936 results match your criteria Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery[Journal]


A Case of Coronary Artery Fistula Ligation in Minimally Invasive Mitral Valve Plasty via Right Anterolateral Minithoracotomy.

Innovations (Phila) 2019 Mar 14:1556984519836809. Epub 2019 Mar 14.

1 Department of Cardiovascular Surgery, The Sakakibara Heart Institute of Okayama, Japan.

We report a case of coronary artery fistula treated by ligation with concomitant minimally invasive mitral valve plasty via right anterolateral minithoracotomy. The coronary artery fistula was isolated well under heart beating, and clip-ligation was easily and safely performed. The present method is an effective and safe option for use with minimally invasive cardiac surgery. Read More

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http://dx.doi.org/10.1177/1556984519836809DOI Listing

Double Valve-in-Valve Transcatheter Valve Replacements for Failed Surgical Bioprosthetic Aortic and Tricuspid Valves.

Innovations (Phila) 2019 Mar 14:1556984519836820. Epub 2019 Mar 14.

3 Division of Cardiology, Medical Faculty Associates, The George Washington University, DC, USA.

Transcatheter technology has revolutionized the treatment of valvular disease in the field of cardiology and cardiac surgery. We present an interesting case of a patient with prior double valve replacements, which had degenerated after a decade, with symptoms of decompensated heart failure. The patient was successfully treated with double valve-in-valve transcatheter aortic and tricuspid valve replacement. Read More

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http://dx.doi.org/10.1177/1556984519836820DOI Listing

Early Discharge Does Not Increase Readmission Rates after Minimally Invasive Anatomic Lung Resection.

Innovations (Phila) 2019 Mar 14:1556984519836821. Epub 2019 Mar 14.

1 Department of Surgery, Sidney Kimmel Medical College of Thomas Jefferson University, Philadelphia, PA, USA.

Objective: Enhanced recovery pathways reduce length of stay and costs following lung resection. However, many fear that early discharge may lead to increased hospital readmissions. In this study, we aimed to determine whether early discharge was associated with increased readmission following anatomic lung resection. Read More

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http://dx.doi.org/10.1177/1556984519836821DOI Listing

HeartMate II Implantation Via Single Incisional Ministernotomy in a Small Young Woman.

Innovations (Phila) 2019 Feb 15;14(1):80-83. Epub 2019 Feb 15.

1 Department of Cardiovascular Surgery, Kyushu University Hospital, Fukuoka, Japan.

We report a successful case of less invasive implantation of a HeartMate II in a small young woman. A 34-year-old woman, who developed refractory heart failure associated with chronic myocarditis, underwent implantation of a HeartMate II via T-shaped ministernotomy without any additional incisions. This approach has several unique advantages: all of the procedures can be operated in the same view in the usual fashion with minor modifications; some optional procedures can be easily added during the operation if necessary. Read More

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http://dx.doi.org/10.1177/1556984519827696DOI Listing
February 2019
1 Read

Laparoendoscopic Transgastric Resection of Prepyloric Gastrointestinal Stromal Tumor.

Innovations (Phila) 2019 Feb 11;14(1):66-68. Epub 2019 Feb 11.

1 Division of General Thoracic Surgery, Mayo Clinic, Rochester, MN, USA.

This case report describes an 83-year-old woman with multiple comorbidities who presented with melena and coffee-ground emesis with diagnostic studies evident for a large prepyloric gastrointestinal stromal tumor. She underwent combined laparoendoscopic transgastric resection surgery for the tumor, performed by a team of gastroenterologist and thoracic surgeon with a successful outcome. The case and videos in this report provide a descriptive demonstration of the steps leading up to the surgical intervention followed by a step-by-step illustration of the combined surgical technique, thus highlighting the importance of multidisciplinary approach for optimal treatment of prepyloric gastrointestinal stromal tumor. Read More

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http://journals.sagepub.com/doi/10.1177/1556984519826413
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http://dx.doi.org/10.1177/1556984519826413DOI Listing
February 2019
4 Reads

A Novel Shape-Memory Monofilament Suture for Minimally Invasive Thoracoscopic Cardiac Surgery.

