Innovations Pub Date : 2024-06-07 DOI: 10.3917/inno.074.0253

D. Uzunidis

引用次数: 0

Marie-France Vernier (2023), Éco-conception et transition écologique : le modèle économique en question , Smart innovation, Londres, ISTE, 189 p. Marie-France Vernier (2023), Eco-design and ecological transition: the economic model in question , Smart innovation, London, ISTE, 189 p.

Innovations Pub Date : 2024-06-07 DOI: 10.3917/inno.074.0259

Smaïl Aït-el-Hadj

引用次数: 0

Grands Challenges et politiques publiques d’innovation : un état des lieux 大挑战和公共创新政策：概述

Innovations Pub Date : 2024-06-07 DOI: 10.3917/inno.074.0005

I. Liotard, Valérie Revest

{"title":"Grands Challenges et politiques publiques d’innovation : un état des lieux","authors":"I. Liotard, Valérie Revest","doi":"10.3917/inno.074.0005","DOIUrl":"https://doi.org/10.3917/inno.074.0005","url":null,"abstract":"La recherche en sciences sociales met en lumière l’importance croissante des grands défis sociétaux, tels que le réchauffement climatique ou le vieillissement de la population. Ces défis complexes, qui évoluent dans le temps, nécessitent une approche multidisciplinaire, intégrant des aspects technologiques et sociaux. Les politiques publiques traditionnelles sont souvent inadaptées à ces défis pernicieux, nécessitant une transformation vers des politiques d’innovation orientées vers des missions, où les objectifs sociaux et environnementaux guident les efforts d’innovation. Cette approche implique une collaboration entre acteurs publics, privés et non lucratifs, ainsi qu’une participation inclusive de toutes les parties prenantes. L’innovation, autrefois perçue comme un moteur de progrès, est aujourd’hui source de certaines critiques. Les politiques d’innovation doivent donc évoluer vers une approche plus réfléchie, inclusive et flexible, centrée sur la résolution collective de problèmes pernicieux, avec une attention particulière portée à l’engagement des parties prenantes et à la responsabilité sociale de l’innovation. Codes JEL : O30, O35, O38","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141373079","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

Charlotte Demonsant, Armand Hatchuel, Kevin Levillain, Blanche Segrestin (dir.) (2023), Le changement climatique comme péril commun. Réconcilier action climatique et justice sociale , Paris, École des Mines, 200 p. Charlotte Demonsant, Armand Hatchuel, Kevin Levillain, Blanche Segrestin (dir.) (2023), Le changement climatique comme péril commun.协调气候行动与社会正义》，巴黎，矿业学院，200 页。

Innovations Pub Date : 2024-06-07 DOI: 10.3917/inno.074.0249

Julien Vauday

引用次数: 0

Totally Endoscopic Triple-Valve Surgery With Transcatheter Valve in Mitral Annular Calcification, Aortic Valve Replacement, and Tricuspid Repair. 在二尖瓣瓣环钙化、主动脉瓣置换和三尖瓣修复中使用经导管瓣膜的全内镜三瓣膜手术。

Innovations Pub Date : 2024-04-16 DOI: 10.1177/15569845241238000

Antonios Pitsis

引用次数: 0

The 7 Pillars of Starting an Endoscopic Cardiac Surgery Program. 启动内窥镜心脏手术项目的七大支柱。

Innovations Pub Date : 2024-04-15 DOI: 10.1177/15569845241239448

Joseph Zacharias, M. Glauber, Antonios Pitsis, M. Solinas, Jorg Kempfert, Mario Castillo-Sang, H. Balkhy, Patrick Perier

引用次数: 0

Routine External Iliac Artery Cannulation in Robotic Cardiac Surgery: Role of the Corona "Vitae" in Distal Limb Perfusion. 机器人心脏手术中的常规髂外动脉插管：生命之冠 "在远端肢体灌注中的作用。

