Left Ventricular Mass Regression After Two Alternative Sutureless Aortic Bioprostheses
Objective: Left ventricular (LV) hypertrophy in aortic stenosis (AS) constitutes a risk factor for cardiac morbidity and mortality. The aim of this study was to investigate the degree of LV mass regression after aortic valve replacement (AVR) with two alternative sutureless self-expanding strategies: Perceval S (Sorin Group, Saluggia, Italy) (P) and 3f Enable (Medtronic, ATS Medical, Minneapolis, MN USA) (E) aortic bioprostheses. Methods: Between March 2010 and December 2011, 129 patients with symptomatic AS underwent AVR with the Perceval S or 3f Enable bioprostheses in two cardiac surgery departments (Massa, Italy; Nurem...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Minimally Invasive Septal Myectomy for the Treatment of Hypertrophic Obstructive Cardiomyopathy and Intrinsic Mitral Valve Disease
Conclusions: Transmitral left ventricular septal myectomy in patients with degenerative mitral valve disease is quite a simple, feasible, and effective technique and does not require aortotomy in most cases. It can be performed with low early mortality and satisfactory resolution of LVOT obstruction in a minimally invasive setting. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

A Minimally Invasive, Algorithm-Based Approach for Anomalous Aortic Origin of a Coronary Artery
Conclusions: This series describes a minimally invasive approach to AAOCA repair. When used in conjunction with a defined surgical algorithm, this technique enables a safe and effective repair in all forms of AAOCA without concomitant coronary artery disease. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Does Paravertebral Blockade Facilitate Immediate Extubation After Totally Endoscopic Robotic Mitral Valve Repair Surgery?
Conclusions: The addition of PVB to general anesthesia for perioperative pain control facilitated extubation in the operating room in patients undergoing TERMR. Paravertebral blockade allowed for lower intraoperative fentanyl dosing, which may account for the increased incidence of immediate extubation. A detailed prospective study is warranted. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Cost-Benefit Analysis of Robotic Versus Nonrobotic Minimally Invasive Mitral Valve Surgery
Objective: To date, a direct comparison of minimally invasive mitral valve repair or replacement (mini-MVR) versus robotic MVR is lacking; therefore, the purpose of this study was to address this deficit and compare mini-MVR with robotic MVR from a cost-benefit perspective. Methods: From a total of 759 literature citations, 21 studies were included for statistical comparisons of benefit outcomes, whereas 3 studies and our institutional experience were used to compare costs. Results: The total cost per case exceeding that of conventional MVR is approximately $2063.90 for robotic MVR and $271 for mini-MVR. Mean 30-day mortal...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Impacts of Intraoperative Flow on Graft Patency of Sequential and Individual Saphenous Vein Grafts
Conclusions: When both targets seem to have sufficient demand, avoidance of sequential grafting would be reasonable. Moreover, the important target should be grafted by individual grafting or sequential proximal anastomosis. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Long-term Patency of Endoscopically Harvested Radial Arteries: From a Randomized Controlled Trial
Conclusions: Endoscopic radial artery harvest is safe and effective when compared with open radial artery harvest, with excellent graft patency demonstrated at more than 5 years. Patency results are noninferior in endoscopic radial artery harvest. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Exposures of Lateral and Inferior Cardiac Surface for Coronary Anastomosis During Minimally Invasive Coronary Artery Bypass Grafting
We describe an effective variation of often-used technique of pericardial stitch in exposure of cardiac surfaces during MICABG. This technique was used in 24 patients undergoing multivessel MICABG. Deep pericardial sutures were used to manipulate the exposure of cardiac surfaces. Left anterior descending artery was grafted in all 24 cases. Obtuse marginal artery was grafted in 20 cases and posterior descending artery in 12 cases. Average grafts were 2.3 per patient. There was no conversion to median sternotomy. Use of deep pericardial suture is simple technique for exposure of lateral and inferior surface during multivesse...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: How-To-Do-It Article Source Type: research

