Minimal invasive access – the beneficial impact on quality of life for patients undergoing isolated aortic valve replacement

Baumbach, Hardy; Burger, JH; Nagib, Ragi; Albert, Maria; Ursulescu, Adrian; Franke, Ulrich

doi:10.1055/s-0029-1246657

Thorac cardiovasc Surg

2010

DOI: 10.1055/s-0029-1246657

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Minimal invasive access – the beneficial impact on quality of life for patients undergoing isolated aortic valve replacement

Hardy Baumbach¹,

JH Burger²,

Ragi Nagib³

et al.

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Cited by 3 publications

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“…(Innovations 2015;10:215Y217) M inimally invasive aortic valve replacement (AVR) 1,2 presents major benefits for the patient when compared with conventional full sternotomy AVR in regard to pain, bleeding, intubation times, pulmonary function, and intensive care unit and hospital length of stays. 3Y5 However, the method has not been widely accepted among cardiac surgeons.…”

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confidence: 99%

Minimally Invasive Implantation of the EDWARDS INTUITY Rapid Deployment Aortic Valve via a Right Minithoracotomy

Lenos

Diegeler

2015

Innovations�(Phila)

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During the past decade, many surgeons have focused their interest on the development and improvement of minimally invasive techniques for aortic valve replacement. Although the minimally invasive approaches for the treatment of mitral valve disease have been standardized, the preferred route for aortic valve replacement remains a matter of debate. Access through a right minithoracotomy avoids opening the sternum; however, it requires a greater surgical ability and a learning period, even for experienced surgeons. This enhances the role of sutureless prostheses because these devices are associated with easier placement, excellent hemodynamic performance, and acceptable rates of pacemaker implantation and paravalvular leak. Herein, we report a series of 10 consecutive patients who received an EDWARDS INTUITY rapid deployment valve (Edwards Lifesciences, Irvine, CA USA) by a right minithoracotomy.

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mentioning

confidence: 99%

Minimally Invasive Implantation of the EDWARDS INTUITY Rapid Deployment Aortic Valve via a Right Minithoracotomy

Lenos

Diegeler

2015

Innovations�(Phila)

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Limited versus full sternotomy for aortic valve replacement

Kirmani

Jones

Malaisrie

et al. 2017

Cochrane Database of Systematic Reviews

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The evidence in this review was assessed as generally low to moderate quality. The study sample sizes were small and underpowered to demonstrate differences in outcomes with low event rates. Clinical heterogeneity both between and within studies is a relatively fixed feature of surgical trials, and this also contributed to the need for caution in interpreting results.Considering these limitations, there was uncertainty of the effect on mortality or extracorporeal support times with upper hemi-sternotomy for aortic valve replacement compared to full median sternotomy. The evidence to support a reduction in total hospital length of stay or intensive care stay was low in quality. There was also uncertainty of any difference in the rates of other, secondary outcome measures or adverse events with minimally invasive limited sternotomy approaches to aortic valve replacement.There appears to be uncertainty between minimally invasive aortic valve replacement via upper hemi-sternotomy and conventional aortic valve replacement via a full median sternotomy. Before widespread adoption of the minimally invasive approach can be recommended, there is a need for a well-designed and adequately powered prospective randomised controlled trial. Such a study would benefit from performing a robust cost analysis. Growing patient preference for minimally invasive techniques merits thorough quality-of-life analyses to be included as end points, as well as quantitative measures of physiological reserve.

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Limited versus full sternotomy for aortic valve replacement

Kirmani,

Jones,

Muir

et al. 2023

Cochrane Database of Systematic Reviews

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Minimal invasive access – the beneficial impact on quality of life for patients undergoing isolated aortic valve replacement

Cited by 3 publications

References 0 publications

Minimally Invasive Implantation of the EDWARDS INTUITY Rapid Deployment Aortic Valve via a Right Minithoracotomy

Minimally Invasive Implantation of the EDWARDS INTUITY Rapid Deployment Aortic Valve via a Right Minithoracotomy

Limited versus full sternotomy for aortic valve replacement

Limited versus full sternotomy for aortic valve replacement

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