2018
DOI: 10.1016/j.athoracsur.2018.07.018
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Minimally Invasive Approaches to Surgical Aortic Valve Replacement: A Meta-Analysis

Abstract: Minimally invasive approaches to AVR yield excellent outcomes in high-volume centers. They reduce hospital stay and incidence of postoperative atrial fibrillation, and therefore should be considered in patients undergoing AVR. The operative approach should be selected according to surgeon's technical expertise and what is best for specific patient profile, however.

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Cited by 81 publications
(102 citation statements)
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“…The access should therefore be discussed in detail with the patient prior to surgery if the patient is an eligible candidate for a maze procedure. Furthermore, the observed increased rate of postoperative kidney injury was not seen in other reports and cannot be attributed to the surgical access alone due to the non-randomized study design [ 10 ].…”
Section: Discussionmentioning
confidence: 71%
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“…The access should therefore be discussed in detail with the patient prior to surgery if the patient is an eligible candidate for a maze procedure. Furthermore, the observed increased rate of postoperative kidney injury was not seen in other reports and cannot be attributed to the surgical access alone due to the non-randomized study design [ 10 ].…”
Section: Discussionmentioning
confidence: 71%
“…Overall mortality was low compared to the preoperative surgical risk (1.6% for a logistical EuroSCORE of 11%). As expected, CPB and cross-clamp times were prolonged in patients who underwent a minimally invasive access compared with patients who underwent FS, and within this group, ART patients had the longest perfusion times [ 10 , 11 ]. However, cross-clamp times were expected to be significantly shorter with these valves compared to conventional valves with the same access.…”
Section: Discussionmentioning
confidence: 73%
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“…Minimally invasive aortic valve replacement (MI-AVR) intends to abate perioperative morbidity, especially in frail elderly patients. 1,2 Its benefits come at the cost of longer aortic cross-clamp and cardiopulmonary bypass (CPB) times due to the technical challenges associated with MI-AVR. 2,3 These issues have been improved after the introduction of rapid deployment (RD) and sutureless aortic valve prostheses.…”
Section: Introductionmentioning
confidence: 99%
“…1,2 Its benefits come at the cost of longer aortic cross-clamp and cardiopulmonary bypass (CPB) times due to the technical challenges associated with MI-AVR. 2,3 These issues have been improved after the introduction of rapid deployment (RD) and sutureless aortic valve prostheses. Their ease of implantation not only reduces the aortic cross-clamp and CPB times in MI-AVR, 4,5 but also renders the anterior right thoracotomy (ART) approach feasible and reproducible.…”
Section: Introductionmentioning
confidence: 99%