Quality of Life After Early Mitral Valve Repair Using Conventional and Robotic Approaches

Suri, Rakesh M.; Antiel, Ryan M.; Burkhart, Harold M.; Huebner, Marianne; Li, Zhuo; Eton, David T.; Topilsky, Tali; Sarano, Maurice E.; Schaff, Hartzell V.

doi:10.1016/j.athoracsur.2011.11.062

Cited by 107 publications

(72 citation statements)

References 32 publications

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“…Possible disadvantages and likely the reasons for the robotic approach not gaining widespread use are the complexity of procedure and the cost associated with greater initial investment, maintenance, disposable instruments and retrograde cardioplegia catheters. It has been suggested that this may be compensated for by the overall economic advantages of robotic approach, specifically shorter hospital stay, faster recovery and faster return to work (18,25).…”

Section: Pros and Cons Of Surgical Approachesmentioning

confidence: 99%

Degenerative mitral valve disease-contemporary surgical approaches and repair techniques

Koprivanac

Kelava

Al-Ansari

et al. 2017

Ann. Cardiothorac. Surg.

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Given the increasing age of the US population and the accompanying rise in cardiovascular disease, we expect to see an increasing number of patients affected by degenerative mitral valve disease in a more complex patient population. Therefore, increasing the overall rate of mitral valve repair will become even more important than it is today, and the capability to provide a universally and uniformly accepted quality of repair will have important medical, economic, and societal implications. This article will describe preoperative and intraoperative considerations and the currently practiced mitral valve repair approaches and techniques.The aim of the article is to present our contemporary approach to mitral valve repair in the hope that it can be adopted at other institutions that may have low repair rates. Adoption of simple and reproducible mitral valve repair techniques is of paramount importance if we as a profession are to accomplish overall higher rates of mitral valve repair with optimal outcomes.

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Section: Pros and Cons Of Surgical Approachesmentioning

confidence: 99%

Degenerative mitral valve disease-contemporary surgical approaches and repair techniques

Koprivanac

Kelava

Al-Ansari

et al. 2017

Ann. Cardiothorac. Surg.

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show abstract

“…To assess the quality of life of patients after mitral valve surgery, we conducted a prospective study involving 202 consecutive patients who underwent robotic surgery or sternotomy (17). Using a range of recognized measurement tools such as the Duke Activity Status Index, the Short Form 12-Item Health Survey, and Single-item, Linear Analogue Self-Assessment scales, we found that robotic repair was associated with improved outcomes at one year.…”

Section: Cost and Quality Of Lifementioning

confidence: 99%

Robotic surgery is the optimal approach for mitral surgery

Cao

Clark

Suri

2016

Ann. Cardiothorac. Surg.

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This report presented an overview of the patient selection, technical considerations and clinical evidence for robotic mitral valve surgery. A review of comparative outcomes to medical therapy, sternotomy approach, and the MitraClip device suggested that robotic mitral valve surgery is safe and effective in specialized centres.Potential benefits include a reliable and durable repair, with reduced perioperative morbidity and improved quality of life. Future studies should aim to delineate mid-and long-term clinical and echocardiographic outcomes following robotic mitral valve repair compared to the conventional sternotomy approach.

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“…Another advantage of robotic surgery, especially in mitral valve surgery, is the demanding anatomy of this valve meaning that 3D vision is required during surgery [5]. It is claimed that robotic mitral valve repair allows complete anatomic correction of all categories of leaflet prolapse, offers excellent freedom from adverse events, decreases ventilation time and length of stay, and has been shown to improve quality of life [5,6]. On the other hand, trials such as EVEREST I and II that compared the benefits and risks of percutaneous mitral valve repair using the MitraClip device (Evalve, Inc., CA, USA) compared with open mitral valve surgery were initiated to offer another less invasive solution to mitral valve disease that may be more attractive to patients compared with robotic mitral valve repair [7], which is still considered 'surgery'.…”

Section: Future Cardiology Part Ofmentioning

confidence: 99%

Robotic Mitral Valve Surgery: How Soon Will We Be Moving Away From Open Heart surgery?

2012

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Quality of Life After Early Mitral Valve Repair Using Conventional and Robotic Approaches

Cited by 107 publications

References 32 publications

Degenerative mitral valve disease-contemporary surgical approaches and repair techniques

Degenerative mitral valve disease-contemporary surgical approaches and repair techniques

Robotic surgery is the optimal approach for mitral surgery

Robotic Mitral Valve Surgery: How Soon Will We Be Moving Away From Open Heart surgery?

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