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Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery

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https://www.readbyqxmd.com/read/30540592/innovations-the-journey-continues-under-new-leadership
#1
Ralph J Damiano
No abstract text is available yet for this article.
December 5, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30540589/primary-endovascular-repair-of-the-ascending-aorta
#2
Bruno Borrello, Davide Carino, Andrea Agostinelli, Alessandro Maria Budillon, Francesco Nicolini
Different case series have been published demonstrating the feasibility of endovascular repair of the ascending aorta in selected patients deemed unfit for open surgery. However, the use of commercially available stent graft in the ascending aorta remains off-label, and their excessive length often prevents their deployment in the ascending aorta. Here we report a case of successful primary endovascular repair of the ascending aorta using a physician modified off-the-shelf device.
December 5, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30516571/robotic-thoracic-surgery-training-for-residency-programs-a-position-paper-for-an-educational-curriculum
#3
Wissam N Raad, Adil Ayub, Chyun-Yin Huang, Landon Guntman, Sadiq S Rehmani, Faiz Y Bhora
OBJECTIVE: Robotic-assisted surgery is increasingly being used in thoracic surgery. Currently, the Integrated Thoracic Surgery Residency Program lacks a standardized curriculum or requirement for training residents in robotic-assisted thoracic surgery. In most circumstances, because of the lack of formal residency training in robotic surgery, hospitals are requiring additional training, mentorship, and formal proctoring of cases before granting credentials to perform robotic-assisted surgery...
December 3, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30394959/program
#4
(no author information available yet)
No abstract text is available yet for this article.
November 2, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30371530/message-from-the-president-of-the-japan-mics-summit-2018
#5
Hitoshi Yaku
No abstract text is available yet for this article.
October 26, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30371529/early-and-late-results-of-minimally-invasive-aortic-valve-replacement
#6
(no author information available yet)
No abstract text is available yet for this article.
October 26, 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30547899/targeted-minimally-invasive-parathyroidectomy-for-ectopic-aortopulmonary-adenoma-under-gamma-probe-guidance
#7
Defne Güneş Ergi, Ilknur Kepenekci Bayram, Cagdas Baran, Elgin Özkan, Mustafa Bahadir Inan, Ahmet Ruchan Akar
We report a case of 53-year-old woman with the parathyroid adenoma (PA) located in the aortopulmonary window with an aberrant right subclavian artery. Her preoperative calcium level was 11.3 mg/dL (reference range = 8.8-10.6 mg/dL). The parathyroid hormone level was significantly elevated at 127.4 pg/mL (reference range = 12-88 pg/mL) as measured on immunoradiometric assay. Dual-phase technetium-99m-labeled sestamibi parathyroid scintigraphy and fluorine-18 F-fluorocholine positron emission tomography/computed tomography revealed a mediastinal tumor measuring 3 × 5 × 6 mm located anterolateral to the aortopulmonary window...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30547898/minimally-invasive-periareolar-approach-to-cor-triatriatum-repair
#8
Byron H Gottschalk, Satoru Fujii, Aaron Grant, Ivan Iglesias, Michael W A Chu
Cor triatriatum sinister is an uncommon cardiac abnormality characterized by a membrane that divides the left atrium into two chambers. Definitive management requires surgical resection, traditionally through sternotomy. Minimally invasive reparative techniques are associated with reduced blood loss, shorter hospitalization, faster recovery time, and improved cosmesis with excellent patient satisfaction. We present a 29-year-old woman with cor triatriatum sinister and associated atrial septal defect who underwent successful minimally invasive repair through a right periareolar approach...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30547897/can-robotic-assisted-surgery-overcome-the-risk-of-mortality-in-cardiac-reoperation
#9
Hiroto Kitahara, Brody Wehman, Husam H Balkhy
