JTCVS Techniques最新文献

{"title":"A 3-dimensional model for bronchial and arterial sleeve resection","authors":"Yoshifumi Hirata MD, Kohei Hashimoto MD, PhD, Keisei Tachibana MD, PhD, Ryota Tanaka MD, PhD, Haruhiko Kondo MD, PhD","doi":"10.1016/j.xjtc.2024.10.012","DOIUrl":"10.1016/j.xjtc.2024.10.012","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 183-185"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Minimally invasive coronary artery bypass grafting via left anterior minithoracotomy: Setup, results, and evolution of a new surgical procedure","authors":"Alexander Verevkin MD ,&nbsp;Alexey Dashkevich MD, PhD ,&nbsp;Ibrahim Gadelkarim MD ,&nbsp;Rakan Shaqu MD ,&nbsp;Wolfgang Otto ,&nbsp;Sophia Sgouropoulou MD ,&nbsp;Joerg Ender MD, PhD ,&nbsp;Phillipp Kiefer MD, PhD ,&nbsp;Michael A. Borger MD, PhD","doi":"10.1016/j.xjtc.2024.10.022","DOIUrl":"10.1016/j.xjtc.2024.10.022","url":null,"abstract":"<div><h3>Objective</h3><div>Minimally invasive total arterial coronary artery bypass grafting offers the advantages of total arterial revascularization through an anterolateral minithoracotomy. However, the procedure is technically challenging and associated with a learning curve. The purpose of our study was to evaluate the progress and development of our program over an 8-year period.</div></div><div><h3>Methods</h3><div>We collected prospective data on all patients who underwent procedure at our institution from January 2015 to December 2023. Our program underwent several modifications during this study period, including optimization of surgical exposure using various available instruments, efficient intraoperative time management, utilization of a standard technique for all off-pump coronary artery bypass procedures, and close team member mentoring. Changes in quality control consisted of transitioning from routine postoperative coronary imaging to clinically indicated imaging. The influence of these interventions was assessed by focusing on in-hospital mortality as the primary end point, and operative time and perioperative myocardial infarction as secondary end points, over 2 time periods consisting of patients operated on during the first and second 4-year study period (Group 1, n = 137 and Group 2, n = 142).</div></div><div><h3>Results</h3><div>A total of 279 consecutive patients underwent elective, total arterial minimally invasive total arterial coronary artery bypass grafting at our institution over the study period. The mean age of patients was 66 ± 7 years, with 86% being men (n = 241) and 33.1% having diabetes (n = 77). Triple vessel disease was present in 53% of the cohort (n = 123) and left main disease was prevalent in 43% of patients (n = 101). The overall 30-day mortality was 0.4% (n = 1). Compared with the initial 4-year period, the rate of perioperative myocardial infarction decreased 3-fold (4.3% vs 1.4%; <em>P</em> = .1) and there was a statistically significant reduction in operating time (275 ± 59.5 and 246 ± 72.6 minutes; <em>P</em> &lt; .001) in the most recent group of patients.</div></div><div><h3>Conclusions</h3><div>Total arterial minimally invasive total arterial coronary artery bypass grafting is a feasible surgical approach that can be performed with very good results, even during the initial learning curve phase. An evolving educational program can provide a smooth transition from off-pump coronary artery bypass grafting to minimally invasive total arterial coronary artery bypass grafting, when performed in selected patients in high-volume cardiac centers.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 28-39"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Robotic lobectomy with en bloc chest wall resection and reconstruction: How I do it","authors":"Dena G. Shehata MBChB ,&nbsp;Edilin Lopez MD ,&nbsp;Susan Moffatt-Bruce MD, PhD ,&nbsp;Cameron T. Stock MD ,&nbsp;Ammara A. Watkins MD, MPH ,&nbsp;Elliot L. Servais MD","doi":"10.1016/j.xjtc.2024.10.023","DOIUrl":"10.1016/j.xjtc.2024.10.023","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 161-166"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146449","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Osteophyte of the first costochondral joint is a reliable landmark to facilitate standardized robotic left internal mammary artery harvesting","authors":"Peiling He MM,&nbsp;Yan Yang MM,&nbsp;Yi Song MM,&nbsp;Ye Yuan MM,&nbsp;Wenjun Wu MM,&nbsp;Chang Liu MM,&nbsp;Yijie Hu MD","doi":"10.1016/j.xjtc.2024.11.004","DOIUrl":"10.1016/j.xjtc.2024.11.004","url":null,"abstract":"<div><h3>Objective</h3><div>Robotic left internal mammary artery (LIMA) harvesting can present various challenges for novice surgeons. This study aimed to investigate whether the osteophyte of the first costochondral joint (OFCCJ) could serve as an anatomical landmark for robotic LIMA harvesting and to explore the optimal standardized process.</div></div><div><h3>Methods</h3><div>The concept of “LIMA isthmus” was described on the basis of relatively fixed anatomical relationship between LIMA and OFCCJ, and the height of OFCCJ and its distance to LIMA were defined. The presence and features of OFCCJ were analyzed in 514 hospitalized patients with or without coronary artery diseases (CAD or non-CAD). The value of “LIMA isthmus”-based robotic harvesting strategy was further assessed for beginners during the learning curve phase.