The Evolution of Minimally Invasive Cardiac Surgery: From Minimal Access to Transcatheter Approaches

Easterwood, Rachel; Bostock, Ian C.; Nammalwar, Shruthi; McCullough, Jock N.; Iribarne, Alexander

doi:10.2217/fca-2017-0048

Cited by 12 publications

(8 citation statements)

References 60 publications

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“…Minimally invasive surgery has grown in popularity, and the potential benefits of reducing surgical trauma include decreased postoperative bleeding, reduced incidence of sternal wound infections, and shortened recovery period after surgery. 22 …”

Section: Commonest Conditions In Adults Requiring Cardiac Surgerymentioning

confidence: 99%

Assessment and pathophysiology of pain in cardiac surgery

Zubrzycki¹,

Liebold²,

Skrabal³

et al. 2018

JPR

139

106

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Analysis of the problem of surgical pain is important in view of the fact that the success of surgical treatment depends largely on proper pain management during the first few days after a cardiosurgical procedure. Postoperative pain is due to intraoperative damage to tissue. It is acute pain of high intensity proportional to the type of procedure. The pain is most intense during the first 24 hours following the surgery and decreases on subsequent days. Its intensity is higher in younger subjects than elderly and obese patients, and preoperative anxiety is also a factor that increases postoperative pain. Ineffective postoperative analgesic therapy may cause several complications that are dangerous to a patient. Inappropriate postoperative pain management may result in chronic pain, immunosuppression, infections, and less effective wound healing. Understanding and better knowledge of physiological disorders and adverse effects resulting from surgical trauma, anesthesia, and extracorporeal circulation, as well as the development of standards for intensive postoperative care units are critical to the improvement of early treatment outcomes and patient comfort.

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Section: Commonest Conditions In Adults Requiring Cardiac Surgerymentioning

confidence: 99%

Assessment and pathophysiology of pain in cardiac surgery

Zubrzycki¹,

Liebold²,

Skrabal³

et al. 2018

JPR

139

106

View full text Add to dashboard Cite

show abstract

“…Due the anatomical complexity and complex structure of the valve apparatus, in addition to the diversity of etiologies of the disease, percutaneous procedures are challenging. 15 Despite limitations, percutaneous mitral valve implantation techniques via antegrade transeptal or apical access have been developed, similar to the techniques de veloped for the aortic valve.…”

Section: Discussionmentioning

confidence: 99%

Transapical valvuloplasty for correction of severe mitral stenosis with arrhythmic repercussion in a pregnant woman: case report

Bodanese¹,

Borba²,

Júnior³

2021

J Transcat Intervent

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This report describes a therapeutic alternative for correction of severe mitral stenosis causing high-response atrial fibrillation, and consequent syncope in a woman at 8 weeks gestational age. A percutaneous valvuloplasty attempt failed, because the transseptal puncture was not possible, and a definitive resolution was achieved by transapical valvuloplasty, via left thoracotomy through an inframammary incision, with direct access to the mitral valve. Since this was an original and complex procedure, this case is of relevant importance in the treatment of severe mitral stenosis in patients whose conditions render a conventional procedure impossible.

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“…As choices and treatments are now more complex, "the future of cardiology jobs may rest in Heart Teams." [3] Moreover, as minimally invasive cardiac surgery develops and robotically assisted coronary bypass surgery and hybrid coronary revascularization procedures are emerging, we are witnessing a continuous changing in the management of various valvulopathies and ischaemic coronary disease [48]. e above observation that all Guidelines' indications regarding Heart Team activation carry a Level C indication underlines the very future and the needs of this new Team: randomized controlled trials proving solid benefits in an evidence-based world [49].…”

Section: Cardiovascular Erapeuticsmentioning

confidence: 99%

Exploring Current Evidence on the Past, the Present, and the Future of the Heart Team: A Narrative Review

Burlacu

Covic

Cintezǎ

et al. 2020

Cardiovascular Therapeutics

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Introduction. Including healthcare professionals dealing with cardiovascular diseases, Heart Team is a concept/structure designed for selecting diagnostic strategies, facilitating therapeutic decisions, and improving cardiovascular outcomes in patients with complex heart pathologies, requiring input from different subspecialties and the necessity of a multidisciplinary approach. The aim of this narrative review is to search for and to summarize current evidence regarding Heart Team and to underline the future directions for the development of this concept. Methods. We searched the electronic database of PubMed, SCOPUS, and Cochrane CENTRAL for studies including Heart Team. Forty-eight studies were included, if reference was made to Heart Team structure and functionality. Results. We depicted the structure and the timeline of Heart Team, along with actual evidence-based recommendations from European Guidelines. We underlined the importance of quality of knowledge-sharing and decision-making inside the Team, analyzing bad decisions which did not reflect members’ true beliefs due to “uniformity pressure, closed mindedness, and illusion of invulnerability.” The observation that Guidelines’ indications regarding Heart Team carry a level C indication underlines the very future of this Team: randomized controlled trials proving solid benefits in an evidence-based world. Conclusions. Envisioned as a tool for optimizing the management of various complex cardiovascular pathologies, Heart Team should simplify and facilitate the activity in the cardiovascular ward. Finally, these facts should be translated into better cardiovascular outcomes and a lower psychological distress among Team participants. Despite all future changes, there must always be a constant part: the patient should remain at the very center of the Team.

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The Evolution of Minimally Invasive Cardiac Surgery: From Minimal Access to Transcatheter Approaches

Cited by 12 publications

References 60 publications

Assessment and pathophysiology of pain in cardiac surgery

Assessment and pathophysiology of pain in cardiac surgery

Transapical valvuloplasty for correction of severe mitral stenosis with arrhythmic repercussion in a pregnant woman: case report

Exploring Current Evidence on the Past, the Present, and the Future of the Heart Team: A Narrative Review

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