scholarly journals An alternative peripheral arterial cannulation in minimally invasive and robotic cardiac surgery

2017 ◽  
Vol 3 (3) ◽  
pp. 91-93
Author(s):  
Burak Onan
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Arterial Cannulation ◽  
Robotic Cardiac Surgery ◽  
Peripheral Arterial

Robotic cardiac surgery: advanced minimally invasive technology hindered by barriers to adoption

2011 ◽  
Vol 7 (4) ◽  
pp. 511-522 ◽  
Author(s):  
Thanos Athanasiou ◽  
Hutan Ashrafian ◽  
Simon P Rowland ◽  
Roberto Casula
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Barriers To Adoption ◽  
Robotic Cardiac Surgery

Adult Ventricular Septal Defect Repair Using a Robotic Totally Endoscopic Approach: A Case Report

2020 ◽  
Vol 15 (4) ◽  
pp. 372-375
Author(s):  
Saeid Mirzai ◽  
Narutoshi Hibino ◽  
Gianluca Torregrossa ◽  
Husam H. Balkhy
Keyword(s):  
Cardiac Surgery ◽  
Ventricular Septal Defect ◽  
Minimally Invasive ◽  
Septal Defect ◽  
Outcome Data ◽  
Safe Procedure ◽  
Persistent Symptoms ◽  
Congenital Cardiac Anomalies ◽  
Robotic Cardiac Surgery ◽  
Defect Repair

The growth and advancement of minimally invasive cardiac surgery in recent years has allowed robotic and totally endoscopic procedures to become safe and effective options for the treatment of patients with various diseases of the heart. However, despite these advances, outcome data for robotic correction of congenital cardiac anomalies are scarce. This is particularly true for robotic ventricular septal defect (VSD) repair with initial experiences only recently having been published by a single group. Here, we present the case of a 29-year-old female who underwent robotic totally endoscopic VSD repair due to persistent symptoms with resolution of preoperative shunting and severe tricuspid regurgitation following surgery. This unique case adds to the limited data currently available in the literature on robotic VSD repair to show that it is a safe procedure when performed by a dedicated surgical team experienced in minimally invasive robotic cardiac surgery. We feel that, in this setting, the benefits of a robotic surgical approach can be afforded to more patients with excellent results.

Percutaneous femoral cannulation and decannulation using a plug-based vascular closure device in minimally invasive cardiac surgery

2020 ◽  
Keyword(s):  
Cardiac Surgery ◽  
Mitral Valve ◽  
Minimally Invasive ◽  
Extracorporeal Circulation ◽  
Minimally Invasive Cardiac Surgery ◽  
Closure Device ◽  
Arterial Cannulation ◽  
Vascular Closure Device ◽  
Video Tutorial ◽  
Percutaneous Cannulation

Minimally invasive cardiac surgery such as a mitral valve procedure requires femoral arterial cannulation for extracorporeal circulation. To avoid complications associated with surgical groin incisions, such as seromas and infections, percutaneous cannulation techniques can be used. This video tutorial illustrates percutaneous femoral cannulation and decannulation using a plug-based vascular closure device.

Evolution of Cannulation Techniques for Minimally Invasive Cardiac Surgery a 10-Year Journey

2012 ◽  
Vol 7 (1) ◽  
pp. 9-14 ◽  
Author(s):  
Edward Y. Chan ◽  
Dennis M. Lumbao ◽  
Alexander Iribarne ◽  
Rachel Easterwood ◽  
Jonathan Y. Yang ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Vena Cava ◽  
Minimally Invasive Cardiac Surgery ◽  
Aortic Occlusion ◽  
Complication Rates ◽  
Venous Cannulation ◽  
Arterial Cannulation ◽  
Dual Stage ◽  
Over Time

