted Bronchoscopy for Identification of Lung Nodules During Minimally Invasive Pulmonary Resection.","authors":"James Shahoud, Benny Weksler, Sohini Ghosh, Aarthi Ganesh, Hiran Fernando","doi":"10.1177/15569845241247549","DOIUrl":"10.1177/15569845241247549","url":null,"abstract":"Objective: Small pulmonary nodules can be difficult to identify during minimally invasive surgical (MIS) resection. Previous investigators have reported using standard bronchoscopy with electromagnetic navigation to identify small pulmonary nodules. Robot-assisted bronchoscopy has been introduced into clinical practice and has shown utility for the biopsy of small lesions. We report our experience using robot-assisted bronchoscopy with dye marking to aid in minimally invasive pulmonary resection.Methods: Patients with peripheral pulmonary nodules underwent robot-assisted bronchoscopy before a planned minimally invasive resection. Indocyanine green or methylene blue was injected directly into the targeted lesion. Surgical resection was then immediately performed. Success was defined as dye visualization leading to sublobar resection of the target nodule without the need for lobectomy or thoracotomy.Results: Thirty patients with a single targeted nodule underwent robot-assisted bronchoscopy followed by MIS resection. The median lesion size was 9 mm (4 to 25 mm), and the median distance from the pleura was 5 mm (1 to 32 mm). The success rate was 83.3% (25 of 30). There were 3 cases in which the dye was not visualized, and in 2 cases there was free extravasation of dye. The targeted nodule was identified in these 5 patients without the need for thoracotomy or lobectomy. Pathology revealed non-small cell lung cancer (n = 13, 43.3%), metastatic disease (n = 11, 36.7%), and benign disease (n = 6, 20%). There were no complications related to the use of robot-assisted bronchoscopy.Conclusions: Robot-assisted bronchoscopy with dye marking is safe and effective for guiding minimally invasive resection of small peripheral pulmonary nodules.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140897661","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

Low-Cost Innovations in Global Cardiac Surgery. 全球心脏外科的低成本创新。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-06-03 DOI: 10.1177/15569845241252441

Hera Jamil, Sruthi Ranganathan, Aemon B Fissha, Eric E Vinck, Dominique Vervoort

{"title":"Low-Cost Innovations in Global Cardiac Surgery.","authors":"Hera Jamil, Sruthi Ranganathan, Aemon B Fissha, Eric E Vinck, Dominique Vervoort","doi":"10.1177/15569845241252441","DOIUrl":"10.1177/15569845241252441","url":null,"abstract":"Cardiovascular diseases are the leading cause of morbidity and mortality worldwide, costing the lives of 18 million people annually, with up to one-third being attributable to cardiac surgical conditions. Approximately 6 billion people do not have access to safe, timely, and affordable cardiac surgery, predominantly affecting populations living in low-middle income countries. Cardiac surgical care is costly, resulting in few centers in variable-resource contexts operating continuously or with the resources observed in higher-resource environments. As a result, innovations may be formally developed or informally adopted to bypass resource constraints and ensure care delivery. Innovations have been observed across the cardiac surgical care continuum and across settings, potentially benefiting both high-income countries, where growing health care costs are becoming unsustainable, and low- and middle-income countries, where competing health agendas may limit investments into cardiac surgery. This narrative review attempts to address the costs associated with cardiac surgery, placing an emphasis on frugal innovations in the perioperative and postoperative care spectrum.","PeriodicalId":13574,"journal":{"name":"Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery","volume":null,"pages":null},"PeriodicalIF":1.6,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141199828","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 Redo Tricuspid Repair With a Modified Clover Triple Edge-to-Edge Technique. 改良三叶草三边对边技术的全内镜三尖瓣重修术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-06-05 DOI: 10.1177/15569845241253279

Antonios Pitsis, Apostolia Marvaki, Konstantinos Lolakos, Martin Andreas

引用次数: 0

Robotic Thoracic Duct Repair Using Indocyanine Green Guidance. 使用吲哚菁绿引导的机器人胸导管修复术

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-09 DOI: 10.1177/15569845241246565

Oscar Zhang, Joanne Irons, Jaime Santibanez, Christopher Cao

引用次数: 0

The 7 Pillars of Transcatheter Tricuspid Valve Interventions. 经导管三尖瓣介入治疗的 7 大支柱。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 DOI: 10.1177/15569845241259498

Ali M Alakhtar, Tsuyoshi Kaneko

引用次数: 0

Letter to the Editor: Facilitating Proximal Anastomosis in Minimally Invasive Coronary Artery Bypass Grafting. 致编辑的信：促进微创冠状动脉旁路移植术的近端吻合。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 DOI: 10.1177/15569845241258486

Zeynep Sıla Özcan, Murat Baştopçu, Gökhan Arslanhan, Anıl Karaağaç, Şahin Şenay, Muharrem Koçyiğit, Aleks Değirmencioğlu, Deniz Alis, Cem Alhan

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Combined Cervicotomy and Robot-Assisted Surgical Approach for Intrathoracic Thyroid Goiter: A Case Series. 胸腔内甲状腺肿的联合颈椎切开术和机器人辅助手术方法：病例系列。

IF 1.6

Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery Pub Date : 2024-05-01 Epub Date: 2024-05-10 DOI: 10.1177/15569845241247850

Giorgia Piccioni, Alessandra Siciliani, Fabiana Messa, Paolo Mercantini, Antonio D'Andrilli, Matteo Tiracorrendo, Erino Angelo Rendina, Mohsen Ibrahim

引用次数: 0