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Robot-assisted totally endoscopic coronary bypass surgery
AbstractTotally endoscopic coronary artery bypass (TECAB) surgery can exclusively be undertaken with the aid of operative robots. In the past two decades, surgical remote manipulator systems —predominantly the daVinci® devices—have brought us the reality of endoscopic internal mammary artery harvesting and coronary bypass anastomoses via minimally invasive thoracic port access. Single up to quadruple TECAB interventions are recently feasible; the procedure can be delivered either a s beating heart applying endoscopic vacuum stabilizer or under cardioplegic arrest on heart-lung machine. Significant surgical team learni...
Source: Indian Journal of Thoracic and Cardiovascular Surgery - November 13, 2017 Category: Cardiovascular & Thoracic Surgery Source Type: research

Initial experience with minimally invasive cardiac operations
CONCLUSIONS: Our initial results with minimally invasive operations demonstrated that it was safe and with good clinical results. Patient satisfaction is quite high. After the learning phase has been transversed, minimally invasive operations may be an excellent alternative for many patients with congenital and acquired diseases.
Source: Revista Brasileira de Cirurgia Cardiovascular - January 5, 2013 Category: Cardiovascular & Thoracic Surgery Source Type: research

319 * monitoring the learning curve and quality of care during re-engineering towards right minithoracotomy perceval s sutureless bioprosthesis implantation: a single-institution experience with 135 patients
Conclusions: Implantation of the Perceval S sutureless bioprosthesis through the right chest can be performed safely with progressive decreases in cardiopulmonary bypass, cross-clamp, and procedural times. CUSUM analysis shows a small learning curve with evidence of plateau after the first 10 cases.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Murzi, M., Miceli, A., Gilmanov, D., Farneti, P. A., Cerillo, A. G., Solinas, M., Glauber, M. Tags: Minimally invasive aortic valve surgery Source Type: research

Mid-Term Follow-up of Minimally Invasive Multivessel Coronary Artery Bypass Grafting: Is the Early Learning Phase Detrimental?
Conclusions: Minimally invasive coronary artery bypass grafting can be safely initiated as a minimally invasive, multivessel alternative to open surgical coronary revascularization, with excellent mid-term results. Learning phase effects were not observed with regard to overall procedural safety, but rather in terms of improved freedom from conversion to sternotomy and from repeat revascularization.
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - March 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

A comparison of alternative access routes for transcatheter aortic valve implantation.
Authors: Overtchouk P, Modine T Abstract INTRODUCTION: Alternative TAVI approaches offer the possibility of valve replacement in patients ineligible to the transfemoral route. Authors provide an updated review of the existing alternative approaches. Areas covered: A systematic review of alternative approaches for TAVI was undertaken. The feasibility, safety, efficacy and technical requirements of the transapical, transaortic, transcarotid, transsubclavian and transcaval approaches have been compared. A multi-slice computed tomography is often necessary for pre-operative planning. Although the first developed, the t...
Source: Expert Review of Cardiovascular Therapy - September 21, 2018 Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research

Early and mid-term outcomes of minimally invasive mitral valve repair via right mini-thoracotomy: 5-year experience with 129 consecutive patients
ConclusionsEarly and mid-term results of MIMVr were satisfactory, with low rates of perioperative morbidity and recurrent MR, as well as reoperation and death. Furthermore, the protocols for patient selection and surgical approach were considered to be appropriate.
Source: General Thoracic and Cardiovascular Surgery - January 5, 2021 Category: Cardiovascular & Thoracic Surgery Source Type: research

Establishing minimally invasive cardiac surgery in a low-volume mitral surgery centre
DISCUSSION: It is possible for low-volume cardiac surgical centres to undertake minimally invasive surgical programmes with good outcomes and short learning curves. Despite technical complexities, with a team approach, the learning curve can be navigated safely.PMID:34058117 | DOI:10.1308/rcsann.2020.7092
Source: Annals of the Royal College of Surgeons of England - May 31, 2021 Category: Surgery Authors: B H Kirmani A Knowles P Saravanan J Zacharias Source Type: research

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