Reliability of Percutaneous Pulmonary Vent and Coronary Sinus Cardioplegia in the Setting of Minimally Invasive Aortic Valve Replacement: A Single-Center Experience

Labriola, Cataldo; Paparella, Domenico; Labriola, Giuseppe; Dambruoso, Pierpaolo; Cassese, Mauro; Saglio, Giuseppe

doi:10.1053/j.jvca.2016.10.016

Cited by 7 publications

(7 citation statements)

References 19 publications

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“…Adequate cardioplegia delivery must only be checked, by the appearance of dark fluid from both coronary ostia. As published by Labriola et al the percutaneous coronary sinus catheter ensure effective retrograde cardioplegia of the heart and allow surgeons to operate in an unobstructed surgical field [11].On the other hand the anaesthesiologist will need some extra time to deploy the percutaneous coronary sinus catheter successfully [11].…”

Section: Resultsmentioning

confidence: 99%

“…Labriola et al published in 2016 that the use of necklines may facilitate surgery by reducing the number of lines to be inserted and removed by surgeons, and provide an unobstructed view of the surgical field [11].Labriola et al also showed that retrograde cardioplegia can be delivered through a percutaneous coronary sinus catheter (CSC), guided by trans oesophageal echography (TEE),via the right internal jugular vein (PR9 Catheter, Edwards Scientific, Salt Lake City, Utah USA), positioned in the coronary sinus [11]. To show possible benefits of this retrograde cannula we analysed our M-AVR data retrospectively, focussing on CPB time and aortic cross-clamping time.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Percutaneous Retrograde Cardioplegia in Minimal Access Aortic Valve Replacement Reduces Aortic Cross-Clamping Time Significantly

2017

ARC Journal of Anesthesiology

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Percutaneous Retrograde Cardioplegia in Minimal Access Aortic Valve Replacement Reduces Aortic Cross-Clamping Time Significantly

2017

ARC Journal of Anesthesiology

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“…1, 2, 3 and 4). Views of the CS in the ME4C, ME2C, and modified ME bicaval views were achieved by following available guidelines [4][5][6][8][9][10]. The TG-CS view is achieved by obtaining a TG LV LAX view with the omniplane angle at 80-100 degrees and turning the probe slightly to the right.…”

Section: Methodsmentioning

confidence: 99%

“…Cannulation of the coronary sinus (CS) is performed to administer retrograde cardioplegia for cardiac surgeries. Whether performed by the surgeon via median sternotomy or percutaneously by an anesthesiologist, transesophageal echocardiographic (TEE) imaging plays an important role in assessing CS anatomy and then guiding and confirming placement of the CS cardioplegia cannula [1][2][3][4][5][6][7].…”

Section: Introductionmentioning

confidence: 99%

Transesophageal echocardiographic imaging of the coronary sinus: a retrospective analysis of mid-esophageal views and a novel transgastric view

et al. 2022

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Background Transesophageal echocardiographic imaging plays an important role in assessing coronary sinus anatomy prior to placement of a retrograde cardioplegia cannula. The coronary sinus can be imaged in the long axis by advancing the TEE probe from the mid-esophageal 4-chamber view or using a modified mid-esophageal bicaval view, while a short axis view can be obtained in the mid-esophageal 2-chamber view. While use of a transgastric view is only briefly mentioned in the literature as an alternative to mid-esophageal views, the authors commonly include it in our comprehensive transesophageal echocardiographic exam of the coronary sinus. This study examines the various imaging strategies. We hypothesize that the transgastric view offers comparable coronary sinus imaging to the mid-esophageal views. Methods After approval by our institutional review board, the intraoperative transesophageal echocardiographic exams for 50 consecutive elective cardiac surgical patients with a comprehensive echocardiographic assessment of the coronary sinus were retrospectively reviewed and analyzed to evaluate imaging of the coronary sinus in the various views. For each view, we noted and recorded if the coronary sinus and coronary sinus cannula were visualized. Statistical analysis required pairwise comparisons between each of the 4 views. P values were calculated using McNemar’s Exact test. Results Both the coronary sinus and coronary sinus cannula were visualized a majority of the time for each view. There was no statistically significant difference between each view in its ability to visualize the coronary sinus, nor was there a statistically significant difference between each view in its ability to visualize the coronary sinus cannula. Conclusions Use of a transgastric window provides the echocardiographer with an effective alternate modality for imaging the coronary sinus when mid-esophageal views are limited.

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“…Apart from the attractive approach described by Mehta and colleagues, 3 which is also impeccable, the strength of this study is represented by the perfect synergy of each specialist within the heart team. Refined techniques such as percutaneous endoaortic balloon occlusion, 4,5 percutaneous coronary sinus catheter placement, [6][7][8] and percutaneous pulmonary venting 7,9 are safe procedures if performed by experienced anesthesiologists. Moreover, the hybrid operating room allows the surgeons, anesthesiologists, perfusionists, and nursing staff to perform these high-risk operations safely.…”

mentioning

confidence: 99%

Commentary: When the heart team may save the patient’s heart!

Formica

D’Alessandro

Avalli

2021

The Journal of Thoracic and Cardiovascular Surgery

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Reliability of Percutaneous Pulmonary Vent and Coronary Sinus Cardioplegia in the Setting of Minimally Invasive Aortic Valve Replacement: A Single-Center Experience

Cited by 7 publications

References 19 publications

Percutaneous Retrograde Cardioplegia in Minimal Access Aortic Valve Replacement Reduces Aortic Cross-Clamping Time Significantly

Percutaneous Retrograde Cardioplegia in Minimal Access Aortic Valve Replacement Reduces Aortic Cross-Clamping Time Significantly

Transesophageal echocardiographic imaging of the coronary sinus: a retrospective analysis of mid-esophageal views and a novel transgastric view

Commentary: When the heart team may save the patient’s heart!

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