Padronização da técnica para cirurgia cardíaca videoassistida: experiência inicial

Júnior, Jeronimo Antonio Fortunato; Filho, Alcides A. Branco; Branco, Aníbal Wood; Martins, André Luiz M.; Pereira, Marcelo Luiz; Ferraz, João Gustavo Gongora; Paludo, Luciana

doi:10.1590/s0102-76382008000200006

Cited by 7 publications

(5 citation statements)

References 24 publications

(23 reference statements)

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“…Only in 2005 after the beginning of our experience [30][31][32] and Poffo et al studies, in 2006 [33], a new phase of minimally invasive cardiac surgery started in our environment, including video-assisted surgery, the intracardiac procedures through peripheral CPB, vacuum assistance and minithoracotomy.…”

Section: Discussionmentioning

confidence: 99%

Minimally invasive aortic valve replacement: an alternative to the conventional technique

Júnior

Fernandes

Sesca

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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Section: Discussionmentioning

confidence: 99%

Minimally invasive aortic valve replacement: an alternative to the conventional technique

Júnior

Fernandes

Sesca

et al. 2012

Revista Brasileira De Cirurgia Cardiovascular

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“…The access of choice for HD is a primary arteriovenous (AV) fistula in the upper limb, between the radial artery and the cephalic vein [3-6]. This technique increases venous flow approximately 250-300 ml per minute, which is the minimum flow velocity needed to obtain the appropriate clearance of urea after 4 hours of HD.…”

Section: Introductionmentioning

confidence: 99%

Saphenofemoral arteriovenous fistula as hemodialysis access

et al. 2010

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BackgroundAn upper limb arteriovenous (AV) fistula is the access of choice for haemodialysis (HD). There have been few reports of saphenofemoral AV fistulas (SFAVF) over the last 10-20 years because of previous suggestions of poor patencies and needling difficulties. Here, we describe our clinical experience with SFAVF.MethodsSFAVFs were evaluated using the following variables: immediate results, early and late complications, intraoperative and postoperative complications (up to day 30), efficiency of the fistula after the onset of needling and complications associated to its use.ResultsFifty-six SFAVF fistulas were created in 48 patients. Eight patients had two fistulas: 8 patent (16%), 10 transplanted (20%), 12 deaths (24%), 1 low flow (2%) and 20 thrombosis (39%) (first two months of preparation). One patient had severe hypotension during surgery, which caused thrombosis of the fistula, which was successfully thrombectomised, four thrombosed fistulae were successfully thrombectomised and revised on the first postoperative day. After 59 months of follow-up, primary patency was 44%.ConclusionSFAVF is an adequate alternative for patients without the possibility for other access in the upper limbs, allowing efficient dialysis with good long-term patency with a low complication rate.

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“…This was a start to the era of the thoracoscopy-assisted valve surgery [ 6 ]. Compared to the conventional cardiac surgery, thoracoscopy-assisted heart valve replacement has many advantages, including: a smaller incision, less trauma, less blood loss during the surgery, less post-operative pain, quicker recovery, and shorter hospital stay [ 7 ]-[ 9 ].…”

Section: Discussionmentioning

confidence: 99%

A clinical study of thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass

Cao

Chen

et al. 2014

J Cardiothorac Surg

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ObjectiveTo discuss the feasibility and experience of treating valvular heart diseases with thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass.MethodsA total of 135 patients with valvular heart disease were admitted to our hospital between January 2011 and January 2013. They received thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products. A cardiopulmonary bypass with domestically-manufactured pipeline products was established during the surgery. The procedure was accomplished with the assistance of thoracoscopy through a small incision in the right chest wall.ResultsAll 135 patients underwent a successful surgery, and were followed up for the duration of half a year to two years. None of them displayed any evidence of complications. Our procedure had the advantage of fewer complications and a significantly shortened time period for the patient care and hospitalization. As opposed to imported pipeline products for cardiopulmonary bypass, our procedure had the advantage of similar clinical results at a lower cost.ConclusionsThoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty was proved to be a safe and effective method for cardiopulmonary bypass, with the use of domestically manufactured pipeline products.Electronic supplementary materialThe online version of this article (doi:10.1186/s13019-014-0160-2) contains supplementary material, which is available to authorized users.

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Padronização da técnica para cirurgia cardíaca videoassistida: experiência inicial

Abstract: Cir Cardiovasc 2008; 23(2): 183-189

Cited by 7 publications

References 24 publications

Minimally invasive aortic valve replacement: an alternative to the conventional technique

Minimally invasive aortic valve replacement: an alternative to the conventional technique

Saphenofemoral arteriovenous fistula as hemodialysis access

A clinical study of thoracoscopy-assisted mitral valve replacement concomitant with tricuspid valvuloplasty, with domestically manufactured pipeline products for cardiopulmonary bypass

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