Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 
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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.Impact of an Ultrasonically Activated Device in Robot-Assisted Distal Gastrectomy
This study therefore assessed the effect of ultrasonically activated device use on procedural times and on other early surgical outcomes.
Methods
Consecutive patients (N = 42) who underwent robot-assisted distal gastrectomy for gastric cancer were included. Clinicopathological characteristics and early surgical outcomes were compared between robotic-assisted gastrectomy procedures using an ultrasonically activated device (U group, n = 21) and those without it (NU group, n = 21).
Results
There were no significant differences in patient characteristics between the groups; however, the median operation time was signific...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Totally Endoscopic Cardiac Surgery for Atrial Septal Defect Repair on Beating Heart Without Robotic Assistance in 25 Patients
Conclusions
Totally endoscopic operation for ASD closure on beating heart is safe, with short recovery period, and surgical scars are of high cosmetic value, especially in a woman and girl. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Long-Term Success With Driveline Exit Site Relocation for Deep Driveline Infection in Left Ventricular Assist Device Patients
Conclusions
An aggressive surgical strategy, including debridement and formal relocation of the driveline exit site, can result in long-term device salvage after deep driveline infection. This approach is a less invasive alternative to device exchange for refractory driveline infections. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Morbid Obesity Does not Increase Morbidity or Mortality in Robotic Cardiac Surgery
Objective
Morbid obesity (body mass index ≥ 35 kg/m2) usually confers a higher perioperative risk in cardiac surgery. Robotic cardiac surgery may have many advantages for these high-risk patients.
Methods
We retrospectively reviewed patients undergoing robotic cardiac surgery from July 2013 to April 2017 at our institution. We compared the outcomes of morbidly obese patients versus nonobese patients.
Results
A total of 486 patients underwent robotic cardiac surgery (322 men, median age = 65 years). The robotic procedures were the following: totally endoscopic beating heart coronary artery bypass (n = 263), mitral...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Pressure and Flow Characteristics of a Novel Bidirectional Cannula for Cardiopulmonary Bypass
Objective
Femoral arterial cannulation is associated with a significant risk of lower limb ischemia. The aim of the study was to assess the pressure and flow in the femoral artery using a novel bidirectional femoral cannula in a sheep model of peripheral cardiopulmonary bypass.
Methods
Peripheral cardiopulmonary bypass was established using a multistage venous cannula inserted into the internal jugular vein and the bidirectional or a conventional arterial cannula into the femoral artery in seven adult ewes. Systemic and distal perfusion pressures and flow rates were measured during cardiopulmonary bypass with flow rat...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
The Need for Consistent Predictors of Success for Surgical Ablation of Atrial Fibrillation: A Call to Action
Conclusions
The innate heterogeneity of published data precludes a meta-analysis for predictors of surgical ablation success. Of the few published studies that allow comparison, the most consistent predictors of failure were enlarged left atrium and long atrial fibrillation duration. These results underscore the need for consistent and reliable outcome predictors. We strongly recommend the development of a standardized system of measurement for consistent clinical parameters that can be used in outcome analyses for surgical ablation of atrial fibrillation. (Source: Innovations: Technology and Techniques in Cardiothoracic...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Benefits of Electromagnetic Navigational Bronchoscopy for Identifying Pulmonary Nodules for Robotic Resections
Conclusions
Pleural dye marking via electromagnetic navigational bronchoscopy can provide an effective method for localizing pulmonary nodules, while maintaining a minimally invasive robotic approach. This tactic allows one to obtain diagnostic tissue more efficiently, while limiting the potential inability to localize a nodule. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Use of a New Expanded Polytetrafluoroethylene Multichordal Mitral Apparatus (MitraPatch) to Repair Complex Mitral Valve Lesions
We report a new expanded polytetrafluoroethylene multichordal mitral apparatus (MitraPatch) to simplify mitral repairs involving multiple cusps and sought to describe the surgical technique and demonstrate the efficacy of the device.
Methods
MitraPatch was laser cut from a single sheet of expanded polytetrafluoroethylene and mounted on a custom-designed handle. Surgical technique to deploy the apparatus on the native mitral valve was developed in ex vivo porcine hearts. Hemodynamic efficacy of repairing mitral prolapse and regurgitation was assessed in ex vivo hearts and in five 30-day chronic swine, with histopathology...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Minimally Invasive Surgical Pulmonary Embolectomy: A Potential Alternative to Conventional Sternotomy
Conclusions
Minimally invasive surgical pulmonary embolectomy appears to be a feasible approach in the treatment of patients with a submassive pulmonary embolism. A larger, prospective analysis comparing this modality with conventional surgical pulmonary embolectomy may be warranted. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
VATS Plication of the Diaphragm: A Descriptive Observational 10-Year Southampton Experience
Conclusions
We found minimal access VATS plication of the diaphragm to be feasible and safe, but no firm conclusions should be drawn from our limited resources. We report the feasibility of concomitant bilateral VATS plication of the diaphragm in two adults, and this was not previously reported in the adult population. There is a need for further good quality, prospective studies, and randomized controlled studies evaluating efficacy of VATS diaphragmatic plication. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Robotic Mitral Valve Repair: The Learning Curve
Conclusions
Technical efficiency of robotic mitral valve repair improves with experience and permits its safe and effective conduct. (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Original Articles Source Type: research
Pathways to Innovation in Cardiothoracic Surgery
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Presidential Address Source Type: research
2016 Best Manuscript Awards
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Editorial Source Type: research
Thank You From Innovations to Our Reviewers
No abstract available (Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery)
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - November 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: Acknowledgment Source Type: research
An Artificial Cadaveric Leg Blood Flow System for Endoscopic Vein Harvesting Simulation
Abstract: Despite being the most common training model for endoscopic vein harvesting, cadaveric legs are limited by their absence of blood flow, resulting in a faded vascular appearance. Because the saphenous vein and the surrounding tissue seem less distinguishable, dissection of the saphenous vein and bipolar coagulation of its branches becomes increasingly inefficient and difficult. An inexpensive artificial blood flow system was developed to overcome this limitation. A cadaveric leg was thawed to a soft and yielding degree, and the saphenous vein was dissected medial and proximal to the medial malleolus. An artificial...
Source: Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery - September 1, 2017 Category: Cardiovascular & Thoracic Surgery Tags: How-To-Do-It Articles Source Type: research