Innovations (Phila) 2019 Feb 20;14(1):55-59. Epub 2019 Feb 20.

1 Department of Cardiovascular Surgery, New Heart Watanabe Institute, Tokyo, Japan.

Objectives: Endoscopic knot tying can complicate or prolong minimally invasive surgical procedures. A novel shape-memory monofilament suture with a spiral tail has been developed to speed up suture fixation during minimally invasive cardiac surgery. The purpose of this study was to evaluate its usefulness and safety in minimally invasive cardiac surgery. Read More

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http://journals.sagepub.com/doi/10.1177/1556984519828019
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http://dx.doi.org/10.1177/1556984519828019DOI Listing
February 2019
1 Read

New Flexible Internal Annular Fixation Rings for Tricuspid Aortic Valves.

Innovations (Phila) 2019 Feb 20;14(1):60-65. Epub 2019 Feb 20.

1 St. Luke's International Hospital, Tokyo, Japan.

Objectives: Although aortic annulus repair has a long history, there are still no ideal devices to control an aortic annulus. We have developed a new method involving the use of an expanded polytetrafluoroethylene graft with the support of a metallic ring holder during implantation from inside an aorta, with no dissection of the surrounding aortic annulus.

Methods: We used aortic annular rings of 18 to 24 mm made of Gore-Tex tubed grafts (W. Read More

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http://dx.doi.org/10.1177/1556984519828018DOI Listing
February 2019
1 Read

Preoperative Extracorporeal Membrane Oxygenation for Postinfarction Ventricular Septal Defect.

Innovations (Phila) 2019 Feb 11;14(1):75-79. Epub 2019 Feb 11.

1 Department of Cardiac Surgery, Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, Affiliated to the Sackler School of Medicine, Tel Aviv University, Tel Aviv, Israel.

The mortality rate after the development of ventricular septal defect (VSD) remains high despite progress in pharmaceutical therapy, invasive cardiology, and surgical techniques. Although early surgical repair of postinfarction VSD is associated with a high mortality rate, in hemodynamic unstable patients surgery cannot always be postponed and surgical repair may be required urgently. We present two cases of patients diagnosed with postinfarction VSD who were in cardiogenic shock with multiorgan failure despite optimal treatment. Read More

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http://dx.doi.org/10.1177/1556984518823633DOI Listing
February 2019
1 Read

Comparing Frailty Markers in Predicting Poor Outcomes after Transcatheter Aortic Valve Replacement.

Innovations (Phila) 2019 Feb 20;14(1):43-54. Epub 2019 Feb 20.

4 Division of Cardiac Surgery, Department of Surgery, Penn State College of Medicine, Hershey, PA, USA.

Introduction: Frailty is an important component of risk prognostication in transcatheter aortic valve replacement (TAVR). Objective markers of frailty, including sarcopenia, the modified Frailty Index (mFI), and albumin levels, have emerged, but little is known how such markers compare to each other in predicting outcomes after TAVR. We sought to define and compare these markers in predicting long-term outcomes after TAVR. Read More

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http://dx.doi.org/10.1177/1556984519827698DOI Listing
February 2019

Aortic Valve Replacement in Elderly Patients With Small Aortic Annulus: Results With Three Different Bioprostheses.

Innovations (Phila) 2019 Feb 7;14(1):27-36. Epub 2019 Mar 7.

1 Cardiovascular Sciences Department, Foundation Polyclinic University A. Gemelli IRCCS, Rome, Italy.

Objectives: Aortic valve replacement (AVR) in patients with small aortic annulus (diameter ≤21 mm) is considered a challenging scenario because of technical aspects and the high risk of patient-prosthesis mismatch (PPM). The choice of the appropriate prosthesis is crucial, and at the moment, an ideal device has yet to be identified. We compare clinical and hemodynamic results after AVR with three bioprostheses with different design and characteristics. Read More

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http://dx.doi.org/10.1177/1556984519826430DOI Listing
February 2019

Interactive 3D Reconstruction of Pulmonary Anatomy for Preoperative Planning, Virtual Simulation, and Intraoperative Guiding in Video-Assisted Thoracoscopic Lung Surgery.