Innovations Pub Date : 2024-04-12 DOI: 10.1177/15569845241239911

Yazan Aljamal, Hiroto Kitahara, Blaine Johnson, Kaitlin Grady, H. Balkhy

{"title":"Routine External Iliac Artery Cannulation in Robotic Cardiac Surgery: Role of the Corona \"Vitae\" in Distal Limb Perfusion.","authors":"Yazan Aljamal, Hiroto Kitahara, Blaine Johnson, Kaitlin Grady, H. Balkhy","doi":"10.1177/15569845241239911","DOIUrl":"https://doi.org/10.1177/15569845241239911","url":null,"abstract":"OBJECTIVE\u0000Femoral artery cannulation is the most commonly used approach for cardiopulmonary bypass (CPB) in robotic cardiac procedures. However, without adding a distal perfusion cannula, leg ischemia can occur in up to 11.5% of patients. There is a well-described 2 to 4 mm size arterial branch that originates from the medial side of the external iliac artery or inferior epigastric artery, immediately above the inguinal ligament, and connects to the obturator artery. Therefore, it was historically named the corona mortis, which means \"crown of death\" in Latin. When peripheral cannulation is performed above this branch in the external iliac artery, we consider it a corona \"vitae\" because of its role as a limb-saving collateral. We report herein our standard technique of peripheral cannulation without the need of a distal perfusion cannula and preventing limb ischemia.\u0000\u0000\u0000METHODS\u0000We included all patients who underwent robotic cardiac surgery with peripheral cannulation over a 16-month period at our institution. We cannulated just above the level of the inguinal ligament through a 2 to 3 cm transverse skin incision. The incidence of limb ischemia and vascular complications was recorded and analyzed.\u0000\u0000\u0000RESULTS\u0000During the study period, 133 patients underwent robotic cardiac procedures with peripheral \"external iliac\" CPB. The size of the cannula was 21F or larger in 73% and 23F in 54% of the patients. No leg ischemia or femoral artery complications requiring additional intervention occurred.\u0000\u0000\u0000CONCLUSIONS\u0000External iliac cannulation can be successfully performed in robot-assisted cardiac surgery using relatively large cannulas without the need of a distal limb perfusion catheter, with good results. In our view, given the importance of the corona mortis (\"crown of death\" in Latin) in perfusing the limb during CPB, we propose a new name for this artery in robotic cardiac surgery, namely, the corona vitae (\"crown of life\" in Latin).","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140710797","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

Percutaneous Versus Surgical Femoral Cannulation in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis. 微创心脏手术中的经皮股骨插管与手术股骨插管：系统回顾与元分析》。

Innovations Pub Date : 2024-04-11 DOI: 10.1177/15569845241241534

H. Kirov, T. Caldonazo, Angelique Runkel, J. Fischer, P. Tasoudis, M. Mukharyamov, G. Cancelli, Michele Dell'Aquila, Torsten Doenst

{"title":"Percutaneous Versus Surgical Femoral Cannulation in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis.","authors":"H. Kirov, T. Caldonazo, Angelique Runkel, J. Fischer, P. Tasoudis, M. Mukharyamov, G. Cancelli, Michele Dell'Aquila, Torsten Doenst","doi":"10.1177/15569845241241534","DOIUrl":"https://doi.org/10.1177/15569845241241534","url":null,"abstract":"OBJECTIVE\u0000Minimally invasive cardiac surgery (MICS) is increasing worldwide. In most cases, the surgical technique includes cannulation of the groin for the establishment of cardiopulmonary bypass, requiring a second surgical incision (SC) for exposure and cannulation of the femoral vessels. With the introduction of arterial closure devices, percutaneous cannulation (PC) of the groin has become a possible alternative. We performed a meta-analysis and systematic review to compare clinical endpoints between the patients who underwent PC and SC for MICS.\u0000\u0000\u0000METHODS\u0000Three databases were assessed. The primary outcome was any access site complication. Secondary outcomes were perioperative mortality, any wound complication, any vascular complication, lymphatic complications, femoral/iliac stenosis, stroke, procedural duration, and hospital length of stay (LOS). A random effects model was performed.\u0000\u0000\u0000RESULTS\u0000A total of 5 studies with 2,038 patients were included. When compared with PC, patients who underwent SC showed a higher incidence of any access site complication (odds ratio [OR] = 3.09, 95% confidence interval [CI]: 1.87 to 5.10, P < 0.01), any wound complication (OR = 10.10, 95% CI: 3.31 to 30.85, P < 0.01), lymphatic complication (OR = 9.37, 95% CI: 2.15 to 40.81, P < 0.01), and longer procedural duration (standardized mean difference = 0.31, 95% CI: 0.12 to 0.51, P < 0.01). There was no significant difference between the 2 groups regarding perioperative mortality, any vascular complication, femoral/iliac stenosis, stroke, or hospital LOS.\u0000\u0000\u0000CONCLUSIONS\u0000The analysis suggests that surgical groin cannulation in MICS is associated with a higher incidence of any access site complication (especially wound complication and lymphatic fistula) and with a longer procedural time compared with PC. There was no difference in perioperative mortality.","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713107","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

