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Journals Innovations : Technology and T...

Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery

https://read.qxmd.com/read/38439183/pushing-the-boundaries-in-totally-endoscopic-cardiac-surgery-combined-triple-valve-surgery-and-ascending-aorta-replacement
#21
JOURNAL ARTICLE
Loris Salvador, Luciana Benvegnù, Daniele Zoni, Tommaso Hinna Danesi, Emad Al Jaber, Olivera Rasovic, Salvatore Poddi, Giovanni Domenico Cresce
No abstract text is available yet for this article.
2024: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38111997/robot-assisted-minimally-invasive-multivessel-coronary-bypass-guided-by-computerized-tomography
#22
JOURNAL ARTICLE
Gökhan Arslanhan, Zeynep Sıla Özcan, Şahin Şenay, Murat Baştopçu, Muharrem Koçyiğit, Aleks Değirmencioğlu, Deniz Alis, Cem Alhan
OBJECTIVE: Robot-assisted minimally invasive coronary bypass surgery is one of the least invasive approaches that offers multivessel revascularization and accelerated recovery. We investigated the benefits of computed tomography angiography (CTA) guidance in robotic coronary bypass (RCAB) by analyzing perioperative outcomes. METHODS: Between April 2022 and April 2023, 60 consecutive patients who underwent RCAB under preoperative CTA guidance were included. The intercostal space of the minithoractomy incision was determined based on the distance from the thoracotomy site to the midsection of the left anterior descending artery (LAD) on preoperative CTA...
December 19, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38087894/upper-hemisternotomy-versus-full-sternotomy-for-replacement-of-the-supracoronary-ascending-aorta-and-aortic-valve
#23
JOURNAL ARTICLE
Vishal N Shah, Jose Binongo, Jane Wei, Brian M Till, Colin King, Jacqueline McGee, Konstadinos A Plestis
OBJECTIVE: Upper hemisternotomy (UHS) for supracoronary ascending aorta replacement (scAAR) with concomitant aortic valve replacement (AVR) results in less trauma and potentially faster convalescence compared with full sternotomy (FS). Direct head-to-head studies are lacking. We compared a group of UHS patients with a matched group of FS patients undergoing scAAR and AVR. METHODS: There were 198 patients who underwent scAAR and AVR procedures by a single surgeon between 1999 and 2020...
December 12, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38018766/contemporary-incidence-of-synchronous-multiple-primary-lung-cancers-and-survival-in-the-era-of-lung-cancer-screening
#24
JOURNAL ARTICLE
Nika Samadzadeh Tabrizi, Ben Gallant, Erin Harris, Brian N Arnold, Thomas Fabian
OBJECTIVE: Up to 15% of lung cancer patients have multiple suspicious nodules. While some of these nodules may represent metastatic lung cancer, others represent synchronous multiple primary lung cancer (SMPLC). The incidence of SMPLC ranges from 0.8% to 8.4% and appears to be increasing. Inconsistent identification of SMPLC can be detrimental for patients who are misdiagnosed as having intrapulmonary metastasis and not offered stage-based treatment. We sought to identify the contemporary incidence of SMPLC at a tertiary institution...
November 29, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38013250/reconsidering-fda-guidelines-a-single-center-experience-of-prolonged-impella-5-5-support
#25
JOURNAL ARTICLE
Carlos Alberto Valdes, Griffin Stinson, Omar M Sharaf, Fabian Jimenez Contreras, Ahmet Bilgili, Mustafa M Ahmed, Juan Vilaro, Alex M Parker, Mohammad A Z Al-Ani, Daniel Demos, Juan Aranda, Mark Bleiweis, Thomas M Beaver, Eric I Jeng
OBJECTIVE: Impella 5.5 (Abiomed, Danvers, MA, USA) is approved by the US Food and Drug Administration (FDA) for mechanical circulatory support for ≤14 days. It is unknown whether prolonged support is associated with worse outcomes. We sought to review our single-center experience with Impella 5.5 and compare outcomes based on support duration. METHODS: We retrospectively reviewed adult patients (≥18 years old) supported with Impella 5.5 at our institution (May 2020 to April 2023)...
November 27, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/38013234/minimally-invasive-mitral-valve-surgery-with-concomitant-cox-maze-procedure-is-as-effective-as-a-median-sternotomy-with-decreased-morbidity
#26
JOURNAL ARTICLE
Tari-Ann Yates, Martha McGilvray, Connor Vinyard, Laurie Sinn, Nicholas Razo, June He, Harold G Roberts, Matthew R Schill, Christian Zemlin, Ralph J Damiano
OBJECTIVE: A right minithoracotomy (RMT) is a minimally invasive surgical approach that has been increasingly performed for the concomitant Cox maze IV procedure (CMP) and mitral valve surgery (MVS). Little is known regarding whether long-term rhythm and survival outcomes are affected by the RMT as compared with the traditional median sternotomy (MS) approach. METHODS: Between April 2004 and April 2021, 377 patients underwent the concomitant CMP and MVS, of whom 38% had RMT...