Innovations (Phila) 2019 Feb 20;14(1):17-26. Epub 2019 Feb 20.

1 Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, The Netherlands.

Objectives: Routine imaging modalities combined with state-of-the-art reconstruction software can substantially improve preoperative planning and simplify complex procedure by enhancing the surgeon's knowledge of the patient's specific anatomy. The aim of the current study was to demonstrate the feasibility of interactive three-dimensional (3D) computed tomography (CT) reconstructions for preoperative planning and intraoperative guiding in video-assisted thoracoscopic lung surgery (VATS) with 3D vision.

Methods: Twenty-five consecutive patients referred for an anatomic pulmonary resection by a single surgeon were included. Read More

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http://dx.doi.org/10.1177/1556984519826321DOI Listing
February 2019

Optimizing Surgical Skills in Cardiac Surgery Residents with Cardiac Transplant in the High-Fidelity Porcine Model.

Innovations (Phila) 2019 Feb 15;14(1):37-42. Epub 2019 Feb 15.

1 Department of Cardiac Surgery, University of Calgary, Calgary, Canada.

Objectives: Simulation is a pivotal tool within cardiac surgery to facilitate learner growth and skill acquisition. There are many methods of simulation and it is possible to develop and implement new curricula incorporating these modalities. The objective of this paper is to describe the feasibility of a high-fidelity cardiac transplant simulation curriculum for surgical residents. Read More

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http://dx.doi.org/10.1177/1556984519828016DOI Listing
February 2019
1 Read

Robotic Totally Endoscopic Coronary Artery Bypass Grafting: Systematic Review of Clinical Outcomes from the Past two Decades.

Innovations (Phila) 2019 Feb;14(1):5-16

1 Department of Cardiac Surgery, Heart and Vascular Institute, Cleveland Clinic, Abu Dhabi, UAE.

Robotic totally endoscopic coronary artery bypass grafting (TECAB) was introduced in 1998 and has over a period of two decades gradually emerged from single-vessel revascularization to multivessel bypass grafting. Dedicated centers have continuously evolved and further developed this minimally invasive method of coronary bypass surgery. A literature review was conducted to assess intra- and postoperative outcomes of TECAB. Read More

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http://dx.doi.org/10.1177/1556984519827703DOI Listing
February 2019
1 Read

Welcome.

Authors:
Sari D Holmes

Innovations (Phila) 2019 Feb;14(1)

1 Division of Cardiac Surgery, University of Maryland School of Medicine, Baltimore, MD.

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http://dx.doi.org/10.1177/1556984519827679DOI Listing
February 2019

Robotic-Assisted Thoracoscopic Repair of Right-Sided Bochdalek Hernia in Adults: A Two-Case Series.

Innovations (Phila) 2019 Feb 11;14(1):69-74. Epub 2019 Feb 11.

1 Department of Cardiovascular Sciences, East Carolina University Brody School of Medicine, Greenville, NC, USA.

Bochdalek hernia is a congenital diaphragmatic hernia that presents rarely in adulthood. Because of the paucity of cases, no standard repair technique has been identified. Here we present two cases of robotic, thoracoscopic repair of this rare hernia defect. Read More

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http://dx.doi.org/10.1177/1556984518823642DOI Listing
February 2019
1 Read

INNOVATIONS 2019-An Era of Transition.

Authors:
Niv Ad

Innovations (Phila) 2019 Feb;14(1)

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http://dx.doi.org/10.1177/1556984519827680DOI Listing
February 2019

Targeted Minimally Invasive Parathyroidectomy for Ectopic Aortopulmonary Adenoma Under Gamma Probe Guidance.

Innovations (Phila) 2018 Nov/Dec;13(6):451-454

Department of Cardiovascular Surgery, Heart Center, Cebeci Hospitals, Ankara University School of Medicine, Ankara, Turkey.