OBJECTIVE: A robotic-assisted approach potentially has many advantages for cardiac reoperation, which include sternum-sparing and three-dimensional visualization leading to precise adhesiolysis and excellent exposure in a limited field. METHODS: We retrospectively reviewed our patients undergoing robotic cardiac reoperation (redo group) from July 2013 to April 2017 at our institution and compared with our patients undergoing standard robotic surgery (nonredo group)...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30547896/right-mini-thoracotomy-subaortic-membrane-resection
#10
Carl A Johnson, Juan A Siordia, Davida A Robinson, Fabio Sagebin, Peter A Knight
OBJECTIVE: Subaortic membrane is an anatomical intracardiac anomaly that may cause discrete subaortic stenosis and aortic insufficiency. Patients requiring subaortic membrane resection may benefit from a minimally invasive approach; however, subaortic membranes are typically resected through a median sternotomy. We present our initial clinical experience of adult patients who have undergone a mini-thoracotomy subaortic membrane resection. METHODS: Eight patients who underwent an elective subaortic membrane resection performed through a mini-thoracotomy were retrospectively reviewed...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30543578/outcomes-after-the-mitraclip-procedure-in-patients-at-very-high-risk-for-conventional-mitral-valve-surgery
#11
Joshua L Manghelli, Daniel I Carter, Ali J Khiabani, Hersh S Maniar, Ralph J Damiano, Marc A Sintek, John M Lasala, Alan Zajarias, Spencer J Melby
OBJECTIVE: Approximately 50% of patients with severe symptomatic mitral regurgitation are deemed too high risk for surgery. The MitraClip procedure is a viable option for this population. Our goal was to assess outcomes and survival of patients who underwent the MitraClip procedure at an institution where mitral valve surgery is routinely performed. METHODS: A retrospective study of patients undergoing the MitraClip procedure was performed. Baseline characteristics, perioperative outcomes, and follow-up echocardiographic and clinical outcomes were examined...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30543577/stented-versus-stentless-aortic-valve-replacement-in-patients-with-small-aortic-root-a-systematic-review-and-meta-analysis
#12
Amer Harky, Chris H M Wong, Alexander Hof, Saied Froghi, Mohammad U Ahmad, Callum Howard, Lara Rimmer, Mohamad Bashir
OBJECTIVE: The aim of the study was to compare hemodynamic and perioperative outcomes of stented against stentless aortic valve replacement in patients with small aortic root (21 mm or less). METHODS: A comprehensive search was undertaken among the four major databases (PubMed, Embase, Scopus, and Ovid) to identify all randomized and nonrandomized controlled trials comparing stentless to stented bioprosthetic valves in small aortic root patients. Odds ratios, weighted mean differences, or standardized mean differences and their 95% confidence intervals were analyzed...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30543576/minimally-invasive-and-robotic-esophagectomy-a-review
#13
Raghav A Murthy, Nicholas S Clarke, Kemp H Kernstine
Great advances have been made in the surgical management of esophageal disease since the first description of esophageal resection in 1913. We are in the era of minimally invasive esophagectomy. The current three main approaches to an esophagectomy are the Ivor Lewis technique, McKeown technique, and the transhiatal approach to esophagectomy. These operations were associated with a high morbidity and mortality. The recent advances in minimally invasive surgical techniques have greatly improved the outcomes of these surgical procedures...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30540591/reason-and-timing-for-conversion-to-sternotomy-in-robotic-assisted-coronary-artery-bypass-grafting-and-patient-outcomes
#14
Nickolas K Christidis, Stephanie A Fox, Stuart A Swinamer, Rodrigo Bagur, Kumar Sridhar, Shahar Lavi, Ivan Iglesias, Daniel Bainbridge, Philip M Jones, Christopher C Harle, Michael W A Chu, Patrick Teefy, Bob B Kiaii
OBJECTIVE: Conversion to sternotomy is a primary bailout method for robotically assisted coronary artery bypass grafting procedures. The aims of this study were to identify the primary reasons for conversion from robotically assisted coronary artery bypass grafting to sternotomy and to evaluate the in-hospital outcomes in such patients. METHODS: Prospectively collected data from February 2004 to April 2017 were reviewed for 72 patients (56 men; mean age = 63.8 years) who required conversion to sternotomy during a robotically assisted coronary artery bypass grafting procedure with planned endoscopic left internal thoracic artery harvest and anastomosis to the left anterior descending on the beating heart...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30540590/a-minimally-invasive-approach-for-placing-sew-on-epicardial-leads-in-the-child
