Minimally Invasive Mitral Surgery

Burns, Daniel J.P.; Wierup, Per; Gillinov, Marc

doi:10.1016/j.ccl.2021.01.003

Cited by 8 publications

(4 citation statements)

References 28 publications

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“…With the increasing use of laparoscopy and thoracoscopy surgery, the minimally invasive approach to cardiac surgery also happened. Specialized centers began to publish minimally invasive approaches to the mitral valve in mid-1990 [12]. These procedures started with a partial sternotomy approach or parasternal access, but the parasternal access was abandoned [13] [14] [15] [16] [17].…”

Section: Discussionmentioning

confidence: 99%

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In-Hospital Outcomes in Minimally Invasive Mitral Valve Surgery: First Results in a Brazilian Single Center

Freitas,

Pansani,

Nery

et al. 2024

OJTS

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Introduction: Treatments for cardiovascular diseases have increasingly evolved with the tendency to offer minimally invasive or transcatheter procedures instead of conventional sternotomy surgery. In this context, we highlight minimally invasive mitral valve surgery (MIMVS), which has been shown to be an increasingly solid option with some superior results when compared to the conventional technique: better pain control, shorter hospital stays, shorter recovery time, shorter readmission rate in the first postoperative year, better aesthetic results, and lower overall cost. Aim: This study aims to evaluate the stages of MIMVS, by primary mitral valve consultation, in our service and compare these results with data from the literature. Methods: All electronic medical records of patients who underwent MIMVS for primary mitral valve injury in the Encore Hospital from January 2020 to February 2023 were analyzed. Tabulation and statistical analysis were performed using the Microsoft Excel® program. Quantitative variables were presented as means, standard deviations. Results: 46 patients were enrolled in our study (Age: 59.1 ± 12.4 years old; 60.8% Female, BMI: 26 ± 4.4 Kg/m 2 , Low risk STS score: 82.6%). The observed 30-day mortality was 2.1%, plastic rate of 23.9%, blood transfusion rate of 41.3%, length of stay in an intensive care bed (ICB) of 3.3 ± 3.3 days and hospital stay of 6.4 ± 5.1 days. Conclusions: We noticed that the MIMVS results carried out in our service agree with data from national and international literature with approximately 1.3 days more hospitalization in ICB.

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Section: Discussionmentioning

confidence: 99%

“…These procedures started with a partial sternotomy approach or parasternal access, but the parasternal access was abandoned [13] [14] [15] [16] [17]. Following the evolution of technology, the technique continued to evolve from the video-assisted approach to robotic surgery, which is already performed in some centers [12].…”

Section: Discussionmentioning

confidence: 99%

In-Hospital Outcomes in Minimally Invasive Mitral Valve Surgery: First Results in a Brazilian Single Center

Freitas,

Pansani,

Nery

et al. 2024

OJTS

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“…always preparing the subcutis with a Mosquito or small curved Klemmer is advisable to avoid kinking of the guidewire during the insertion of introducers, catheters, or dilators. [2] How to manage resistance Feeling resistance to the advancement of the guidewire is one of the things to be most careful about because, most of the time, the wire has taken the wrong route and is in the contralateral iliac vein, renal vein, or hepatic vein. Pushing against resistance will quickly produce tears, ruptures, and dissections of the vein and have fatal consequences for the patient.…”

Section: Discussionmentioning

confidence: 99%

“…Peripheral puncture and cannulation of jugular, femoral venous, and artery vessels have become standard practice in contemporary minimally invasive cardiac surgery (Mics), which requires increasing adoption of guidewires, catheters, and interventional skills [1,2]. if not performed correctly, following an established step-by-step approach, consequences can become fatal complications for patients (iliac or caval veins rupture with massive internal bleeding).…”

Section: Introductionmentioning

confidence: 99%

Percutaneous Cannulation for Minimally Invasive Cardiac Surgery: The Safest and Effective Technique for the Future.

Kuci,

Ibrahimi,

Goga

et al. 2024

AJTES

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Introduction: In recent years, contemporary minimally invasive cardiac surgery techniques have been used in many cardiac surgical clinics. With the expansion of minimally invasive operations, ECMO, and some interventional therapies, the current cardiac surgical landscape requires a thorough knowledge of peripheral cannulation techniques. A venous cannulation that is not flawlessly performed can lead to serious life-threatening complications in several steps. The technique we describe step by step is the current gold standard in terms of safety and efficacy: from the use of ultrasound for ultrasound-guided puncture to the safe advancement of super stiff guidewires using a sentinel catheter and concluding with smooth insertion of the venous cannula over the stiff guidewire up to the SVC. Moreover, a list of bailout maneuvers to solve complications and a report of institutional clinical experience since adopting this technique are presented. Conclusion: In our experience, however, the fact is that patients' perceptions and expectations have changed. Patients increasingly ask for a therapeutic approach that leaves the sternum intact. Those doctors who want to meet this new challenge must realize that minimal incisions in cardiac surgery require excellent technical skills. For this reason, doctors should become familiar with current study data.

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Editorial commentary: Robotic applications for intracardiac and endovascular procedures: Are we ready for robotic takeover?

Zou

Biase

2024

Trends in Cardiovascular Medicine

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Minimally Invasive Mitral Surgery

Cited by 8 publications

References 28 publications

In-Hospital Outcomes in Minimally Invasive Mitral Valve Surgery: First Results in a Brazilian Single Center

In-Hospital Outcomes in Minimally Invasive Mitral Valve Surgery: First Results in a Brazilian Single Center

Percutaneous Cannulation for Minimally Invasive Cardiac Surgery: The Safest and Effective Technique for the Future.

Editorial commentary: Robotic applications for intracardiac and endovascular procedures: Are we ready for robotic takeover?

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