Endoaortic Occlusion With the Intraclude Device During the Management of Ascending Aortic Pseudoaneurysm
Abstract: A 63-year-old man was admitted with chest pain after a previous aortic valve replacement. Computed tomographic scan identified a 7-cm pseudoaneurysm of the ascending aorta, and he was referred for repair. At operation, endoaortic occlusion of the aorta was used to arrest the heart and decompress the aorta to facilitate sternal reentry, dissection, and subsequent control. To our knowledge, this technique has not been reported and represents a useful maneuver in this challenging clinical situation. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Use of a Ventricular Septal Defect Occluder for Apical Closure in Transapical Aortic Valve Replacement
We describe the successful use of a 9-mm myocardial occluder (ventricular septal defect occluder) that was used to seal the apex after a standard TA-TAVR (using the Sapien XT 23-mm transcatheter valve and the Ascendra + delivery system). The placement of the nonmodified myocardial occluder was performed through the Ascendra + delivery system, with a very small amount of blood loss and an acceptable sealing of the apical tear. This approach is feasible and represents a further step toward true-percutaneous transapical heart valve procedures. Modified apical occluders are under evaluation in animal models. (Source: Innovatio...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Using Cardiac Magnetic Resonance Imaging to Evaluate Cardiac Function and Predict Outcomes in Patients With Valvular Heart Disease
Conclusions: Within our population, LVEF and RVEF predict mortality as least as well as traditional catheterization values. Additionally, CMR may identify of elevated PAPs caused by right ventricle dysfunction and those due to other causes, allowing these other causes to be addressed preoperatively. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

A Geometric Model of the Normal Human Aortic Root and Design of a Fully Anatomic Aortic Root Graft
Conclusions: An aortic root graft was designed on the basis of mathematical analyses of computed tomographic angiogram images. The design incorporated three anatomic sinuses, commissural symmetry, and compatibility with geometric ring annuloplasty. The anatomic graft may prove useful for restoring aortic root geometry toward normal during aortic valve and root surgery. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Asymmetric Sternotomy and Sternal Wound Complications: Assessment Using 3-Dimensional Computed Tomography Reconstruction
Conclusions: Our data suggest an association between asymmetric sternotomy and sternal wound infections. We recommend an assessment of sternal asymmetry to be performed in patients with sternal wound infection and if it is found to be 10% or greater, the surgeon should implement measures that stabilize the sternum. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Transcatheter Aortic Valve Replacement Program in the Post–Food and Drug Administration Approval Era: Early Outcomes at an Academic Medical Center
Conclusions: Transcatheter aortic valve replacement is a viable option for patients at very high risk for surgical intervention in the post–Food and Drug Administration approval era. Real-world results comparable with published outcomes from experienced centers involved in the PARTNER trial can be achieved. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Left Ventricular Remodeling After Transcatheter Aortic Valve Implantation: One-Year Follow-up Study
Objective: The impact of transcatheter aortic valve implantation (TAVI) on left ventricular (LV) mass regression is not well defined. We aimed to measure LV mass regression, changes in LV volumes and dimensions, as well as mitral valve function after TAVI. Methods: Eighty patients who underwent TAVI between 2008 and 2010 were studied. Echocardiographic findings before procedure and at 6- and 12-month follow-up were analyzed. Results: Aortic valve area increased from 0.71 (0.27) cm2 before procedure to 1.89 (0.64) cm2 at 12 months (P
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Preoperative Vascular Imaging for Predicting Intraoperative Modification of Peripheral Arterial Cannulation During Minimally Invasive Mitral Valve Surgery
Conclusions: This preliminary study suggests that preoperative vascular imaging and patient evaluation may predict difficulties with femoral cannulation and perfusion, which can lead to better preoperative planning and potentially prevent vascular complications. Further data will be accumulated and analyzed to confirm these findings. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

The Role of Computed Tomography Angiography in Patients Undergoing Evaluation for Minimally Invasive Cardiac Surgery: An Early Program Experience
Conclusions: Computed tomography angiography is of fundamental importance in evaluating patients for MICS. It can identify calcified regions that make for threatening catheter passage with subsequent retrograde arterial perfusion. Abnormalities of the arterial tree are identified. The use of CTA-guided patient selection can thus avoid major perioperative complications. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