#15
Joseph R Nellis, Zachary W Fitch, Ashley Y Choi, James M Meza, Zebulon Z Spector, Nicholas H Von Bergen, Jose E Torres, Jacob A Klapper, Jude S Sauer, Joseph W Turek
Traditionally, pacing leads are placed transvenously, although smaller pediatric patients who require permanent pacemakers may benefit from delaying tranvenous lead placement until they are larger. Alternative, minimally invasive atrioventricular pacing options have not previously existed for this patient population, leaving many of these children with large sternotomies or thoracotomies. Using three port sites and an adjustable shaft dual-needle suturing device, we placed a steroid-eluting, sew-on epicardial lead on the right atrium of a 9-year-old patient...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30516572/management-of-atrial-fibrillation-in-patients-undergoing-coronary-artery-bypass-grafting-review-of-the-literature
#16
Ali J Khiabani, Taylan Adademir, Richard B Schuessler, Spencer J Melby, Marc R Moon, Ralph J Damiano
Untreated atrial fibrillation is associated with an increased risk of all-cause mortality and morbidity. Despite the current guidelines recommending surgical ablation of atrial fibrillation at the time of coronary artery bypass surgery, most patients with concomitant atrial fibrillation and coronary artery disease do not receive surgical ablation for their atrial fibrillation. This review reports the efficacy of different surgical ablation techniques used for the treatment of atrial fibrillation during coronary artery bypass...
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30418265/index-authors-of-abstracts
#17
(no author information available yet)
No abstract text is available yet for this article.
November 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30418299/concomitant-left-atrial-reduction-in-rheumatic-mitral-valve-disease-with-giant-left-atrium-our-technique-with-midterm-results
#18
Sudhir Adalti, Kartik G Patel, Chirag P Doshi, Chandrashekhar Ananthnarayanan, Chintan N Mehta, Vivek A Wadhawa, Vijay Gupta, Sanjay K Patel
OBJECTIVE: The giant left atrium is a frequent finding with rheumatic heart disease. The enlarged left atrium was found to be a risk factor for early mortality and postoperative higher thromboembolic events, but its management remains controversial. Most of the surgeons just do the mitral valve procedure without any intervention for enlarged left atrium. We present our center's experience of patients with giant left atrium who underwent a newer technique of left atrium reduction concomitant with mitral valve procedure...
September 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30407927/right-mini-thoracotomy-bentall-procedure
#19
Carl A Johnson, Juan A Siordia, Katherine L Wood, Davida A Robinson, Peter A Knight
OBJECTIVE: Bentall procedures are traditionally performed through a median sternotomy. The right mini-thoracotomy approach is increasingly used in aortic valve replacement. This approach has been shown to have decreased blood loss and hospital length of stay compared with sternotomy. A right mini-thoracotomy approach may also be beneficial in selected patients requiring aortic root surgery. We present our initial clinical experience of patients who have undergone a right mini-thoracotomy Bentall...
September 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
https://www.readbyqxmd.com/read/30407926/nonrobotic-total-endoscopic-coronary-artery-bypass-grafting-a-proof-of-concept-study-in-20-patients
#20
Hagen Gorki, Jun Liu, Marius Sabau, Guenther Albrecht, Andreas Liebold
OBJECTIVE: At present, minimal invasive direct coronary artery grafting is the least invasive nonrobotic surgical approach to revascularize the left anterior descending artery with the left internal mammary artery. Total endoscopic coronary bypass grafting is performed with the help of a telemanipulator ("robot"). A prospective proof-of-concept study was initiated to investigate a nonrobotic total endoscopic coronary bypass grafting approach. METHODS: Twenty patients with significant left anterior descending artery or left main stem lesion were operated on via three or four left thoracic access ports...
September 2018: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery
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