The Endovascular Coronary Sinus Catheter in Minimally Invasive Mitral and Tricuspid Valve Surgery: A Case Series

Lebon, Jean-Sébastien; Couture, Pierre; Rochon, Antoine; Laliberté, Éric; Harvey, Julie; Aubé, Nathalie; Cossette, Mariève; Bouchard, Denis; Jeanmart, Hugues; Pellerin, Michel

doi:10.1053/j.jvca.2010.04.001

Cited by 28 publications

(28 citation statements)

References 9 publications

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“…However, our group believes that retrograde cardioplegia is often useful, if not necessary, to provide optimal myocardial protection. We have previously published our experience with the CS catheter in our first 96 MIMVS patients and concluded that a standardized approach for its insertion and positioning can lead to a high rate of success with a low complication rate [6]. In all cases, correct CS catheter positioning was assessed and confirmed by both the anesthesiologist and the surgeon.…”

Section: Commentmentioning

confidence: 96%

Minimally Invasive Mitral Valve Surgery: Influence of Aortic Clamping Technique on Early Outcomes

Mazine

Pellerin

Lebon

et al. 2013

The Annals of Thoracic Surgery

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Section: Commentmentioning

confidence: 96%

Minimally Invasive Mitral Valve Surgery: Influence of Aortic Clamping Technique on Early Outcomes

Mazine

Pellerin

Lebon

et al. 2013

The Annals of Thoracic Surgery

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“…45 A difficult and prolonged attempt at placement presumably increases the likelihood of trauma, particularly when there is difficulty with advancement after the coronary sinus ostia has been engaged. 46 In a recent retrospective study of 95 EndoPledge catheter insertions using a combined TEE and fluoroscopic approach with venography, the mean time for proper placement was 16.1 minutes (±14.1 minutes). 46 Successful positioning was achieved 87.5% of the time.…”

Section: Cardioplegiamentioning

confidence: 99%

“…46 In a recent retrospective study of 95 EndoPledge catheter insertions using a combined TEE and fluoroscopic approach with venography, the mean time for proper placement was 16.1 minutes (±14.1 minutes). 46 Successful positioning was achieved 87.5% of the time. Of the 13 failures, 9 were dislodged during surgery and not related to an inability to place the cannula.…”

Section: Cardioplegiamentioning

confidence: 99%

Anesthetic Considerations During Minimally Invasive Mitral Valve Surgery

Vernick

Woo

2012

Semin Cardiothorac Vasc Anesth

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Advances in instruments and visualization tools as well as circulatory systems for cardiopulmonary bypass during the late 1990s have stimulated widespread adoption of minimally invasive mitral valve surgery (MIMVS). Today, MIMVS is the standard approach for many surgeons and institutions. There are multiple benefits of MIMVS. Patient satisfaction and improved cosmesis are important. Additionally, studies have consistently shown faster recovery times and less associated pain with MIMVS. Statistically significant improvement in bleeding, transfusion, incidence of atrial fibrillation, and time to resumption of normal activities with MIMVS has also been shown when comparing MIMVS with conventional mitral surgery. Most important, these benefits have been achieved without sacrificing perioperative safety or durability of surgical repair. Although a steep learning curve still exists given the high level of case complexity, continued development fueled by increasing patient demand may allow for even further expansion in the use of minimal invasive techniques.

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“…8,9 Lebon et al, 10 in a review of 95 CS catheter placement for MICS, found only one CS dissection managed conservatively. Vascular and cardiac perforation, arrhythmias, and conduction abnormalities up to complete heart block are some of them.…”

Section: Discussionmentioning

confidence: 99%

The Swan-Ganz Catheter as a Teaching Tool for the Anesthesiologist Learning Minimally Invasive Cardiac Surgery

Pantin

Kraidin

Ginsberg

et al. 2012

Innovations�(Phila)

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Objective To perform minimally invasive cardiac surgery through the smallest possible wound and with the least number of incisions in the heart or aorta, the necessary cannulations to undergo cardiopulmonary bypass must be done through peripheral vessels. A difficult skill to learn for the cardiac anesthesiologist is how to safely and efficiently position the coronary sinus catheter (Endoplege; Edwards Lifesciences LLC, Irvine, CA USA) required for retrograde cardioplegia administration. Methods In patients in whom a Swan-Ganz catheter was inserted as part of the operative management strategy for non–minimally invasive heart surgery, we have been using it as a training tool to learn how to visualize and manipulate right-sided catheters under transesophageal echocardiography. We developed this teaching technique to help hone some of the necessary skills needed to place the Endoplege catheter for minimally invasive cardiac surgery. Manipulation was done with the goal of visualizing the catheter and guiding it into the coronary sinus. For a 4-month period, anesthesia records were retrospectively reviewed. Results Fifteen patients, for a total of 19 catheter manipulations, were found in whom we had documented the use of the Swan-Ganz catheter and details about the insertion as a training tool. The coronary sinus and the catheter were visualized 100% of the time. The Swan-Ganz catheter was successfully inserted into the coronary sinus in 17 of 19 catheter manipulations. Conclusions The Swan-Ganz catheter can be used as a training tool to develop some of the necessary skills to place catheters into the coronary sinus with transesophageal echocardiography guidance.

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The Endovascular Coronary Sinus Catheter in Minimally Invasive Mitral and Tricuspid Valve Surgery: A Case Series

Cited by 28 publications

References 9 publications

Minimally Invasive Mitral Valve Surgery: Influence of Aortic Clamping Technique on Early Outcomes

Minimally Invasive Mitral Valve Surgery: Influence of Aortic Clamping Technique on Early Outcomes

Anesthetic Considerations During Minimally Invasive Mitral Valve Surgery

The Swan-Ganz Catheter as a Teaching Tool for the Anesthesiologist Learning Minimally Invasive Cardiac Surgery

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