November 27, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37997649/outcomes-comparison-of-robot-assisted-and-video-assisted-thoracoscopic-cardiac-sympathetic-denervation
#27
JOURNAL ARTICLE
Kelsey Melinosky, Albert Leng, Christopher R Johnson, Katherine Giuliano Verdi, Eric W Etchill, Harikrishna Tandri, Malcolm V Brock, Jinny S Ha
OBJECTIVE: Cardiac sympathetic denervation (CSD) is a surgical antiadrenergic procedure that can reduce sustained ventricular tachyarrhythmia (VT). Video-assisted thoracoscopic surgery (VATS) is currently the standard approach used in CSD, and the practicality for robot-assisted thoracoscopic surgery (RATS) has yet to be investigated. METHODS: We conducted a single-center retrospective study of all adult patients ( N = 67) who underwent CSD from 2015 to 2021. We compared short-term outcomes of those treated with RATS versus VATS thoracic sympathectomy...
November 24, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37968876/percutaneous-transseptal-extracorporeal-membrane-oxygenation-to-rescue-a-failing-right-ventricle-in-an-animal-model
#28
JOURNAL ARTICLE
Rocio Castillo-Larios, Peter M Pollak, Sanjay Chaudhary, J Brad Case, Pramod K Guru, Mohammad Alomari, ZuoRui Song, James L Johnson, Tathagat Narula, Si M Pham, Ian A Makey
OBJECTIVE: We tested the feasibility and effectiveness of a percutaneous atrial transseptal extracorporeal membrane oxygenation (ECMO) cannulation strategy in a right ventricular failure (RVF) model. METHODS: We performed 4 nonsurvival porcine experiments. Percutaneous transseptal access was achieved using a steerable introducer. For guidance, we used fluoroscopy, transesophageal echocardiogram (TEE), and intracardiac echocardiography (ICE). A ProtekDuo rapid deployment cannula (LivaNova, London, UK) was advanced across the septum into the left atrium by 2 to 3 cm...
November 15, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37968874/outcomes-and-direct-cost-of-isolated-nonemergent-cabg-in-patients-with-low-ejection-fraction
#29
JOURNAL ARTICLE
Iosif Gulkarov, Arash Salemi, Amber Pawlikowski, Rakan Khaki, Matthew Esham, Adam Lackey, Subroto Paul, Louis H Stein
OBJECTIVE: Preoperative left ventricular ejection fraction (LVEF) is one of the main predictors of outcomes in cardiac surgery. We present current era outcomes and associated direct cost in nonemergent isolated coronary artery bypass surgery (CABG) patients with LVEF <20% over the past 6 years and compare it with higher EF subgroups. METHODS: Six-year data from 2016 to 2022 at hospitals sharing Society of Thoracic Surgeons and financial data with Biome Analytics were analyzed based on 3 EF subgroups (EF ≤20%, EF 21% to 35%, and EF >35%)...
November 15, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37933787/minimally-invasive-surgical-versus-transcatheter-aortic-valve-replacement-a-retrospective-observational-single-center-study-in-japan
#30
JOURNAL ARTICLE
Hiroyuki Yamamoto, Taisuke Nakayama, Naoki Ishii, Yoshitsugu Nakamura
OBJECTIVE: This study aimed to compare the outcomes of minimally invasive aortic valve replacement (MICS-AVR) versus transfemoral transcatheter aortic valve replacement (TF-TAVR) in Asian patients. METHODS: We conducted a retrospective, observational, single-center study in Japan, including cases of MICS-AVR ( n = 202) and TF-TAVR ( n = 248) between 2014 and 2021. In a total of 450 cases, propensity score matching was performed at a ratio of 1:1, resulting in 96 pairs...
November 7, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37830765/differences-between-attending-and-trainee-surgeon-performance-using-objective-performance-indicators-during-robot-assisted-lobectomy
#31
JOURNAL ARTICLE
Daniel Oh, Kristen Brown, Sadia Yousaf, Jonathan Nesbitt, Richard Feins, Manu Sancheti, Jules Lin, Stephen Yang, Desmond D'Souza, Anthony Jarc
OBJECTIVE: Existing approaches for assessing surgical performance are subjective and prone to bias. In contrast, utilizing digital kinematic and system data from the surgical robot allows the calculation of objective performance indicators (OPIs) that may differentiate technical skill and competency. This study compared OPIs of trainees and attending surgeons to assess differences during robotic lobectomy (RL). METHODS: There were 50 cardiothoracic surgery residents and 7 attending surgeons who performed RL on a left upper lobectomy of an ex vivo perfused model...
October 13, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37830754/vein-morphology-in-endoscopic-vein-harvesting-15-year-outcomes
#32
JOURNAL ARTICLE
John Y Lee, Kathryn L Pedula, Timothy O Berkley, Kamala P McNevin, John C Chen
OBJECTIVE: Long-term outcomes of vein morphologies in the endoscopic vein harvesting setting are lacking. We analyzed 15-year follow-up for endoscopic versus open vein harvesting and associated vein morphology outcomes in coronary artery bypass grafting at a single center. METHODS: This single-center, prospectively collected, retrospective, observational study evaluated 15-year major adverse cardiovascular events (MACE) of endoscopic versus open vein harvesting and associated vein morphologies...