We report a case of 53-year-old woman with the parathyroid adenoma (PA) located in the aortopulmonary window with an aberrant right subclavian artery. Her preoperative calcium level was 11.3 mg/dL (reference range = 8. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000562DOI Listing
December 2018
3 Reads

Minimally Invasive Periareolar Approach to Cor Triatriatum Repair.

Innovations (Phila) 2018 Nov/Dec;13(6):445-447

From the Division of Cardiac Surgery.

Cor triatriatum sinister is an uncommon cardiac abnormality characterized by a membrane that divides the left atrium into two chambers. Definitive management requires surgical resection, traditionally through sternotomy. Minimally invasive reparative techniques are associated with reduced blood loss, shorter hospitalization, faster recovery time, and improved cosmesis with excellent patient satisfaction. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000565DOI Listing
December 2018
2 Reads

Can Robotic-Assisted Surgery Overcome the Risk of Mortality in Cardiac Reoperation?

Innovations (Phila) 2018 Nov/Dec;13(6):438-444

Department of Surgery, University of Maryland School of Medicine, Baltimore, MD USA.

Objective: A robotic-assisted approach potentially has many advantages for cardiac reoperation, which include sternum-sparing and three-dimensional visualization leading to precise adhesiolysis and excellent exposure in a limited field.

Methods: We retrospectively reviewed our patients undergoing robotic cardiac reoperation (redo group) from July 2013 to April 2017 at our institution and compared with our patients undergoing standard robotic surgery (nonredo group). In the reoperative cases, a thoracoscope was inserted through a 5-mm port placed away from the previous scar. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000567DOI Listing
December 2018
1 Read

Right Mini-Thoracotomy Subaortic Membrane Resection.

Innovations (Phila) 2018 Nov/Dec;13(6):428-432

From the Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY USA.

Objective: Subaortic membrane is an anatomical intracardiac anomaly that may cause discrete subaortic stenosis and aortic insufficiency. Patients requiring subaortic membrane resection may benefit from a minimally invasive approach; however, subaortic membranes are typically resected through a median sternotomy. We present our initial clinical experience of adult patients who have undergone a mini-thoracotomy subaortic membrane resection. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000564DOI Listing
December 2018
1 Read

Outcomes After the MitraClip Procedure in Patients at Very High Risk for Conventional Mitral Valve Surgery.

Innovations (Phila) 2018 Nov/Dec;13(6):433-437

From the Divisions of Cardiothoracic Surgery and.

Objective: Approximately 50% of patients with severe symptomatic mitral regurgitation are deemed too high risk for surgery. The MitraClip procedure is a viable option for this population. Our goal was to assess outcomes and survival of patients who underwent the MitraClip procedure at an institution where mitral valve surgery is routinely performed. Read More

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http://Insights.ovid.com/crossref?an=01243895-201811000-0000
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http://dx.doi.org/10.1097/IMI.0000000000000571DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6296819PMC
November 2019
6 Reads

Stented Versus Stentless Aortic Valve Replacement in Patients With Small Aortic Root: A Systematic Review and Meta-Analysis.

Innovations (Phila) 2018 Nov/Dec;13(6):404-416

Manchester Royal Infirmary, Manchester, United Kingdom.

Objective: The aim of the study was to compare hemodynamic and perioperative outcomes of stented against stentless aortic valve replacement in patients with small aortic root (21 mm or less).

Methods: A comprehensive search was undertaken among the four major databases (PubMed, Embase, Scopus, and Ovid) to identify all randomized and nonrandomized controlled trials comparing stentless to stented bioprosthetic valves in small aortic root patients. Odds ratios, weighted mean differences, or standardized mean differences and their 95% confidence intervals were analyzed. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000569DOI Listing
December 2018
1 Read

Minimally Invasive and Robotic Esophagectomy: A Review.

Innovations (Phila) 2018 Nov/Dec;13(6):391-403

Division of Thoracic Surgery, Robert Tucker Hayes Foundation, University of Texas Southwestern Medical Center, Dallas, TX USA.

Great advances have been made in the surgical management of esophageal disease since the first description of esophageal resection in 1913. We are in the era of minimally invasive esophagectomy. The current three main approaches to an esophagectomy are the Ivor Lewis technique, McKeown technique, and the transhiatal approach to esophagectomy. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000572DOI Listing
December 2018
1 Read

Innovations: The Journey Continues Under New Leadership.

