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Procedure: Minimally Invasive Surgery

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Total 113 results found since Jan 2013.

New Windows into the Brain: Technological Advances in Detecting and Treating Neurological Disorders (P4.185)
CONCLUSIONS • Visualase is a new MRI-guided laser technology often used to treat hard-to-reach and otherwise inoperable brain and spine tumors. The procedure can be performed while a patient is awake and requires only one stitch to close the surgical site. The laser thermal ablation technique destroys lesions and also has proven to be effective for epilepsy patients. • The minimally invasive NICO BrainPath - detailed fiber-tracking combined with precise image-guidance - effectively treats subcortical and deep brain lesions as never before. The procedure is part of the Six Pillar Approach. The presenter is one of ...
Source: Neurology - April 8, 2015 Category: Neurology Authors: Bailes, J. Tags: Neurodiagnosis and Health Outcomes Source Type: research

O-027 The INVEST Trial: A Randomized, Controlled Trial to Investigate the Safety and Efficacy of Image Guided Minimally Invasive Endoscopic Surgery with Apollo vs Best Medical Management for Supratentorial Intracerebral Hemorrhage
ConclusionThe INVEST and EPOCH studies are designed to provide an assessment of the safety and efficacy of Apollo MIS for the treatment of spontaneous supratentorial ICH. The parallel structure of the two trials presents a potential for a pooled statistical analysis provided the data are sufficiently homogenous.DisclosuresD. Fiorella: 1; C; Sequent Medical, Penumbra, Microvention, Seimens. 2; C; Sequent, Microvention, Medtronic, Penumbra, Codman. A. Arthur: 1; C; Penumbra. 2; C; Penumbra, Stryker. J. Mocco: 1; C; Penumbra. 2; C; Lazurus Effect, Reverse Medical, Pulsar, Edge Therapeutics, Medina Medical. 4; C; Blockade Medical, Lazurus Effect.
Source: Journal of NeuroInterventional Surgery - July 28, 2016 Category: Neurosurgery Authors: Fiorella, D., Arthur, A., Mocco, J. Tags: Oral abstracts Source Type: research

Minimally Invasive Surgery for Spontaneous Intracerebral Hematoma. Real-Life Implementation Model and Economic Estimation
ConclusionAround 12–43% of patients admitted to hospital with spontaneous hemorrhagic stroke could be potential candidates to MIS early evacuation of the cerebral hematoma. In our real-life implementation model, the cost-utility analysis favored the neuroendoscopic evacuation over the catheter aspiration technique. Further studies are advisable as new data from the ongoing randomized trials becomes available.
Source: Frontiers in Neurology - May 2, 2022 Category: Neurology Source Type: research

Minimally Invasive Endoscopic Surgery for Treatment of Spontaneous Intracerebral Hematomas: A Single-Center Analysis
Conclusions This European surgical stroke center series of an endoscopic operative technique demonstrates safety and efficacy with regard to reduction of hematoma size in patients with large and space-occupying spontaneous ICH. The study suggests that low mortality and acceptable outcomes may be achievable by minimally invasive hematoma surgery. Whether this technique reduces long-term morbidity compared to standard treatment needs to be further investigated in larger prospective randomized controlled trials.
Source: Neurocritical Care - November 10, 2014 Category: Neurology Source Type: research

Post-heart transplantation outcome of HeartMate II-bridged recipients requiring unplanned concomitant temporary right ventricular mechanical support
CONCLUSIONS Our data demonstrate that heart transplant recipients who required unplanned RV mechanical support after LVAD implantation achieved comparable rates of early graft loss, post-transplant renal failure and stroke rate in comparison with patients bridged with an isolated HeartMate II assist device. Three-year graft survival was equivalent between those two groups. Given the small sample size, further studies involving more patients are needed to support or challenge our conclusions.
Source: Interactive CardioVascular and Thoracic Surgery - February 12, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Urban, M., Pirk, J., Szarszoi, O., Besik, J., Netuka, I. Tags: Minimally invasive surgery, Peripheral vascular, Aorto-iliac disease Adult Cardiac Source Type: research

Full sternotomy versus right anterior minithoracotomy for isolated aortic valve replacement in octogenarians: a propensity-matched study
CONCLUSIONS Minimally invasive AVR through right anterior minithoracotomy can be safely performed in patients aged ≥80 years with acceptable morbidity and mortality rates. It is an expeditious and effective alternative to full sternotomy AVR and might be associated with lower postoperative stroke incidence, earlier extubation and shorter hospital stay.
Source: Interactive CardioVascular and Thoracic Surgery - May 28, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Gilmanov, D., Farneti, P. A., Ferrarini, M., Santarelli, F., Murzi, M., Miceli, A., Solinas, M., Glauber, M. Tags: Myocardial protection, Transplantation - heart Adult Cardiac Source Type: research

