When Culture Dictates Practice: Adoption of Minimally Invasive Mitral Valve Surgery

Vervoort, Dominique; Nguyễn, Đồng Thanh; Nguyen, Tom C.

doi:10.1177/1556984520948644

Cited by 9 publications

(11 citation statements)

References 35 publications

(37 reference statements)

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“…Furthermore, the complexity of RHD frequently requires numerous repair techniques to be used concurrently, demanding the proficiency of high-volume specialist surgeons [ 16 ]. Due to the technical complexity of MV repair for RHD, limited expertise in MV repair for RHD, and concerns about durability, most surgeons currently replace over 90% of rheumatic mitral valves [ 17 ]. However, from 2016 to 2018, MV repair was the fastest-growing operation in the CCSR data ( Table 1 ).…”

Section: Discussionmentioning

confidence: 99%

A Comparative Study on Surgical Treatment of Valvular Heart Disease between High-Volume Cardiac Centers in China and STS Data

Lin

Gong

et al. 2022

JCDD

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The goal of this study is to summarize valvular surgery data from the Chinese Cardiac Surgery Registry (CCSR) and compare it to the most recent data from the Society of Thoracic Surgeons (STS). From 2016 to 2018, a total of 34,386 cases of the seven most common valvular surgical procedures was obtained from the CCSR. We calculated the proportions of different procedures in the CCSR cohort (n = 34,386) as well as the change in operation volume for each procedure. We also compiled rates of postoperative in-hospital mortality and five major complications across all procedures. All of the results were compared to the STS data. The CCSR and STS data showed divergent trends in valvular heart disease features and operation volume. Although the proportion of MV repair in the CCSR (13.7%) data was lower than in the STS data (23.2%), it demonstrated a substantial upward trend. In terms of operation volume, the CCSR data showed an upward trend, but the STS data showed a downward trend. CCSR procedures showed lower mortality (2% vs. 2.6%), reoperation (2.8% vs. 4.3%), and permanent stroke (0.5% vs. 1.6%) rates than STS procedures but higher rates of prolonged ventilation (22.4% vs. 10.4%) and renal failure (5.6% vs. 3.2%). Valvular surgery quality in China’s leading cardiac hospitals is roughly comparable to that in the United States. China, on the other hand, has some shortcomings that need improvement.

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Section: Discussionmentioning

confidence: 99%

A Comparative Study on Surgical Treatment of Valvular Heart Disease between High-Volume Cardiac Centers in China and STS Data

Lin

Gong

et al. 2022

JCDD

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“…This is especially useful since for minimally invasive mitral surgeries, the learning curve has been reported to be between 75 to 125 cases (60 for replacements and 90 for repairs). 21 In developed countries more and more programs are introducing structured simulation training into curricula and tracks. In contrast, the primary limitation of developing countries with regard to MICS training for residents is acquiring high-fidelity simulators.…”

Section: Mics Simulation Trainingmentioning

confidence: 99%

“…This is especially useful since for minimally invasive mitral surgeries, the learning curve has been reported to be between 75 to 125 cases (60 for replacements and 90 for repairs). 21…”

Section: Impact Of International Educationmentioning

confidence: 99%

Minimally Invasive Cardiac Surgery in Colombia: Evolution and the Impact of International Training

Vinck

Rendón

Andrade³

et al. 2021

Innovations�(Phila)

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“…Mitral valve disease, particularly mitral regurgitation, affects a significant number of adults, making it the second most common reason for valve surgery 1 , 2 . Studies have demonstrated that mitral valve repair yields better outcomes compared to valve replacement for the treatment of mitral regurgitation 3 – 5 .…”

Section: Introductionmentioning

confidence: 99%

Adoption of minimally invasive mitral valve surgery: single-centre implementation experience in Vietnam

Thuan,

Chuong,

Dinh

2023

Annals of Medicine &Amp; Surgery

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The adoption of minimally invasive mitral valve surgery (MIMVS) has become a prominent trend in mitral valve procedures. This article emphasizes that the success of the MIMVS program relies not only on effective teamwork but also on comprehensive hospital support and a clearly defined training strategy. Additionally, targeted marketing initiatives that highlight the value of the heart valve center are crucial for sustaining the program’s success and attracting a consistent patient flow. The implementation of these strategies requires diligent execution, consistent maintenance, and continuous improvement to ensure the triumph of the MIMVS program. This article aims to share our experience in implementing MIMVS at our center, providing valuable insights for centers that have yet to adopt this approach or have low adoption rates. While acknowledging that sharing our center’s experience cannot guarantee success in all centers, customizing the implementation by selecting appropriate features and access points is vital. Each center may encounter unique challenges, and tailoring the strategy to address specific needs will enhance the effectiveness of the MIMVS program.

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When Culture Dictates Practice: Adoption of Minimally Invasive Mitral Valve Surgery

Cited by 9 publications

References 35 publications

A Comparative Study on Surgical Treatment of Valvular Heart Disease between High-Volume Cardiac Centers in China and STS Data

A Comparative Study on Surgical Treatment of Valvular Heart Disease between High-Volume Cardiac Centers in China and STS Data

Minimally Invasive Cardiac Surgery in Colombia: Evolution and the Impact of International Training

Adoption of minimally invasive mitral valve surgery: single-centre implementation experience in Vietnam

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