Novel Automated Suturing Technology for Minimally Invasive Aortic Valve Replacements
Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved..
PURPOSE: Annular suture placement during minimally invasive right anterior thoracotomy aortic valve replacements (MI-AVR) can be challenging. We present the early clinical experience with novel automated suturing technology that may reduce the technical difficulty of this operation.
DESCRIPTION: The technology presented involves an automated articulating suturing device that simultaneously drives dual-curved needles through the aortic annulus to place a pledgeted horizontal mattress suture remotely; a second device with 2 straight needles places suture through the sewing cuff of a prosthetic heart valve.
EVALUATION: Automated annular suturing was used in five MI-AVR procedures, which were successfully completed, with no paravalvular leaks detected and a mean aortic valve gradient of 6.4 mm Hg postprocedure. Mean aortic cross-clamp and cardiopulmonary bypass times were 100 and 134 minutes, respectively. All 5 patients were successfully discharged home, with a mean intensive care unit and total length of stay of 2 and 7 days, respectively.
CONCLUSIONS: Automated suturing during MI-AVRs is feasible and may reduce the technical challenge of this operation. Further research is necessary to determine its effect on patient outcomes.
| Medienart: |
E-Artikel |
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| Erscheinungsjahr: |
2018 |
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| Erschienen: |
2018 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:105 |
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| Enthalten in: |
The Annals of thoracic surgery - 105(2018), 2 vom: 30. Feb., Seite 645-649 |
| Sprache: |
Englisch |
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| Beteiligte Personen: |
Wong, Joshua K [VerfasserIn] |
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| Anmerkungen: |
Date Completed 26.10.2018 Date Revised 26.10.2018 published: Print-Electronic Citation Status MEDLINE |
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| doi: |
10.1016/j.athoracsur.2017.07.054 |
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| funding: |
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| Förderinstitution / Projekttitel: |
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| PPN (Katalog-ID): |
NLM278406521 |
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| 245 | 1 | 0 | |a Novel Automated Suturing Technology for Minimally Invasive Aortic Valve Replacements |
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| 500 | |a Date Completed 26.10.2018 | ||
| 500 | |a Date Revised 26.10.2018 | ||
| 500 | |a published: Print-Electronic | ||
| 500 | |a Citation Status MEDLINE | ||
| 520 | |a Copyright © 2018 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved. | ||
| 520 | |a PURPOSE: Annular suture placement during minimally invasive right anterior thoracotomy aortic valve replacements (MI-AVR) can be challenging. We present the early clinical experience with novel automated suturing technology that may reduce the technical difficulty of this operation | ||
| 520 | |a DESCRIPTION: The technology presented involves an automated articulating suturing device that simultaneously drives dual-curved needles through the aortic annulus to place a pledgeted horizontal mattress suture remotely; a second device with 2 straight needles places suture through the sewing cuff of a prosthetic heart valve | ||
| 520 | |a EVALUATION: Automated annular suturing was used in five MI-AVR procedures, which were successfully completed, with no paravalvular leaks detected and a mean aortic valve gradient of 6.4 mm Hg postprocedure. Mean aortic cross-clamp and cardiopulmonary bypass times were 100 and 134 minutes, respectively. All 5 patients were successfully discharged home, with a mean intensive care unit and total length of stay of 2 and 7 days, respectively | ||
| 520 | |a CONCLUSIONS: Automated suturing during MI-AVRs is feasible and may reduce the technical challenge of this operation. Further research is necessary to determine its effect on patient outcomes | ||
| 650 | 4 | |a Journal Article | |
| 650 | 4 | |a Technical Report | |
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| 700 | 1 | |a Siordia, Juan A |e verfasserin |4 aut | |
| 700 | 1 | |a Joshi, Devang J |e verfasserin |4 aut | |
| 700 | 1 | |a Sauer, Jude S |e verfasserin |4 aut | |
| 700 | 1 | |a Knight, Peter A |e verfasserin |4 aut | |
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