Authors:
Ralph J Damiano

Innovations (Phila) 2018 Nov/Dec;13(6):381-382

From the Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine at Barnes-Jewish Hospital, St. Louis, MO USA.

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http://dx.doi.org/10.1097/IMI.0000000000000574DOI Listing
December 2018
1 Read

Reason and Timing for Conversion to Sternotomy in Robotic-Assisted Coronary Artery Bypass Grafting and Patient Outcomes.

Innovations (Phila) 2018 Nov/Dec;13(6):423-427

From the Divisions of Cardiac Surgery and.

Objective: Conversion to sternotomy is a primary bailout method for robotically assisted coronary artery bypass grafting procedures. The aims of this study were to identify the primary reasons for conversion from robotically assisted coronary artery bypass grafting to sternotomy and to evaluate the in-hospital outcomes in such patients.

Methods: Prospectively collected data from February 2004 to April 2017 were reviewed for 72 patients (56 men; mean age = 63. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000566DOI Listing
December 2018
11 Reads

A Minimally Invasive Approach for Placing Sew-On Epicardial Leads in the Child.

Innovations (Phila) 2018 Nov/Dec;13(6):455-457

LSI SOLUTIONS, Victor, NY USA.

Traditionally, pacing leads are placed transvenously, although smaller pediatric patients who require permanent pacemakers may benefit from delaying tranvenous lead placement until they are larger. Alternative, minimally invasive atrioventricular pacing options have not previously existed for this patient population, leaving many of these children with large sternotomies or thoracotomies. Using three port sites and an adjustable shaft dual-needle suturing device, we placed a steroid-eluting, sew-on epicardial lead on the right atrium of a 9-year-old patient. Read More

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http://Insights.ovid.com/crossref?an=01243895-900000000-0000
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http://dx.doi.org/10.1097/IMI.0000000000000568DOI Listing
December 2018
12 Reads

Primary Endovascular Repair of the Ascending Aorta.

Innovations (Phila) 2018 Nov/Dec;13(6):448-450

From the Cardiac Surgery Department, Parma University Hospital, Parma, Italy.

Different case series have been published demonstrating the feasibility of endovascular repair of the ascending aorta in selected patients deemed unfit for open surgery. However, the use of commercially available stent graft in the ascending aorta remains off-label, and their excessive length often prevents their deployment in the ascending aorta. Here we report a case of successful primary endovascular repair of the ascending aorta using a physician modified off-the-shelf device. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000561DOI Listing
December 2018
1 Read

Management of Atrial Fibrillation in Patients Undergoing Coronary Artery Bypass Grafting: Review of the Literature.

Innovations (Phila) 2018 Nov/Dec;13(6):383-390

From the Division of Cardiothoracic Surgery, Department of Surgery, Washington University School of Medicine, Barnes-Jewish Hospital, St. Louis, MO USA.

Untreated atrial fibrillation is associated with an increased risk of all-cause mortality and morbidity. Despite the current guidelines recommending surgical ablation of atrial fibrillation at the time of coronary artery bypass surgery, most patients with concomitant atrial fibrillation and coronary artery disease do not receive surgical ablation for their atrial fibrillation. This review reports the efficacy of different surgical ablation techniques used for the treatment of atrial fibrillation during coronary artery bypass. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000570DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6292731PMC
November 2019
1 Read

Robotic Thoracic Surgery Training for Residency Programs: A Position Paper for an Educational Curriculum.

Innovations (Phila) 2018 Nov/Dec;13(6):417-422

Department of General Surgery, Brookdale University Hospital and Medical Center, Brooklyn, NY USA.

Objective: Robotic-assisted surgery is increasingly being used in thoracic surgery. Currently, the Integrated Thoracic Surgery Residency Program lacks a standardized curriculum or requirement for training residents in robotic-assisted thoracic surgery. In most circumstances, because of the lack of formal residency training in robotic surgery, hospitals are requiring additional training, mentorship, and formal proctoring of cases before granting credentials to perform robotic-assisted surgery. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000573DOI Listing
December 2018
11 Reads

Concomitant Left Atrial Reduction in Rheumatic Mitral Valve Disease With Giant Left Atrium: Our Technique With Midterm Results.