Objective For minimally invasive cardiac surgery (MICS) procedures requiring cardiopulmonary bypass (CPB), cannulation techniques vary and seem to be important determinants of technical difficulty and clinical outcomes. Over 10 years of MICS, we have modified our techniques substantially, and the present report outlines the evolution of our current cannulation platform. Methods From October 2000 to November 2010, 1087 minimally invasive cardiac procedures were performed at our institution; of these, 165 were done without CPB and were excluded. Methods of arterial and venous cannulation and aortic occlusion were retrospectively reviewed. Outcomes of interest included CPB and aortic cross-clamp time, as well as rates of in-hospital stroke, myocardial infarction, and short- and long-term mortality. Results The mean age of the study population was 57 ± 15 years, with 50% being men. The MICS procedures included mitral valve surgery, atrial septal defect repair, atrial fibrillation ablation, and cardiac tumor resections. Over the study period, peripheral arterial cannulation was replaced by central aortic cannulation, which was used in 33% of patients in 2000–2001 and 93% in 2008–2010. Venous cannulation strategies also evolved over time, from percutaneous neck and femoral (78% of cases from 2000–2005), to direct superior vena cava and percutaneous femoral (67% in 2006–2007), to percutaneous dual-stage femoral (51% in 2008–2010). Aortic occlusion was achieved by endoaortic balloon in 33% of cases in 2000–2001 but, by 2002, was replaced by transaxillary clamp occlusion and direct antegrade/retrograde cardioplegia. In the post-endoballoon era, CPB and cross-clamp times have remained consistent. Overall, there were nine strokes (<1.0%), no myocardial infarctions, and 18 deaths (2.0%) within 30 days of surgery, and the incidence of these outcomes has not changed over time. Conclusions Over 10 years, our cannulation strategy for MICS has evolved to favor central aortic over femoral arterial cannulation, percutaneous femoral dual-stage bicaval venous drainage over percutaneous neck access, and transaxillary clamping over endoaortic balloon occlusion of the aorta. In our experience, this approach has resulted in low complication rates and a reliable platform for a variety of MICS procedures.

Minimally Invasive, Robotic Cardiac Surgery

2008 ◽  
Vol 85 (1) ◽  
pp. 357-358 ◽  
Author(s):  
Evelio Rodriguez ◽  
W. Randolph Chitwood
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Robotic Cardiac Surgery

scholarly journals Patient body image, self-esteem, and cosmetic results of minimally invasive robotic cardiac surgery

2017 ◽  
Vol 39 ◽  
pp. 88-94 ◽  
Author(s):  
Taner İyigün ◽  
Mehmet Kaya ◽  
Sevil Özgül Gülbeyaz ◽  
Nurhan Fıstıkçı ◽  
Gözde Uyanık ◽  
...  
Keyword(s):  
Body Image ◽  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Self Esteem ◽  
Cosmetic Results ◽  
Robotic Cardiac Surgery

scholarly journals The role of robotic technology in cardiac surgery

2019 ◽  
Vol 87 (2) ◽  
pp. 40-42 ◽  
Author(s):  
Elise Quint ◽  
Gayathri Sivakumar
Keyword(s):  
Cardiac Surgery ◽  
Minimally Invasive ◽  
Artery Bypass ◽  
Surgical Techniques ◽  
Robotic Technology ◽  
Minimally Invasive Surgical ◽  
Robotic Cardiac Surgery ◽  
The Cost ◽  
Invasive Techniques

Minimally invasive surgical techniques have been developed in order to improve patient outcomes and satisfaction. These minimally invasive techniques have been applied to numerous fields, including cardiac surgery. Currently, mitral valve repair and coronary artery bypass grafting are the most common procedures performed robotically. Numerous studies have shown that robotic technology provides similar outcomes to traditional surgery, which is much more invasive. However, there are numerous barriers to performing robotic surgery, including the cost of robotic systems and the steep learning curve associated with these systems. It is predicted that the indications for robotic cardiac surgery will increase as these limitations are addressed.

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