Ministernotomy compared with right anterior minithoracotomy for aortic valve surgery

Bonacchi, Massimo; Dokollari, Aleksander; Parise, Orlando; Sani, Guido; Prifti, Edvin; Bisleri, Gianluigi; Gelsomino, Sandro

doi:10.1016/j.jtcvs.2021.03.125

Cited by 24 publications

(38 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared to our previous report, where ministernotomy significantly outperformed minithoracotomy regarding postoperative pain, it seems that after 1 year, patients with minithoracotomy showed greater improvement than ministernotomy, yet the difference did not reach statistical significance ( [6], Table 4). This is consistent with other reports of "no difference" in pain perception after 30 days and 1 year [11].…”

Section: Discussionsupporting

confidence: 93%

See 1 more Smart Citation

Measurement of health-related quality of life post aortic valve replacement via minimally invasive incisions

Jawad

Mourad

2022

J Cardiothorac Surg

View full text Add to dashboard Cite

Background Minimally invasive aortic surgery is growing in popularity among surgeons. Although many clinical reports have proven both the safety and efficacy from a surgical point of view, there are few data regarding its impact on patients’ quality of life and whether there is a difference between ministernotomy and minithoracotomy from the patient perspective. Methods This prospective, questionnaire-based, nonrandomized study included 189 patients who underwent aortic valve replacement via a minimally invasive incision between May 2014 and December 2020 and completed at least 1 year of follow-up. The study uses the RAND SF 36-Item Health Survey 1.0 to assess and compare health-related quality of life between ministernotomy and minithoracotomy. Results There was a statistically significant improvement in the minithoracotomy group with regard to physical functioning, role limitation due to a physical problem, and social functioning (79.69 ± 20.72, 75.28 ± 26.52, 87.91 ± 16.98) compared to the ministernotomy group (70.31 ± 22.88, 58.59 ± 31.17, 66.15 ± 27.32) with p values (0.0036, 0.0001, < 0.0001), respectively. Conclusions Both minimally invasive aortic valve incisions positively impacted patient quality of life. The minithoracotomy incision showed significant improvements in physical capacity and successful patient re-engagement in daily physical and social activities. This, in turn, positively improved their general health status compared to the 1-year preoperative status. Trial registration: This study was approved by the Research Ethics Committee (REC) at the Faculty of Medicine, Ain Shams University, under the number code (FWA 000017585, FAMSU R 91 /2021).

show abstract

Section: Discussionsupporting

confidence: 93%

“…Ministernotomy is also associated with fewer pleural and pulmonary complications than minithoracotomy, with reduced pain perception. However, this is true only for the first 30 days post-hospital discharge, where recent data show pain scales to be the same after that time [11].…”

Section: Discussionmentioning

confidence: 93%

Measurement of health-related quality of life post aortic valve replacement via minimally invasive incisions

Jawad

Mourad

2022

J Cardiothorac Surg

View full text Add to dashboard Cite

show abstract

“…Currently, the upper ministernotomy (MS) and the right anterior thoracotomy (RAT) are the most common approaches for (mini-SAVR). Bonacchi et al ( 32 ) evidenced the benefits of the valve in both MS and RAT. In addition, the international prospective registry ( 33 ) comparing MS with RAT showed an aortic cross-clamp time of 43 vs. 55 mins ( p < 0.01), cardiopulmonary bypass time of 67 vs. 89 mins ( p < 0.01) and a prosthesis implantation time of 15.5 vs. 12 mins ( p = 0.014), respectively.…”

Section: Perceval For Mics and Mini-savrmentioning

confidence: 99%

Benefits and Pitfalls of the Perceval Sutureless Bioprosthesis

Dokollari

Ramlawi

Torregrossa

et al. 2022

Front. Cardiovasc. Med.

Self Cite

View full text Add to dashboard Cite

Objective: To highlight the main target points covered by clinical studies on the Perceval sutureless valve for surgical aortic valve replacement (SAVR) and raise a point of discussion for further expansion of its use when compared with stented bioprostheses (SB) and transcatheter aortic valve replacement (TAVR).Methods: We reviewed clinical trials and retrospective studies published up to date and compared the outcomes in terms of mortality, myocardial infarction (MI) stroke, paravalvular leak (PVL), permanent pacemaker implantation (PPI), bleeding and long-term outcomes.Results: Clinical studies showed that 30-day mortality ranged from 0–4% for Perceval and 2.9–7% for TAVR. The incidence of PVL (Perceval 1.9–19.4 vs. TAVR 9–53.5%), PPI (Perceval 2–11.2 vs. TAVR 4.9–25.5%), stroke (Perceval 0 vs. TAVR 0–2.8%), MI (Perceval 0 vs. TAVR 0–3.5%), were all higher in the TAVR group. Compared to other SB, mortality ranged from 0–6.4% for Perceval and 0–5.9% for SB. The incidence of PVR (Perceval 1–19.4 vs. SB 0–1%), PPI (Perceval 2–10.7 vs. SB 1.8–8.5%), stroke (Perceval 0–3.7 vs. SB 1.8–7.3%) and MI (Perceval 0–7.8 vs. SB 0–4.3%) were comparable among the groups. In patients with a bicuspid aortic valve, mortality rate was (0–4%) and PVL incidence was (0–2.3%). However, there was a high incidence of PPI (0–20%), and stroke (0–8%). Long-term survival ranged between 96.7–98.6%.Conclusions: The Perceval bioprosthesis has proved to be a reliable prosthesis for surgical aortic valve replacement due to its implantation speed, the reduced cardiopulmonary bypass time, the reduced aortic cross-clamp time and the shorter intensive care unit and hospital length of stay.

show abstract

mentioning

confidence: 99%

“…Complications include a greater incidence of reinterventions/urgent operations, clot malformation due to coagulation disorders, and the use of blood products while various surgical strategies are adopted to reduce its incidence. [1][2][3] In this issue of the Journal, Obafemi and colleagues 4 present the Centese Thoraguard Chest Tube System (CTCTS) to resolve the tube clotting issue. The device has an automated air sweep mechanism integrated with an automatic clearance system.…”

mentioning

confidence: 99%

Commentary: New technology impact on chest tube clotting after cardiac surgery. A possible paradigm shift?

et al. 2022

Self Cite

View full text Add to dashboard Cite

Ministernotomy compared with right anterior minithoracotomy for aortic valve surgery

Cited by 24 publications

References 21 publications

Measurement of health-related quality of life post aortic valve replacement via minimally invasive incisions

Measurement of health-related quality of life post aortic valve replacement via minimally invasive incisions

Benefits and Pitfalls of the Perceval Sutureless Bioprosthesis

Commentary: New technology impact on chest tube clotting after cardiac surgery. A possible paradigm shift?

Contact Info

Product

Resources

About