“The Balloon Plug Concept” for Tricuspid Valve Repair: Ex Vivo Proof of Concept
This study was performed to test the ex vivo hemodynamic effects and the feasibility of the “balloon plug concept.” Methods: Twenty harvested calf tricuspid valves were placed in a mechanical simulator. Tricuspid regurgitation was created by annular stretching and displacement of the papillary muscles so as to create central TR. A flexible catheter with a 4-cm–long, soft, fusiform balloon was positioned across the valve so that the balloon was suspended centrally across the valve annular plane. After activating the mechanical ventricle, data were collected with balloon inflation volumes of saline from 5 t...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

A Video-Assisted Thoracoscopic Approach to Transaxillary First Rib Resection
Conclusions: Video-assisted thoracoscopic surgery first rib resection for TOS is another feasible option for TOS, which can be added to the armamentarium of the thoracic surgeon. The outcomes associated with our technique are comparable with the outcomes related to other current standards of care. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Concomitant Grafting of Both Postbifurcation Internal Thoracic Artery Branches
Conclusions: Grafting both postbifurcation ITA branches is technically feasible and may be selectively considered. Current observations are valid for skeletonized conduits and limited to non-LAD targets. These preliminary findings should be corroborated by larger data sets. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Quality Drives Innovation
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - January 1, 2015 Category: Cardiovascular & Thoracic Surgery Tags: Presidential Address Source Type: research

Technique of Aortic Root Reconstruction Using a New Model of Dacron Graft With Prefabricated Coronary Branches
AbstractAortic root reconstruction is a demanding surgical procedure still associated with a significant morbidity. Arguably, the most demanding aspect of the operation is reestablishing continuity between the prosthetic graft replacing the aortic root and the coronary arteries. With the objective of simplifying the possible challenges of coronary reimplantation, we designed a new model of aortic root graft with prefabricated coronary branches. We used this technique in 8 patients (6 males, 2 females; mean age, 54 years). There were 6 modified Bentall procedures and 2 valve-sparing root replacements with the “reimpla...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: How-To-Do-It Article Source Type: research

Is There a Role for Robotic Totally Endoscopic Coronary Artery Bypass in Patients With a Colostomy?
We describe a case of completely endoscopic coronary surgery using the da Vinci Si system in a patient with a transverse colostomy. Single left internal mammary artery grafting to the left anterior coronary artery was performed successfully on the beating heart. We regard this technique as the least invasive method of surgical coronary revascularization with a potential to reduce the risk of surgical site infection and mediastinitis in patients with a colostomy. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Mediastinal Parathyroid Adenoma With Osteitis Fibrosis Cystica: Robot-Assisted Thoracic Surgical Resection
We report robot-assisted thoracic surgical resection of a mediastinal parathyroid in a morbidly obese patient. Additional comorbidities included multiple pathological fractures related to hypercalcemia. Intraoperative parathyroid hormone levels confirmed successful removal of the adenoma. Hungry bone syndrome developed after surgery but eventually resolved. Robot-assisted thoracic surgery avoided the need for sternotomy and associated concerns related to poor bone healing. Robot-assisted thoracic surgery has potential advantages over video-assisted thoracoscopic surgery in patients with obesity because of easier instrument...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Robotic Application of a Novel Dual-Energy Device for Left Atrial Ablation: Intraoperative and Early Postoperative Results
ConclusionsThe newly introduced bipolar/monopolar RF ablation device can be easily positioned using a right endoscopic approach. Robotic assistance enables effective fat removal for accurate and easy placement of the device around the pulmonary veins. With the use of this approach, the device is safe and effective in electrically isolating the pulmonary veins. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Novel Mitral Repair Device for the Treatment of Severe Mitral Regurgitation: Preclinical Ovine Acute and Chronic Implantation Model
ConclusionsProof-of-concept of a novel percutaneous mitral repair device has been completed using an ovine P2-flail severe MR model. The device has characteristics that will allow its use in posterior leaflet degenerative disease and functional/secondary MR. Open, minimally invasive, and robotic surgical implantation of the device can also be developed as an alternative to the percutaneous approach. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Thoracoscopic Epicardial Lead Implantation as an Alternative to Failed Endovascular Insertion for Cardiac Pacing and Resynchronization Therapy
ConclusionsThoracoscopic lead insertion is safe and easy to perform. We believe it should be offered as the first choice after failed endovascular pacing lead implantation. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Minimally Invasive Coronary Artery Bypass Grafting Is Associated With Improved Clinical Outcomes
ConclusionsMinimally invasive coronary artery bypass grafting is safe, and early clinical outcomes are comparable, if not superior in some respects, to OPCAB. Extubation in the OR is feasible, well tolerated, and associated with earlier discharge. Shorter hospital stays may decrease resource use and promote earlier return to activities; however, further research is needed. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Safety of Single-Dose Histidine-Tryptophan-Ketoglutarate Cardioplegia During Minimally Invasive Mitral Valve Surgery
ConclusionsDuring minimally invasive mitral valve surgery, HTK solution provided excellent myocardial protection even after prolonged periods of cardioplegic arrest. The avoidance of repetitive infusions may reduce the risk for coronary malperfusion due to dislodgement of the endoaortic clamp (if used) and increase the surgeon’s comfort during the procedure. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Mitral Valve Annuloplasty Rings: Review of Literature and Comparison of Functional Outcome and Ventricular Dimensions
AbstractIn the past decades, more than 40 mitral valve annuloplasty rings of various shapes and consistency were marketed for mitral regurgitation (MR), although the effect of ring type on clinical outcome remains unclear. Our objective was to review the literature and apply a simplification method to make rings of different shapes and rigidity more comparable. We studied relevant literature from MEDLINE and EMBASE databases related to clinical studies as well as animal and finite element models. Annuloplasty rings were clustered into 3 groups as follows: rigid (R), flexible (F), and semirigid (S). Only clinical articles r...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Review Article Source Type: research

