Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery This is an RSS file. You can use it to subscribe to this data in your favourite RSS reader or to display this data on your own website or blog.

Thoracoscopic Implantation of an Array Electrode in the Pericardium Transverse Sinus to Reduce Defibrillation Threshold
We report a new thoracoscopic minimally invasive approach to place a standard array electrode in the transverse pericardial sinus of a patient implanted with a cardiac resynchronization and defibrillation therapy device with persistent high defibrillation threshold. This approach was developed to achieve very low shock impedance with a consequent increase in the current flow and reduction of defibrillation threshold. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Atrial Esophageal Fistula Secondary to Ablation for Atrial Fibrillation: A Case Series and Review of the Literature
This article describes 2 patients who presented to our institution with left atrial esophageal fistula after atrial fibrillation ablation; it also compares our experience with other atrial esophageal fistula cases reported in the literature. We performed a retrospective review of 2 patients who presented to our hospital between July 2015 and September 2015 with atrial esophageal fistula. Patient A, a 57-year-old man, presented 31 days postablation with a fever and right-sided weakness. A chest computed tomography showed gas in the left atrium and esophagus; an echocardiogram confirmed the diagnosis of atrial esophageal fis...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Improving the Odds: Intercostal Metal Coils Mark Area to Resect in Rib Lesions
We describe a novel rib localization technique that eliminates potential mistakes and avoids resection of an inappropriate rib. Our method of rib localization includes placement of metallic coils by interventional radiologists under computed tomography guidance where two coils are deployed within the intercostal spaces, one superior and one inferior to the rib lesion. Intraoperative use of fluoroscopy results in precise localization of rib lesions even in cases where the pathology is not grossly apparent. We implemented this approach in 2014 and have since performed it in five patients for both lytic and sclerotic lesions....
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Use of Resuscitative Endovascular Balloon Occlusion of the Aorta in a Multidisciplinary Approach
We describe a trauma case where resuscitative endovascular balloon occlusion of the aorta was used as part of the EndoVascular hybrid Trauma and bleeding Management concept to facilitate transient hemorrhage control and thereby to permit damage control surgery. The case is an illustration of the adoption of a multidisciplinary approach. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Case Reports Source Type: research

Endovascular Repair of Peripheral Arterial Disease: Midterm Results From a Single Center
Conclusions: Endovascular interventions can be performed with a satisfactory technical success and low complication rates; however, nonfatal complications and catheter-based reinterventions are frequent. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

EuroSCORE Performance in Minimally Invasive Cardiac Surgery: Discrimination Ability and External Calibration
Objective: Prediction of operative risk in adults undergoing cardiac surgery remains a challenge. The European System for Cardiac Operative Risk Evaluation (EuroSCORE) is one of the most commonly used in clinical settings. Recently, the new EuroSCORE II was published attempting to improve the accuracy of risk prediction. We sought to assess the predictive value of EuroSCORE or EuroSCORE II in selected field of minimally invasive cardiac surgery. Methods: Patients who underwent cardiac surgery operation with minimally invasive approach from 2007 to 2013 identified from prospective cardiac surgical database. Additional vari...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Transverse Split Sternotomy: A Mini-Invasive Approach for Repair of Congenital Cardiac Defects
Conclusions: Transverse sternal split with or without cervical cannulation is a feasible technique for repair of tetralogy of Fallot and perventricular device closure in selected group of infants and small children without compromising the exposure or quality of repair. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Repeat Revascularization After Minimally Invasive Coronary Artery Bypass Grafting: Is It a Problem?
Conclusions: The need for RR is part of the learning curve with MICS CABG, involves a graft in half of the cases, is more common in patients who had a lower graftability index at operation, and markedly improves with experience. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Precannulated Fenestrated Endovascular Aneurysm Repair Using Guidewire Fixator: A Novel Method Using the Liungman Guidewire Fixator
Conclusions: Successful tests with single and dual fenestrated grafts have been conducted in pigs. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Video-Assisted Thoracoscopic Versus Robotic-Assisted Thoracoscopic Thymectomy: Systematic Review and Meta-analysis
Conclusions: The VATS and RATS thymectomy offer good and safe operative and perioperative outcomes. There is little difference between the two groups. However, there is poor evidence basis for the long-term outcomes in minimally invasive procedures for thymectomy. It is imperative that future studies evaluate oncological outcomes both short and long term as well as those related to safety. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Early Hemodynamic Results in Patients With Small Aortic Annulus After Aortic Valve Replacement
Objective: Patients with a small aortic annulus (≤21 mm) have an increased risk of patient-prosthesis mismatch after valve replacement. The aim of this study was to compare the early hemodynamic performance of the balloon-expandable transaortic valve implantation Edwards system (SAPIEN) and the sutureless Perceval prostheses. Methods: Fifty patients underwent transcatheter aortic valve implantation, and 113 patients underwent sutureless aortic valve replacement. Mean ± SD aortic annulus diameter was 19.7 ± 1 mm, with no significant difference between groups. SAPIEN valve size was 23 mm in 40 patients (80%) and 26 mm i...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Microlobectomy: A Novel Form of Endoscopic Lobectomy
Conclusions: We believe that microlobectomy is an interesting novel form of videoscopic-assisted thoracic surgery lobectomy and has several theoretical advantages. We have presented our early results and hope that this will stimulate others to investigate this type of videoscopic-assisted thoracic surgery lobectomy further. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Robotic Versus Conventional Coronary Artery Bypass Grafting: Direct Comparison of Long-Term Clinical Outcome
Objective: Robotic coronary artery bypass grafting (CABG) was shown to be a safe and feasible method for the treatment of coronary artery disease in highly selected patients. However, long-term outcome data comparing robotic CABG with conventional CABG are still missing. Therefore, we aimed to compare robotic with conventional CABG in terms of perioperative and long-term outcomes. Methods: Of 2947 consecutive elective patients with coronary artery disease operated at a single center between 2001 and 2013, 280 underwent robotic CABG. After propensity score matching, 134 pairs of robotic versus conventional CABG (age = 62 �...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

A Prospective Randomized Study of Endoscopic Versus Conventional Harvesting of the Radial Artery
Objective: The aims of the study were to determine whether endoscopic harvesting of the radial artery (RA) reduces morbidity due to pain, infection, and disability with improvement in satisfaction and cosmesis compared to the conventional technique and (2) to compare the 6-month angiographic patency of the RA harvested conventionally and endoscopically. Methods: In a prospective randomized study, 119 patients undergoing coronary artery bypass grafting using the RA were randomized to have RA harvested either conventionally (n = 59) or endoscopically (n = 60). Results: Radial artery harvest time (open wound time) was signi...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - July 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research

Easy Placement of Annular Sutures During Minimally Invasive Aortic Valve Replacement
Abstract: Placing annular sutures at the right coronary cusp is difficult during minimally invasive aortic valve replacement. We propose the partial everting mattress method, whereby a prosthetic valve is implanted in a supra-annular position at the left coronary and noncoronary cusps, with pledgets on the left ventricular side, but in an intra-annular position at the right coronary cusp, with pledgets on the aortic side. Needles can be grasped in forehand pass at all three coronary cusps. Our method enables easy placement of annular stitches even in the small surgical field, without adversely influencing the hemodynamic p...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - May 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: How-To-Do-It Articles Source Type: research