Minimally Invasive Approach for Complex Cardiac Surgery Procedures

Totaro, Pasquale; Carlini, Simone; Pozzi, Matteo; Pagani, F.; Zattera, Giuseppe; D’Armini, Andrea Maria; Viganò, Mario

doi:10.1016/j.athoracsur.2009.04.060

Cited by 49 publications

(44 citation statements)

References 22 publications

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“…Totaro et al (64) reported the outcomes of 1,126 procedures J Thorac Dis 2017;9(6):1672-1696 jtd.amegroups.com Table 4 Mini-AVR in patients with poor lung function, pulmonary HTN, poor LV, renal failure and in patient requiring concomitant procedures.…”

Section: Mini-avr In Patients Requiring Concomitant Proceduresmentioning

confidence: 99%

Minimally invasive aortic valve replacement in high risk patient groups

Fudulu

Lewis

Benedetto³

et al. 2017

J. Thorac. Dis.

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Minimally invasive aortic valve replacement (AVR) aims to preserve the sternal integrity and improve postoperative outcomes. In low risk patients, this technique can be achieved with comparable mortality to the conventional approach and there is evidence of possible reduction in intensive care and hospital length of stay, transfusion requirement, renal dysfunction, improved respiratory function and increased patient satisfaction. In this review, we aim to asses if these benefits can be transferred to the high risk patient groups. We therefore, discuss the available evidence for the following high risk groups: elderly patients, re-operative surgery, poor lung function, pulmonary hypertension, obesity, concomitant procedures and high risk score cohorts.

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Section: Mini-avr In Patients Requiring Concomitant Proceduresmentioning

confidence: 99%

Minimally invasive aortic valve replacement in high risk patient groups

Fudulu

Lewis

Benedetto³

et al. 2017

J. Thorac. Dis.

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show abstract

“…The cardioplegia strategy was reported in all included studies, with three studies using retrograde approach (7,11,18), two studies using antegrade approach (16,19), five studies using the combined approach (6,12,14,15,17), and one study using either approach (13). Temperatures used during cardiopulmonary bypass (CPB) were reported in all included studies except for two (12,17). CPB duration was reported in all but three studies (12,13,15), while crossclamp duration was not reported in three studies (13,15,17).…”

Section: Quality Appraisalmentioning

confidence: 99%

“…Only five studies reported mean or median follow-up, which were all greater than or equal to 24 months (7,14,16,18,19). The cardioplegia strategy was reported in all included studies, with three studies using retrograde approach (7,11,18), two studies using antegrade approach (16,19), five studies using the combined approach (6,12,14,15,17), and one study using either approach (13). Temperatures used during cardiopulmonary bypass (CPB) were reported in all included studies except for two (12,17).…”

Section: Quality Appraisalmentioning

confidence: 99%

“…There were four studies which included greater than 50 patients undergoing rAVR by a MIrAVR (7,14,15,17), while seven studies assessed fewer than 50 patients (8,12,13,16,(18)(19)(20). A partial upper sternotomy or ministernotomy approach for resternotomy was used in eight studies (7,8,13,14,(16)(17)(18)20) (n=302, while a minithoracotomy approach was employed by three studies (12,15,19) (n=139). Only five studies reported mean or median follow-up, which were all greater than or equal to 24 months (7,14,16,18,19).…”

Section: Quality Appraisalmentioning

confidence: 99%

“…After detailed evaluation of these articles, 27 studies remained for assessment. After applying the selection criteria, 11 articles (7,8,(12)(13)(14)(15)(16)(17)(18)(19)(20) were selected for qualitative analysis. Of these, 7 observational studies (7,8,14,15,17,19,20) were included for quantitative analysis.…”

Section: Literature Searchmentioning

confidence: 99%

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