Robotic-assisted removal of an Amplatzer atrial septal occluder device for residual shunting, closure of septal defect and simultaneous tricuspid annuloplasty

Onan, Burak; Kadiroğulları, Ersin; Güler, Salih; Kahraman, Zeynep

doi:10.1007/s11701-017-0709-x

Cited by 7 publications

(14 citation statements)

References 6 publications

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“…Robotic cardiac surgery has proved its feasibility and safety in the adult population (1)(2)(3)(4)(5). However, there is still limited data about the application of robotic cardiac surgery in children (6)(7)(8)(9)(10).…”

Section: Discussionmentioning

confidence: 99%

“…Preoperative patient selection is important and can reduce the risk of complications (2,4,6,(19)(20)(21)(22). Patients with complex cardiac pathologies, moderate-tosevere aortic regurgitation, left ventricular dysfunction, pulmonary hypertension, previous cardiothoracic operations, small body size, and morbid obesity should be excluded.…”

Section: Discussionmentioning

confidence: 99%

“…Totally endoscopic robotic surgery has proved its efficacy and safety in adult cardiac procedures since 2000. Previous studies have reported the feasibility of some cardiac procedures using robotic surgical systems, including mitral valve repair or replacement, coronary artery bypass grafting, repair of atrial septal defects (ASD), and partial anomalous pulmonary venous connections (PAPVC) . The DaVinci surgical system is indicated for adult and pediatric use.…”

mentioning

confidence: 99%

“…The DaVinci surgical system is indicated for adult and pediatric use. Substantial literature exists concerning the results of robotic cardiac procedures in adults . In children, previous studies have reported the use of robotic technology for closure of patent ductus arteriosus, division of vascular rings and aortic arch, and closure of ASDs using hypothermic fibrillation .…”

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confidence: 99%

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Totally Endoscopic Robotic‐Assisted Cardiac Surgery in Children

et al. 2018

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Robotic surgery for intracardiac pathologies in children is relatively uncommon. This study presents our initial experience with robotic-assisted cardiac surgery in children. We also present the feasibility and safety of robotic surgery in children. From May 2013 to June 2018, 30 children underwent totally endoscopic robotic atrial septal defect closure (n = 22), right-sided (n = 5) or left-sided (n = 1) partial anomalous pulmonary venous connection repair, tricuspid valve annuloplasty (n = 4), and mitral valve replacement (n = 2, due to Barlow and rheumatic diseases). The mean age of the patients was 16.1 ± 1.1 years (range, 13-17) and the mean weight was 56.7 ± 0.1 kg (range, 42-77). Associated anomalies included left persistent superior vena cava (n = 2) and the absence of innominate vein (n = 1). All procedures were completed uneventfully. Operation time was 4.1 ± 0.6 h. No patient was converted to thoracotomy or sternotomy. Cardiopulmonary bypass and aortic clamping times were 90.6 ± 28.0 (range, 45-136) and 48.6 ± 24.9 (range, 15-94) min, respectively. The mean ventilation time was 3.7 ± 1.2 h and hospital stay time was 3.3 ± 0.7 days. No right phrenic nerve injury, hemorrhage, or blood transfusion were noted. One patient had postoperative pneumothorax, and 1 had supraventricular arrhythmia. Follow-up was a mean of 1.7 years (range, 1-52 months). Patients were healthy and no residual intracardiac defect was observed on echocardiography examinations. There was no operative or follow-up mortality. Robotically assisted cardiac surgery is a feasible and safe approach in selected pediatric patients. In the future, new generation robotic devices may offer an alternative surgical approach in cardiac surgery for younger children with lower body weight.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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Totally Endoscopic Robotic‐Assisted Cardiac Surgery in Children

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“…In our study, two patients in the transcatheter closure group were treated surgically due to severe residual shunt and migration. The treatment of one of these patients was performed with robotic‐assisted cardiac surgery and the device was removed and the defect was closed with a pericardial patch 18 . Nevertheless, in another patient who had closed primum ASD with robotic surgery, the pericardial patch was opened, and the patient was reoperated with median sternotomy.…”

Section: Discussionmentioning

confidence: 99%

Transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: A single‐center experience

et al. 2020

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Background: Transcatheter closure is the preferred method for atrial septal defect (ASD) closure. Robotic surgery has become the least invasive technique for ASD closure. Therefore, we sought to evaluate the outcomes in patients who underwent ASD closure with transcatheter or robotic surgery techniques.Methods: A total of 462 patients underwent totally endoscopic robotic (n = 217) or transcatheter ASD closure (n = 245). Demographic data, perioperative data, and outcomes were compared.Results: The mean age was lower in the robotic surgery group than the transcatheter group (31.4 ± 11.8 vs 39.4 ± 13.2 years; P = .001). Ventilation time, intensive care unit (ICU) stay, and hospital stay was significantly lower in the transcatheter group. The postoperative new-onset neurological event was seen in one (0.5%) patient in robotic surgery, and four (1.6%) patients in the transcatheter closure group.New-onset atrial fibrillation was found to be higher in transcatheter closure (two vs seven patients; P = .133) group. Surgical conversion to a larger incision occurred in two patients (1%) in robotic surgery, while two patients (0.5%) underwent emergency median sternotomy due to device embolization to the main pulmonary artery.There was no mortality in both groups. During follow-up, one patient (0.5%) who underwent robotic surgery was reoperated, and two patients (0.8%) who underwent transcatheter procedure required surgical intervention due to device migration and severe residual shunting (P = .635).Conclusion: Both transcatheter and robotic surgery approaches had excellent outcomes but transcatheter closure had shorter hospital and ICU stays. Robotic surgery provides a similar complication risk that can be comparable to the transcatheter approach as well as patient comfort and cosmetic advantage over the other surgical techniques. K E Y W O R D Satrial septal defect, minimally invasive, robotic surgery, transcatheter

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Robotic repair of left-sided partial anomalous pulmonary venous connection to the coronary sinus

et al. 2018

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Left-sided partial anomalous pulmonary venous connection to the coronary sinus is a rare congenital cardiac defect. Surgical repair is indicated to prevent cardiopulmonary morbidities that may occur in later age. Although the conventional median sternotomy or thoracotomy incisions are used during surgical repair, robotic surgery can be a feasible alternative approach to this pathology. In this case, we report a 14-year-old child, who was diagnosed with left partial anomalous pulmonary venous connection to the coronary sinus. A total endoscopic robotic repair was successfully done via right atriotomy approach. After routing of the pulmonary venous return from the left lung to the left atrium, the interatrial septum was reconstructed with a pericardial patch. We report a successful use of totally endoscopic robotic approach in a patient diagnosed with left-sided partial anomalous pulmonary venous connection.

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Robotic-assisted removal of an Amplatzer atrial septal occluder device for residual shunting, closure of septal defect and simultaneous tricuspid annuloplasty

Cited by 7 publications

References 6 publications

Totally Endoscopic Robotic‐Assisted Cardiac Surgery in Children

Totally Endoscopic Robotic‐Assisted Cardiac Surgery in Children

Transcatheter closure vs totally endoscopic robotic surgery for atrial septal defect closure: A single‐center experience

Robotic repair of left-sided partial anomalous pulmonary venous connection to the coronary sinus

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