2013 Best Manuscript Awards
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Editorial Source Type: research

Thank You From Innovations to Our Reviewers
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Acknowledgment Source Type: research

Intraoperative Near-Infrared Fluorescence Imaging as an Adjunct to Robotic-Assisted Minimally Invasive Esophagectomy
AbstractDuring esophagectomy, identification and preservation of the right gastroepiploic vascular arcade are critical and may be challenging with minimally invasive approaches. We assessed the use of near-infrared fluorescence imaging fluorescence angiography (NIFI-FA) during robotic-assisted minimally invasive esophagectomy (RAMIE) as an aid to visualize the gastric vasculature with mobilization. After intravenous administration of 10 mg of indocyanine green, a robotic platform with near-infrared optical fluorescence capability was used to examine the gastric vasculature in patients undergoing RAMIE. Thirty (71%) of 42 p...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: How-To-Do-It Article Source Type: research

Robotic Repair of Sinus Venosus Atrial Septal Defect With Partial Anomalous Pulmonary Venous Return and Persistent Left Superior Vena Cava
AbstractThe presence of partial anomalous pulmonary venous return and/or persistent left superior vena cava (LSVC) is usually viewed as a contraindication for robotic repair of complex atrial septal defects, such as those of the sinus venosus type. Three patients, aged 29, 73, and 23 years, successfully underwent totally endoscopic, robotic-assisted repair of sinus venosus–type atrial septal defect with partial anomalous pulmonary venous return and persistent LSVC. Two different techniques—direct cannulation or placement of a sump sucker—were successfully used to manage venous return from the persistent L...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Off-Pump Tricuspid Valved Stent Implantation: Real-Time Three-Dimensional Transesophageal Echocardiography for Guidance and Assessment
AbstractIn this case report, the value of real-time three-dimensional transesophageal echocardiography (TEE) for guidance and assessment of orthotopic tricuspid valved stent implantation in the beating heart is assessed in four pigs. A full two-dimensional TEE evaluation of standardized parameters was conducted. Three-dimensional TEE provided dependable imaging of anatomical structures of the right side of the heart, the delivery system, and the valved stent, allowing easier orientation and more accurate views for the surgical team. Although visualization of the tricuspid valve in the porcine model is challenging, it contr...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Robotically Assisted, Completely Endoscopic Transmyocardial Revascularization Is Feasible
ObjectiveThe purpose of this study was to assess the feasibility of an endoscopic, optical-fiber–based, laser delivery system (LDS) developed to perform sole-therapy transmyocardial revascularization (TMR) in a totally endoscopic, robotically assisted operation. MethodsForty-two patients were enrolled in a multicenter, prospective, single-arm clinical trial conducted at four US centers between 2005 and 2007. Transmyocardial revascularization was performed completely endoscopically with robotic assistance, introducing the Holmium:Yttrium aluminum garnet (YAG) LDS via a 5-mm port. Completion of the operation endoscopic...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Angiography for Management of Perioperative Myocardial Ischemia: Does It Have Any Role?
ConclusionsAngiography is useful in diagnosing graft-related problems in the perioperative period. In presence of signs of graft compromise, we suggest that having a low threshold for angiographic graft evaluation may be beneficial in a carefully selected subset of patients after coronary artery bypass. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Single-Center Experience and Short-term Outcome With the JenaValve: A Second-Generation Transapical Transcatheter Aortic Valve Implantation Device