Outcome of left ventricular surgical remodelling after the STICH trial ADULT CARDIAC
CONCLUSIONS Our findings show that patients, who are candidates for LVSR, have mostly akinetic areas and CIMR requiring surgical correction and are severely symptomatic. Severe LVDD is common and, along with emergency status, is the most important risk factor for early and late outcome.
Source: European Journal of Cardio-Thoracic Surgery - October 4, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Calafiore, A. M., Iaco, A. L., Kheirallah, H., Sheikh, A. A., Al Sayed, H., El Rasheed, M., Allam, A., Awadi, M. O., Alfonso, J. J., Osman, A. A., Di Mauro, M. Tags: Electrophysiology - arrhythmias, Minimally invasive surgery ADULT CARDIAC Source Type: research

A Neurosurgical Stratagem: Doing the Same with Less?
We have read and much appreciated the article by Ma et  al.,1 entitled “Endoscopic Evacuation of Basal Ganglia Hematoma: Surgical Technique, Outcome and Learning Curve,” recently published in WORLD NEUROSURGERY, in which the authors describe their experience with evacuation of basal ganglia hematomas through minimally invasive surgery by an endosco pic technique. Intracerebral hemorrhage (ICH) is the most common type of stroke, accounting for up to 15% of all stroke cases. ICH incidence has increased with advanced age, and its prognosis remains poor.
Source: World Neurosurgery - August 24, 2017 Category: Neurosurgery Authors: Nicola Alberio, Rosario Maugeri, Roberto Giuseppe Giammalva, Domenico Gerardo Iacopino, Salvatore Cicero, Natale Francaviglia, Roberto Battaglia Tags: Letter to the Editor Source Type: research

Minimally Invasive Approaches to Surgical Aortic Valve Replacement: A Meta-Analysis
ConclusionsMinimally invasive approaches to AVR yield excellent outcomes in high volume centers. They reduce hospital stay and incidence of post-operative atrial fibrillation, and, therefore, should be considered in patients undergoing AVR. However, the operative approach should be selected according to surgeon’s technical expertise and what is best for specific patient profile.
Source: The Annals of Thoracic Surgery - September 6, 2018 Category: Cardiovascular & Thoracic Surgery Source Type: research

Minimally Invasive Approaches to Surgical Aortic Valve Replacement: A Meta-Analysis.
CONCLUSIONS: Minimally invasive approaches to AVR yield excellent outcomes in high volume centers. They reduce hospital stay and incidence of post-operative atrial fibrillation, and, therefore, should be considered in patients undergoing AVR. However, the operative approach should be selected according to surgeon's technical expertise and what is best for specific patient profile. PMID: 30189193 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 3, 2018 Category: Cardiovascular & Thoracic Surgery Authors: Chang C, Raza S, Altarabsheh SE, Delozier S, Sharma UM, Zia A, Neudecker M, Markowitz AH, Sabik JF, Deo SV Tags: Ann Thorac Surg Source Type: research

Efficacy and safety of minimally invasive surgery with thrombolysis in intracerebral haemorrhage evacuation (MISTIE III): a randomised, controlled, open-label, blinded endpoint phase 3 trial
This study is registered with ClinicalTrials.gov, number NCT01827046.FindingsBetween Dec 30, 2013, and Aug 15, 2017, 506 patients were randomly allocated: 255 (50%) to the MISTIE group and 251 (50%) to standard medical care. 499 patients (n=250 in the MISTIE group; n=249 in the standard medical care group) received treatment and were included in the mITT analysis set. The mITT primary adjusted efficacy analysis estimated that 45% of patients in the MISTIE group and 41% patients in the standard medical care group had achieved an mRS score of 0–3 at 365 days (adjusted risk difference 4% [95% CI −4 to 12]; p=0·33). Sensi...
Source: The Lancet - February 8, 2019 Category: General Medicine Source Type: research

Early Prophylactic Hypothermia for Patients With Severe Traumatic Injury: Premature to Close the Case
This study demonstrates that there is no role for the initiation of hypothermia during the acute phase of TBI (1, 2). However, it would be damaging to abandon the concept prematurely. Inflammation Also Paves the Way to Tissue Repair As soon as trauma occurs, the inflammatory cascade begins to take place. The deleterious role of inflammation in the secondary injury response is well-documented, hence the rationale to attempt early prophylactic hypothermia in TBI. However, inflammation also initiates tissue repair and regeneration (3–6). We now know that the secondary injury response accompanies the regenerating and...
Source: Frontiers in Neurology - April 8, 2019 Category: Neurology Source Type: research

Cerebral Hemorrhage: Pathophysiology, Treatment, and Future Directions
Circ Res. 2022 Apr 15;130(8):1204-1229. doi: 10.1161/CIRCRESAHA.121.319949. Epub 2022 Apr 14.ABSTRACTIntracerebral hemorrhage (ICH) is a devastating form of stroke with high morbidity and mortality. This review article focuses on the epidemiology, cause, mechanisms of injury, current treatment strategies, and future research directions of ICH. Incidence of hemorrhagic stroke has increased worldwide over the past 40 years, with shifts in the cause over time as hypertension management has improved and anticoagulant use has increased. Preclinical and clinical trials have elucidated the underlying ICH cause and mechanisms of i...
Source: Circulation Research - April 14, 2022 Category: Cardiology Authors: Jessica Magid-Bernstein Romuald Girard Sean Polster Abhinav Srinath Sharbel Romanos Issam A Awad Lauren H Sansing Source Type: research