Percutaneous versus open surgical cannulation for minimal invasive cardiac surgery; immediate postprocedural outcome analysis

Saeed, Diyar; Gadelkarim, Ibrahim; Otto, Wolfgang; Feder, Stefan; Deshmukh, Nikhil; Pfannmüller, Bettina; Misfeld, Martín; Borger, Michael A.

doi:10.1016/j.xjtc.2022.08.021

Cited by 3 publications

(2 citation statements)

References 11 publications

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“…Lateral minithoracotomy approach, approximately 5 cm in length, with additional work port incisions are used instead and combined with, most often, groin cannulation. The number and size of additional incisions differs in regard to cannulation (percutaneous versus open surgical cannulation) and cross-clamping strategies (external aortic cross-clamping or endoaortic balloon occlusion) applied ( 17 , 18 ). With minimal invasive surgery, bone fractures and subsequent healing can be avoided, preferably with the use of a soft-tissue retractor without additional rib spreading.…”

Section: Robotic Versus Port-access Mitral Valve Repairmentioning

confidence: 99%

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Robotic mitral valve repair surgery: where do we go from here?

Tomšič

Palmen

2023

Front. Cardiovasc. Med.

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Surgical mitral valve repair through median sternotomy has long presented the treatment of choice for degenerative mitral valve disease. In recent decades, minimal invasive surgical techniques have been developed and are now gaining widespread popularity. Robotic cardiac surgery presents an emerging field, initially adopted only by selected centres, mostly in the United States. In recent years, the number of centers interested in robotic mitral valve surgery has grown with an increasing adoption in Europe as well. Increasing interest and surgical experience gained are stimulating further developments in the field and the full potential of robotic mitral valve surgery remains to be developed.

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Section: Robotic Versus Port-access Mitral Valve Repairmentioning

confidence: 99%

“…The lateral mini-thoracotomy approach allows for a less invasive approach without bone fractures. (17,18). With minimal invasive surgery, bone fractures and subsequent healing can be avoided, preferably with the use of a soft-tissue retractor without additional rib spreading.…”

Section: Robotic Versus Port-access Mitral Valve Repairmentioning

confidence: 99%

Robotic mitral valve repair surgery: where do we go from here?

Tomšič

Palmen

2023

Front. Cardiovasc. Med.

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Endoaortic balloon occlusion versus transthoracic cross-clamp for totally endoscopic robotic mitral valve surgery: a retrospective cohort study

et al. 2023

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Percutaneous Versus Surgical Femoral Cannulation in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis

Kirov,

Caldonazo,

Runkel

et al. 2024

Innovations�(Phila)

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Objective: Minimally invasive cardiac surgery (MICS) is increasing worldwide. In most cases, the surgical technique includes cannulation of the groin for the establishment of cardiopulmonary bypass, requiring a second surgical incision (SC) for exposure and cannulation of the femoral vessels. With the introduction of arterial closure devices, percutaneous cannulation (PC) of the groin has become a possible alternative. We performed a meta-analysis and systematic review to compare clinical endpoints between the patients who underwent PC and SC for MICS. Methods: Three databases were assessed. The primary outcome was any access site complication. Secondary outcomes were perioperative mortality, any wound complication, any vascular complication, lymphatic complications, femoral/iliac stenosis, stroke, procedural duration, and hospital length of stay (LOS). A random effects model was performed. Results: A total of 5 studies with 2,038 patients were included. When compared with PC, patients who underwent SC showed a higher incidence of any access site complication (odds ratio [OR] = 3.09, 95% confidence interval [CI]: 1.87 to 5.10, P < 0.01), any wound complication (OR = 10.10, 95% CI: 3.31 to 30.85, P < 0.01), lymphatic complication (OR = 9.37, 95% CI: 2.15 to 40.81, P < 0.01), and longer procedural duration (standardized mean difference = 0.31, 95% CI: 0.12 to 0.51, P < 0.01). There was no significant difference between the 2 groups regarding perioperative mortality, any vascular complication, femoral/iliac stenosis, stroke, or hospital LOS. Conclusions: The analysis suggests that surgical groin cannulation in MICS is associated with a higher incidence of any access site complication (especially wound complication and lymphatic fistula) and with a longer procedural time compared with PC. There was no difference in perioperative mortality.

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Percutaneous versus open surgical cannulation for minimal invasive cardiac surgery; immediate postprocedural outcome analysis

Cited by 3 publications

References 11 publications

Robotic mitral valve repair surgery: where do we go from here?

Robotic mitral valve repair surgery: where do we go from here?

Endoaortic balloon occlusion versus transthoracic cross-clamp for totally endoscopic robotic mitral valve surgery: a retrospective cohort study

Percutaneous Versus Surgical Femoral Cannulation in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis

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