Innovations (Phila) 2018 Sep/Oct;13(5):349-355

Medical Research, U. N. Mehta Institute of Cardiology and Research Center (Affiliated to B. J. Medical College), Civil Hospital Campus, Asarwa, Ahmedabad, India.

Objective: The giant left atrium is a frequent finding with rheumatic heart disease. The enlarged left atrium was found to be a risk factor for early mortality and postoperative higher thromboembolic events, but its management remains controversial. Most of the surgeons just do the mitral valve procedure without any intervention for enlarged left atrium. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000559DOI Listing
March 2019
3 Reads

Index: Authors of Abstracts.

Authors:

Innovations (Phila) 2018 Nov;13 Suppl 4:S202-S203

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http://dx.doi.org/10.1097/01.IMI.0000547590.94731.8fDOI Listing
November 2018
1 Read

Right Mini-thoracotomy Bentall Procedure.

Innovations (Phila) 2018 Sep/Oct;13(5):328-331

From the Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY USA.

Objective: Bentall procedures are traditionally performed through a median sternotomy. The right mini-thoracotomy approach is increasingly used in aortic valve replacement. This approach has been shown to have decreased blood loss and hospital length of stay compared with sternotomy. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000555DOI Listing
March 2019
23 Reads

Nonrobotic Total Endoscopic Coronary Artery Bypass Grafting: A Proof-of-Concept Study in 20 Patients.

Innovations (Phila) 2018 Sep/Oct;13(5):344-348

From the Department of Cardiothoracic and Vascular Surgery, University Hospital Ulm, Ulm, Germany.

Objective: At present, minimal invasive direct coronary artery grafting is the least invasive nonrobotic surgical approach to revascularize the left anterior descending artery with the left internal mammary artery. Total endoscopic coronary bypass grafting is performed with the help of a telemanipulator ("robot"). A prospective proof-of-concept study was initiated to investigate a nonrobotic total endoscopic coronary bypass grafting approach. Read More

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http://Insights.ovid.com/crossref?an=01243895-900000000-9953
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http://dx.doi.org/10.1097/IMI.0000000000000554DOI Listing
March 2019
9 Reads

Learning Curve of Robotic Lobectomy for Early-Stage Non-Small Cell Lung Cancer by a Thoracic Surgeon Adept in Open Lobectomy.

Innovations (Phila) 2018 Sep/Oct;13(5):321-327

VA Long Beach Healthcare System, Long Beach, CA USA.

Objective: The aim of the study was to characterize the clinical outcomes and learning curve during the adoption of a robotic platform for lobectomy for early-stage non-small cell lung cancer by a thoracic surgeon experienced in open thoracotomy.

Methods: Retrospective review of 157 consecutive patients (57 open thoracotomies, 100 robotic lobectomies) treated with lobectomy for clinical stage I or II non-small cell lung cancer between 2007 and 2014. Clinical outcomes were compared between the open thoracotomy group and five consecutive groups of 20 robotic lobectomies. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000552DOI Listing
March 2019
3 Reads

Program.

Authors:

Innovations (Phila) 2018 Nov;13 Suppl 4:S182-S185

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http://dx.doi.org/10.1097/IMI.0000000000000550DOI Listing
November 2018
2 Reads

Robotic Versus Video-Assisted Thoracoscopic Surgery Pulmonary Segmentectomy: A Cost Analysis.

Innovations (Phila) 2018 Sep/Oct;13(5):338-343

Department of Cardiovascular and Thoracic Surgery, WVU Heart & Vascular Institute, West Virginia University, Morgantown, WV USA.

