Improving Affordability Through Innovation in the Surgical Treatment of Mitral Valve Disease

Suri, Rakesh M.; Thompson, Jeffrey E.; Burkhart, Harold M.; Huebner, Marianne; Borah, Bijan J.; Li, Zhuo; Michelena, Héctor I.; Visscher, Sue L.; Roger, Véronique L.; Daly, Richard C.; Cook, David J.; Enríquez-Sarano, Maurice; Schaff, Hartzell V.

doi:10.1016/j.mayocp.2013.06.022

Cited by 38 publications

(48 citation statements)

References 22 publications

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“…This was consistent with institutional studies that reported similar costs of robotic versus conventional mitral valve surgery (15). We have also demonstrated that cost savings can be made through systems innovation to optimize in-hospital resource utilization (16).…”

Section: Cost and Quality Of Lifesupporting

confidence: 88%

Robotic surgery is the optimal approach for mitral surgery

Cao

Clark

Suri

2016

Ann. Cardiothorac. Surg.

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This report presented an overview of the patient selection, technical considerations and clinical evidence for robotic mitral valve surgery. A review of comparative outcomes to medical therapy, sternotomy approach, and the MitraClip device suggested that robotic mitral valve surgery is safe and effective in specialized centres.Potential benefits include a reliable and durable repair, with reduced perioperative morbidity and improved quality of life. Future studies should aim to delineate mid-and long-term clinical and echocardiographic outcomes following robotic mitral valve repair compared to the conventional sternotomy approach.

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Section: Cost and Quality Of Lifesupporting

confidence: 88%

Robotic surgery is the optimal approach for mitral surgery

Cao

Clark

Suri

2016

Ann. Cardiothorac. Surg.

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“…At the Cleveland Clinic, we found that application of the surgical robot increased hospital costs marginally while decreasing patient length of stay and time to return to work (9). Focusing on cost reduction, Suri et al demonstrated that with a concerted effort, the cost of robotically-assisted surgery can be reduced to a level that matches the cost of standard, sternotomy-based surgery (10). At the inception of a robotic program, operative time and cost will exceed those associated with sternotomy.…”

Section: Expense: Does Robotically-assisted Mitral Valve Surgery Incrmentioning

confidence: 94%

Robotic mitral valve surgery: current limitations and future directions

Gillinov¹,

Suri²,

Mick³

et al. 2016

Ann. Cardiothorac. Surg.

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Use of the surgical robot facilitates less invasive mitral valve surgery. Although multiple single center studies confirmed excellent results with robotically-assisted mitral valve surgery, both real and perceived limitations have slowed adoption of this technology. Some still question the safety and efficacy of roboticallyassisted mitral valve surgery. However, present data suggests that robotic operations can be performed by specialized surgeons in appropriately selected patients without compromising results. That said, the robot does introduce additional procedural complexity related to management of cardiopulmonary bypass and myocardial protection. A direct approach to these challenges combined with careful patient selection enables the surgeon to obtain excellent results with robotically-assisted mitral valve surgery.

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“…Each echocardiogram and MRI study was assessed for the severity of MR. Appropriateness of surgery was determined based on the ACC/AHA recommendations. The cost of mitral valve surgery was estimated conservatively as $30,000 based on prior publications (2). The cost of echocardiography ($264.48) and MRI ($431.80) was based on Medicare part B reimbursement.…”

Section: Methodsmentioning

confidence: 99%