Self-Practice Program for Beating-Heart Minimally Invasive Coronary Anastomosis Using a Homemade Low-Fidelity Simulator: A Proof of Concept. 使用自制低保真模拟器进行心脏跳动微创冠状动脉吻合术的自我练习程序：概念验证。

Innovations Pub Date : 2024-04-05 DOI: 10.1177/15569845241238999

Muhammad Ibrahim Azmi, A. Nair, Shahrul Amry Hashim

{"title":"Self-Practice Program for Beating-Heart Minimally Invasive Coronary Anastomosis Using a Homemade Low-Fidelity Simulator: A Proof of Concept.","authors":"Muhammad Ibrahim Azmi, A. Nair, Shahrul Amry Hashim","doi":"10.1177/15569845241238999","DOIUrl":"https://doi.org/10.1177/15569845241238999","url":null,"abstract":"OBJECTIVE\u0000We evaluated the effectiveness of a consistent and structured self-practice coronary anastomosis program using a homemade low-fidelity beating-heart simulator.\u0000\u0000\u0000METHODS\u0000An intermediary trainee was subjected to an 8-week structured self-practice program. The program was divided into 2 parts of nonbeating and beating practices with a minimum number of timed anastomoses. Each part was followed by an assessment using an objective skills assessment tool score. The beating-heart simulator was built using motorized toy blocks connected wirelessly to a smartphone application. This was coded to enable rate selection. A junior consultant was compared to the subject at the end of the program. Both were tasked to perform 1 coronary anastomosis for both off-pump coronary artery bypass (OPCAB) and minimally invasive CAB (MICS) setup. The primary outcomes were anastomotic time and score compared with the junior consultant. Secondary outcomes were progression of anastomotic time and score throughout the program.\u0000\u0000\u0000RESULTS\u0000Overall performance of the studied subject approached the performance of the junior consultant in terms of time (OPCAB, 489 vs 605 s; MICS, 712 vs 652 s) and scores (OPCAB, 21 vs 20.7; MICS, 19 vs 20.6). There were inverse correlations between anastomosis time and number of practices for both nonbeating and beating anastomoses. Overall improvement was observed in terms of assessment scoring by 26.6%.\u0000\u0000\u0000CONCLUSIONS\u0000A structured self-practice program using an affordable and accessible simulator was able to help trainees overcome the MICS anastomosis learning curve quicker when introduced earlier. This may encourage earlier adoption of MICS among surgeons.","PeriodicalId":80004,"journal":{"name":"Innovations","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140738354","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

Fourth Cardiac Procedure: Redo Endoscopic Mitral Surgery for a Stuck Leaflet. 第四次心脏手术：重新进行内窥镜二尖瓣手术治疗瓣叶粘连。

Innovations Pub Date : 2024-04-04 DOI: 10.1177/15569845241239015

A. Abdelbar, A. Knowles, Joseph Zacharias

引用次数: 0

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