Objective: Pulmonary segmentectomy using robotic assistance is often perceived as being more expensive than segmentectomy using video-assisted thoracic surgery. The robotic technique allows for meticulous dissection during segmentectomy, potentially leading to fewer parenchymal injuries, fewer air leaks, and shorter length of stay. This study compared pulmonary segmentectomy costs using video-assisted thoracic surgery versus robotic with manual staplers versus robotic with robotic staplers. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000557DOI Listing
March 2019
13 Reads

Evaluation of Conduction Disorders After Aortic Valve Replacement With Rapid Deployment Bioprostheses.

Innovations (Phila) 2018 Sep/Oct;13(5):356-360

From the Division of Cardiac Surgery, University of Padova, Padova, Italy.

Objective: The aim of this retrospective, single-center study was to evaluate the occurrence of conduction disorders after rapid deployment aortic bioprosthesis implantation.

Methods: Electrocardiograms of patients undergoing INTUITY (Edwards Lifesciences, Irvine, CA USA) bioprosthesis implantation were collected at admission, during postoperative course, and at discharge. Primary end point was the occurrence of new-onset conduction disorders, defined as complete left bundle branch block, complete right bundle branch block, permanent pacemaker implantation, and worsening of pre-existing rhythm abnormalities. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000558DOI Listing
March 2019
1 Read

Minimally Invasive Ozaki Procedure in Aortic Valve Disease: The Preliminary Results.

Innovations (Phila) 2018 Sep/Oct;13(5):332-337

Department of Cardiovascular Surgery, University Medical Center, University of Medicine and Pharmacy at Ho Chi Minh City, Ho Chi Minh City, Vietnam.

Objective: The Ozaki procedure for aortic valve reconstruction was reported in 2014 with low mortality, a highly reproducible rate and a good midterm result. However, the procedure still requires conventional sternotomy to be accomplished. The aim of the study was to start an initial evaluation for the feasibility of the minimally invasive approach in combination with the Ozaki technique. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000556DOI Listing
March 2019
18 Reads

Totally Endoscopic Surgical Repair of Partial Atrioventricular Septal Defect in Children: Two Cases.

Innovations (Phila) 2018 Sep/Oct;13(5):368-371

Cardiovascular Center, Department of Cardiovascular and Thoracic Surgery, E Hospital, Hanoi, Vietnam.

There have been few reports on the application of totally endoscopic surgery for repairing partial atrioventricular septal defect. In this report, we present two children who were successfully repaired partial atrioventricular septal defect by using totally endoscopic surgery without robotic assistance. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000551DOI Listing
March 2019
11 Reads

Titanium Fastener Utilization During HeartMate 3 Left Ventricular Assist Device Implantation.

Innovations (Phila) 2018 Sep/Oct;13(5):361-364

From the Division of Cardiac Surgery, University of Rochester Medical Center, Rochester, NY USA.

Objective: The objective of this study was to investigate the feasibility of using titanium fasteners for securement of the inflow sewing ring during HeartMate 3 implantation. The secondary objective was to compare cardiopulmonary bypass and total operative times between the titanium fastener and hand-tied knot groups.

Methods: Clearance between the sewing ring and the HeartMate 3 device was assessed in vitro. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000560DOI Listing
March 2019
23 Reads

Right Mini-thoracotomy Mitral Valve Surgery: The Art and Science of the Tailoring Approach.

Innovations (Phila) 2018 Sep/Oct;13(5):319-320

From the Department of Cardiovascular and Thoracic Surgery, University of Turin - Città della Salute e della Scienza, Torino, Italy.

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http://dx.doi.org/10.1097/IMI.0000000000000553DOI Listing
November 2018
13 Reads

Message From the President of the Japan MICS Summit 2018.

Authors:
Hitoshi Yaku

Innovations (Phila) 2018 Nov;13 Suppl 4:S181

From the Department of Cardiovascular Surgery, Kyoto Prefectural University of Medicine, Kyoto, Japan.

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http://dx.doi.org/10.1097/IMI.0000000000000546DOI Listing
November 2018
11 Reads

Early and Late Results of Minimally Invasive Aortic Valve Replacement.

Authors:

Innovations (Phila) 2018 Oct 26. Epub 2018 Oct 26.

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http://dx.doi.org/10.1097/IMI.0000000000000548DOI Listing
October 2018
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Index: Authors of Abstracts.