October 13, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37804155/the-10-commandments-of-building-3d-printed-models-for-surgical-simulation
#33
EDITORIAL
Sarah Chen
No abstract text is available yet for this article.
October 7, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37795952/midterm-results-of-mitral-valve-repair-using-loop-technique-with-simple-height-reduction-of-the-large-posterior-leaflet
#34
JOURNAL ARTICLE
Yosuke Takahashi, Akimasa Morisaki, Takumi Kawase, Masataro Doi, Munehide Nagao, Yukihiro Nishimoto, Yosuke Sumii, Gouki Inno, Kenta Nishiya, Yoshito Sakon, Takanobu Aoyama, Toshihiko Shibata
OBJECTIVE: Systolic anterior motion (SAM) is one of the most serious problems in mitral valve repair. Height reduction is a key procedure to solve SAM, and there are limited data on the surgical results of height reduction procedure. This study is to assess the effectiveness and midterm results of simple height reduction procedure for SAM in patients with severe mitral regurgitation (MR). METHODS: From 2008 to 2022, 50 patients underwent loop technique with an additional simple height reduction procedure for prevention of SAM...
October 5, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37794743/robotic-resection-of-left-atrial-myxoma-with-cryoablation-of-tumor-stalk
#35
JOURNAL ARTICLE
Joseph Bethea, Taha Lodhi, Brandon Peine, Jesse Mendes, Tia Sutton, Adam Celio, Robert Allman, L Wiley Nifong
The purpose of this report is to demonstrate robotic cryoablation of an atrial myxoma stalk as a method to prevent recurrence and preserve atrial tissue. A 38-year-old female patient was taken to the operating room, and an atrial myxoma abutting the left inferior pulmonary vein was resected robotically. This was followed by cryoablation of the tumor stalk instead of a full-thickness resection to prevent an extensive reconstruction. The operation resulted in the successful resection of an atrial myxoma with minimal length of stay...
October 4, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37794726/less-invasive-left-ventricular-assist-device-implantation-is-safe-and-feasible-in-patients-with-smaller-body-surface-area
#36
JOURNAL ARTICLE
Madelaine Hack, Katherine L Wood, Milica Bjelic, Frane Paic, Himabindu Vidula, Christina Cheyne, Karin Chase, Mark Tallman, Wendy Bernstein, Julie A Wyrobek, Jeffrey D Alexis, Igor Gosev
OBJECTIVE: Smaller body surface area (BSA) frequently precludes patients from left ventricular assist device (LVAD) therapy. We sought to investigate the clinical outcomes in patients with small BSA undergoing less invasive LVAD implantation. METHODS: We conducted a retrospective review of 216 patients implanted with HeartMate 3 LVAD (Abbott, Chicago, IL) via less invasive surgery at our institution. Patients were dichotomized based on their preimplant BSA for comparison between small BSA (≤1...
October 4, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37786985/robot-assisted-excision-of-a-left-ventricular-myxoma-and-hemangioma
#37
JOURNAL ARTICLE
Samuel J Martin, Courtney Maxey-Jones, Zhandong Zhou, Ahmad Nazem, Anton Cherney, Charles J Lutz
Left ventricular masses are rare entities that often require surgical excision when diagnosed due to the risk of embolization. We report 2 separate patients presenting with evidence of cerebral embolization both of whom were diagnosed with isolated left ventricular masses and underwent surgical excision through a robot-assisted approach. Microscopic pathology revealed a myxoma and hemangioma, respectively. Both cases demonstrate that left ventricular masses can be feasibly excised through a robot-assisted minithoracotomy approach...
October 3, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37775995/pursuit-of-excellence-five-lessons-from-dedicated-practice-and-seven-key-recommendations-for-simulation-based-training
#38
EDITORIAL
Peyman Sardari Nia
No abstract text is available yet for this article.
September 29, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37775988/how-to-build-a-simulation-center-for-surgery
#39
EDITORIAL
Shokoufeh Cheheili Sobbi, Peyman Sardari Nia
No abstract text is available yet for this article.
September 29, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://read.qxmd.com/read/37753830/retrograde-cerebral-perfusion-may-decrease-stroke-risk-during-elective-aortic-arch-surgery
#40
JOURNAL ARTICLE
William B Keeling, David Tian, Woodrow Farrington, Deniz Goksedef, Jehangir J Appoo, Andras Hoffman, G Chad Hughes, Scott LeMaire, Bradley G Leshnower
OBJECTIVE: Controversy remains regarding the optimal neuroprotection strategy for elective hemiarch replacement (HEMI). This study sought to compare outcomes in patients who underwent HEMI utilizing the 2 most common contemporary methods of cerebral protection. METHODS: The ARCH international aortic database was queried, and 782 patients undergoing elective HEMI with circulatory arrest from 2007 to 2012 were identified. There were 418 patients who underwent HEMI using moderate hypothermia (nasopharyngeal temperature 20...
September 27, 2023: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
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