ConclusionsThis second-generation repositionable transcatheter aortic valve implantation device could safely and successfully be implanted with a fast learning curve, significant reduction in pressure gradients, overall clinical improvement at discharge, as well as an acceptable morbidity and mortality rate in this highest-risk patient cohort. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Robotic Coronary Artery Bypass Grafting Decreases 30-Day Complication Rate, Length of Stay, and Acute Care Facility Discharge Rate Compared With Conventional Surgery
The objective of this study was to compare the short-term outcomes of robotic with conventional on-pump coronary artery bypass grafting (CABG). MethodsThe study population included 2091 consecutive patients who underwent either conventional or robotic CABG from January 2007 to March 2012. Preoperative, intraoperative, and 30-day postoperative variables were collected for each group. To compare the incidence of rapid recovery between conventional and robotic CABG, the surrogate variables of early discharge and discharge to home (vs rehabilitation or acute care facility) were evaluated. A multivariate logistic regression ana...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Mini-invasive Aortic Surgery: Personal Experience
In this study, we retrospectively evaluated our experience in minilaparotomy (MINI) and compared the results with conventional open repair (OPEN). MethodsFrom January 2005 to December 2012, we surgically treated 234 consecutive patients with elective infrarenal abdominal aortic aneurysms, 195 men and 39 women, with a mean age of 74 years. Inclusion criteria for MINI were not ruptured abdominal aortic aneurysm, increased surgical risk, anatomical limits for endovascular repair, no previous surgical invasion of the abdominal cavity, and no requirement for concomitant abdominal surgical invasion. Surgical treatment was OPEN i...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Anatomy-Based Eligibility Measure for Robotic-Assisted Bypass Surgery
ConclusionsThe smaller the distance is from the left anterior descending artery to the anterior chest wall, the lower the chances are of completing the procedure robotically. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Midterm Outcomes After Transcatheter Aortic Valve Implantation
We report our experiences and analyze the results of our TAVI program. MethodsA total of 357 patients underwent transfemoral (TF) and transapical (TA) TAVI in our center between January 2008 and October 2012. The procedure was performed in 190 patients with CoreValve, in 155 patients with SAPIEN, and in 12 patients with ACURATE TA prostheses. Transfemoral access was used in 190 patients. In 167 patients, TA access was used. The mean age was 80.2 ± 6.4 years. All patients were nonoperable or had a high risk for a conventional aortic valve replacement. The mean logistic EuroSCORE I was 25.92 ± 14.51%. The TF/Co...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Outcomes of Aortic Valve and Concomitant Ascending Aorta Replacement Performed via a Minimally Invasive Right Thoracotomy Approach
ConclusionsMinimally invasive AVR with concomitant replacement of the ascending aorta, via a right anterior thoracotomy approach, can be performed with low morbidity and mortality. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

The Eastern Cardiothoracic Surgical Society and Innovations Join Forces
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Editorials Source Type: research

Innovations Announces a New Affiliation
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2014 Category: Cardiovascular & Thoracic Surgery Tags: Editorials Source Type: research