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Innovations (Phila) 2018 Sep;13 Suppl 3:S176-S180

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http://dx.doi.org/10.1097/01.IMI.0000546276.98678.c9DOI Listing
September 2018
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Schedule-at-a-Glance.

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Innovations (Phila) 2018 Sep;13 Suppl 3:S58

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http://dx.doi.org/10.1097/IMI.0000000000000517DOI Listing
September 2018
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CoreValve Double Jeopardy: Embolized Valve Capture With Subsequent Valve.

Innovations (Phila) 2018 Sep/Oct;13(5):365-367

From the Division of Cardiovascular Medicine, University of Nebraska Medical Center, Omaha, NE USA.

During transcatheter aortic valve replacement with a self-expanding prosthesis, prosthesis embolization represents a rare but severe complication. Etiologies of prosthesis embolization include improper sizing and malpositioning, specifically high deployment with respect to the aortic annulus. Treatment of embolization into the aorta relies upon repositioning of the prosthesis using endovascular snares or removal with open surgery. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000532DOI Listing
March 2019
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Multicenter Assessment of Grafts in Coronaries: Midterm Evaluation of the C-Port Device (the MAGIC Study).

Innovations (Phila) 2018 Jul/Aug;13(4):273-281

Department of Cardiothoracic Surgery, CRSTI Heart Hospital, Plano, TX USA.

Objective: The commercially available C-Port distal anastomotic device (Food and Drug Administration cleared in 2007) is an automated miniature vascular stapler that performs the coronary anastomosis. This prospective multicenter registry sought to evaluate midterm patency using this device compared with hand-sewn grafts.

Methods: Patients receiving at least one C-Port anastomosis during coronary artery bypass grafting surgery were enrolled at eight sites. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000533DOI Listing
December 2018
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Outcomes of Impella 5.0 in Cardiogenic Shock: A Systematic Review and Meta-analysis.

Innovations (Phila) 2018 Jul/Aug;13(4):254-260

Division of Cardiothoracic Surgery, Department of Surgery, Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ USA.

Objective: The aim of the study was to comprehensively summarize the survival outcomes and complications of Impella 5.0 (Abiomed Inc, Danvers, MA USA) use in patients with cardiogenic shock (CS).

Methods: We performed a literature review for relevant studies by searching in Medline, Medline In-Process, EMBASE, and the CENTRAL bibliographic databases on April 30, 2017. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000535DOI Listing
December 2018
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Geometric Ring Annuloplasty for Aortic Valve Repair During Aortic Aneurysm Surgery: Two-Year Clinical Trial Results.

Innovations (Phila) 2018 Jul/Aug;13(4):248-253

Department of Cardiovascular Surgery, Klinikum Nürnberg, Paracelsus Medical University, Nürnberg, Germany.

Objective: An aortic annuloplasty ring could be useful for aortic valve repair. This trial evaluated intermediate-term outcomes of internal geometric ring annuloplasty for repair of trileaflet and bicuspid aortic insufficiency associated with ascending aortic and/or aortic root aneurysms.

Methods: Under regulatory supervision, 47 patients with aortic insufficiency and ascending aortic (n = 22) and/or aortic root (n = 25) aneurysms were managed with aortic valve repair and aneurysm resection. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000539DOI Listing
December 2018
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Direct Femoral Cannulation in Minimal Invasive Pediatric Cardiac Surgery: Our Experience With Midterm Result.

Innovations (Phila) 2018 Jul/Aug;13(4):300-304

Nuclear Medicine, U. N. Mehta Institute of Cardiology and Research Centre, Ahmedabad, Gujarat, India.

Objective: One of the major challenges faced in minimally invasive pediatric cardiac surgery is cannulation strategy for cardiopulmonary bypass. Central aortic cannulation through the same incision has been the usual strategy, but it has the disadvantage of cluttering of the operative field. We hereby present the results of femoral cannulation in minimally invasive pediatric cardiac surgery in terms of adequacy and safety. Read More

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http://dx.doi.org/10.1097/IMI.0000000000000540DOI Listing
December 2018
20 Reads