Cannulas and Cannulation Options for Minimally Invasive Surgery

Newman, Joshua; Patel, Nirav

doi:10.1177/15569845221082119

Cited by 2 publications

(2 citation statements)

References 12 publications

(23 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…One of the motivations for the application of percutaneous procedures is avoidance of the morbidity associated with a full median sternotomy and cardiopulmonary bypass. Surgical expertise in minimally invasive valve surgery has grown significantly over the last 20 years, including new valve technology, automatic knot-tying devices, increased use of singledose cardioplegia, and a variety of cannula options [48][49][50]. The continued evolution of minimally invasive cardiac surgery (MICS) aims to provide surgical valve interventions with a recovery profile approaching that of percutaneous approaches.…”

Section: Minimally Invasive Cardiac Surgery: Surgical Techniques and ...mentioning

confidence: 99%

Closing the care gap: combining enhanced recovery with minimally invasive valve surgery

Gregory,

Kent,

Adams

et al. 2024

Current Opinion in Cardiology

View full text Add to dashboard Cite

Purpose of review Patients with advanced age and frailty require interventions for structural heart disease at an increasing rate. These patients typically experience higher rates of postoperative morbidity, mortality and prolonged hospital length of stay, loss of independence as well as associated increased costs to the healthcare system. Therefore, it is becoming critically important to raise awareness and develop strategies to improve clinical outcomes in the contemporary, high-risk patient population undergoing cardiac procedures. Recent findings Percutaneous options for structural heart disease have dramatically improved the therapeutic options for some older, frail, high-risk patients; however, others may still require cardiac surgery. Minimally invasive techniques can reduce some of the physiologic burden experienced by patients undergoing surgery and improve recovery. Enhanced Recovery After Cardiac Surgery (ERAS Cardiac) is a comprehensive, interdisciplinary, evidence-based approach to perioperative care. It has been shown to improve recovery and patient satisfaction while reducing complications and length of stay. Summary Combining minimally invasive cardiac surgery with enhanced recovery protocols may result in improved patient outcomes for a patient population at high risk of morbidity and mortality following cardiac surgery.

show abstract

Section: Minimally Invasive Cardiac Surgery: Surgical Techniques and ...mentioning

confidence: 99%

Closing the care gap: combining enhanced recovery with minimally invasive valve surgery

Gregory,

Kent,

Adams

et al. 2024

Current Opinion in Cardiology

View full text Add to dashboard Cite

show abstract

“…Axillary cannulation will provide antegrade arterial perfusion, decreasing the risk of embolic cerebrovascular accident (CVA) in patients with aortic arch or descending thoracic aortic atherosclerosis. Left axillary access should be reserved for patients with a history of right axillary surgery or vascular access as the right axillary artery is closer to the operative field ( 8 ). Injury to the brachial plexus may occur during axillary cut-down, therefore dissection must be precise, and stress produced by retractors should be limited.…”

Section: Phases Of Surgerymentioning

confidence: 99%

Complications and their management in robotic mitral valve surgery from the surgical assistant’s perspective

Patel¹,

Macoskey²

2022

Ann Cardiothorac Surg

Self Cite

View full text Add to dashboard Cite

Robotic mitral valve (MV) repair is an alternative approach to traditional MV repair via median sternotomy.There is a rich history of innovation embedded within robotic MV surgery. Since the inaugural robotic MV repair performed in May 1998 by Carpentier, progressive techniques and expanding indications have given surgeons the opportunity to offer an increasing number of their patients access to robotic MV surgery. This, coupled with less cynicism surrounding robotic and minimally invasive surgery, has stimulated robotic cardiac surgery program development and the number of robotic MV procedures performed annually. Utilizing the robotic technology in MV surgery is far from the standard of care and must be approached modestly by only well trained and experienced cardiothoracic surgeons and teams. Advanced surgical techniques provide numerous opportunities for complications and adverse outcomes. It is essential for the entire robotic cardiac surgery team to be aware of the additional risks during each step of the procedure. The fundamental principle of robotic MV repair is to avoid complications with anticipation. No surgery is without risk, and unfortunately, some of those risks are unavoidable. If a complication does occur, it is essential the surgeon and robotic team understand their roles and how to triage the event. This keynote lecture will outline each phase of the robotic MV repair surgery before, during and after the patient cart is docked to the patient.Within each phase we will identify potential complications and their management.

show abstract

Cannulas and Cannulation Options for Minimally Invasive Surgery

Cited by 2 publications

References 12 publications

Closing the care gap: combining enhanced recovery with minimally invasive valve surgery

Closing the care gap: combining enhanced recovery with minimally invasive valve surgery

Complications and their management in robotic mitral valve surgery from the surgical assistant’s perspective

Contact Info

Product

Resources

About