Totally Endoscopic Aortic Valve Replacement (TEAVR)

Vola, Marco

doi:10.1007/978-3-319-66483-5_19

Cited by 2 publications

(2 citation statements)

References 18 publications

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“…The first minimally invasive AVR through a right thoracotomy was reported in 1993 by Rao et al 2 Since then, this procedure has shown to result in reduction in transfusion rate, shorter duration of mechanical ventilation, and reduced intensive care unit and hospital stay despite longer cardiopulmonary bypass and cross-clamp times. 3,4 In addition, the first description of totally endoscopic AVR was reported by Vola et al 5 They illustrated that the aortic valve can be much better visualized with the endoscope to enable valve excision and replacement. They also utilized Perceval S sutureless valve to minimize aortic cross-clamp time and cardiopulmonary bypass time.…”

Section: Discussionmentioning

confidence: 99%

Early Clinical Experiences of Robotic Assisted Aortic Valve Replacement for Aortic Valve Stenosis with Sutureless Aortic Valve

Nagaoka

Gelinas

Vola

et al. 2020

Innovations�(Phila)

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Robotic assisted aortic valve surgery is still challenging and debatable. We retrospectively reviewed our cases of robotic assisted aortic valve replacement utilizing sutureless aortic valve with following surgical technique: 3 ports, 1 for endoscope and 2 for the robotic arms were inserted in the right chest and da Vinci Si robotic system (Intuitive Surgical, Sunnyvale, CA, USA) was adapted to these ports. Cardiopulmonary bypass was initiated through peripheral cannulations. A vent cannula was placed through the right superior pulmonary vein and a cardioplegia cannula in the ascending aorta. After cardioplegic arrest following aortic cross-clamp, the aortic valve was exposed through a clam shell aortotomy. Valvectomy along with decalcification was performed. Next using 3 guiding sutures the Perceval S valve (LivaNova, London, UK) was parachuted down and deployed. After confirming valve position, the aortotomy was closed. There were no major complications during the procedures and no conversion to sternotomy. Exposure of aortic valve was of high quality. Valvectomy required assistance with long scissors by the bedside surgeon for excision of the severely calcified valve cusps and effective decalcification of annulus. Postoperative convalescence was uncomplicated except for postoperative atrial fibrillation in 1 patient. Robotic assistance in aortic valve procedure enabled excellent exposure of the aortic valve and improved manipulation and suturing of the aortic annulus and aorta. There needs to be improvement of instrumentation for valve debridement and removal of calcium from the annulus. In addition, the sutureless valve technology contributes to the feasibility and the efficacy of this procedure.

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Section: Discussionmentioning

confidence: 99%

Early Clinical Experiences of Robotic Assisted Aortic Valve Replacement for Aortic Valve Stenosis with Sutureless Aortic Valve

Nagaoka

Gelinas

Vola

et al. 2020

Innovations�(Phila)

Self Cite

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show abstract

“…To date, reports describing rAVR are limited to isolated, single-digit case series via primarily an anterior-medial approach using primarily sutureless valves. [2][3][4][5] This technique is unique because the approach is lateral rather than medial and it summarizes a large and growing experience compared with reports that have been largely case reports or small case series.…”

mentioning

confidence: 99%

Commentary: Robotic surgical aortic valve replacement: An evolving option

Komlo

Guy

2021

The Journal of Thoracic and Cardiovascular Surgery

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Totally Endoscopic Aortic Valve Replacement (TEAVR)

Cited by 2 publications

References 18 publications

Early Clinical Experiences of Robotic Assisted Aortic Valve Replacement for Aortic Valve Stenosis with Sutureless Aortic Valve

Early Clinical Experiences of Robotic Assisted Aortic Valve Replacement for Aortic Valve Stenosis with Sutureless Aortic Valve

Commentary: Robotic surgical aortic valve replacement: An evolving option

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