</div></div><div><h3>Results</h3><div>The OFCCJs were found to be very common in the adult population. The prevalence of OFCCJ in patients with CAD was significantly greater than in patients without CAD (73.16% vs 60.33%, <em>P</em> &lt; .01). However, there were no significant difference between the CAD and the non-CAD group in the height of the OFCCJ or the distance between the OFCCJ and the LIMA (15.54 ± 4.99 mm vs 16.55 ± 4.70 mm, <em>P</em> = .06; 12.66 ± 4.19 mm vs 12.45 ± 6.87 mm, <em>P</em> = .72). During the learning curve phase, the time to identify LIMA and the time for LIMA harvesting using “LIMA isthmus”-based strategy were significantly shorter than those with conventional approach (89.00 ± 31.07 seconds vs 1087 ± 436.1 seconds, <em>P</em> = .035; 86.80 ± 4.74 minutes vs 110.5 ± 11.72 minutes, <em>P</em> = .013). The inadvertent bleeding events with “LIMA isthmus”-based graft harvesting were much fewer (1.00 ± 0.19 vs 3.44 ± 0.34, <em>P</em> &lt; .001), although there was no difference between 2 beginners in postoperative chest drainage, LIMA injury events, or conversion to a median sternotomy incision.</div></div><div><h3>Conclusions</h3><div>OFCCJ could serve as a reliable anatomical landmark to guide robotic LIMA harvesting. “LIMA isthmus”-based standardized robotic LIMA harvesting could significantly reduce the time to determine LIMA and the time for graft harvesting process, and minimize the risk of inadvertent bleeding events. This could be particularly beneficial for novice surgeons during the initial learning curve phase of this procedure.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 56-64"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146128","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Long-term outcomes of direct total cavopulmonary connection versus extracardiac conduit in Fontan circulation","authors":"Jianrui Ma MD ,&nbsp;Linjiang Han MD ,&nbsp;Yinru He MS ,&nbsp;Miao Tian PhD ,&nbsp;Peijian Wei MD ,&nbsp;Tong Tan MD ,&nbsp;Ziqin Zhou MD ,&nbsp;Manchen Gao MD ,&nbsp;Xiaobing Liu MD, PhD ,&nbsp;Haiyun Yuan MD, PhD ,&nbsp;Jimei Chen MD, PhD","doi":"10.1016/j.xjtc.2024.10.006","DOIUrl":"10.1016/j.xjtc.2024.10.006","url":null,"abstract":"<div><h3>Objective</h3><div>The long-term outcomes of direct total cavopulmonary connection in Fontan circulation have not been reported yet. This study aimed to compare the long-term outcomes of the direct total cavopulmonary connection procedure with the extracardiac conduit procedure in patients undergoing the Fontan.</div></div><div><h3>Methods</h3><div>From October 2004 to August 2021, 297 patients undergoing the Fontan operation by extracardiac conduit (n = 268) or direct total cavopulmonary connection (n = 29) procedure at our institution were retrospectively reviewed. The propensity score–matching method was used to match the extracardiac conduit and direct total cavopulmonary connection groups in a 1:2 ratio, yielding 23 patients in the direct total cavopulmonary connection group and 40 patients in the extracardiac conduit group.</div></div><div><h3>Results</h3><div>The in-hospital morbidity and mortality were similar between the 2 groups in both prematched and matched cohorts (<em>P</em> &gt; .05). The estimated transplantation-free survival at 10 years in the matched direct total cavopulmonary connection group was 89.7% ± 7.0%, in contrast to 92.8% ± 5.0% in the matched extracardiac conduit group (<em>P</em> = .55). The estimated 10-year estimated freedom from Fontan failure in the matched direct total cavopulmonary connection group was 85.2% ± 8.0%, also similar to the 85.9% ± 6.7% in the matched extracardiac conduit group (<em>P</em> = .72). The direct total cavopulmonary connection pathways at the follow-up were significantly larger than those before Fontan surgery (<em>P</em> &lt; .05).</div></div><div><h3>Conclusions</h3><div>The direct total cavopulmonary connection procedure is a feasible and effective strategy for highly selected Fontan candidates who have well-developed pulmonary arteries of adequate length and size. This approach not only allows for the potential growth of direct total cavopulmonary connection pathways but also demonstrates noninferior short-term and long-term outcomes in contrast to the extracardiac conduit strategy.</div></div>","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 129-137"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146388","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Combined angioembolization and surgical approach to complex pulmonary arteriovenous malformations","authors":"Janani Reisenauer MD ,&nbsp;Nathaniel Robinson MD ,&nbsp;Andrew Giles MD, MPH ,&nbsp;Sanjay Misra MD ,&nbsp;Christopher Reisenauer MD","doi":"10.1016/j.xjtc.2024.11.007","DOIUrl":"10.1016/j.xjtc.2024.11.007","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 186-188"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143147531","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simultaneous sternal-sparing durable left ventricular assist device implantation with aortic and mitral valve procedures","authors":"Tomoki Ushijima MD, PhD ,&nbsp;Sho Takemoto MD ,&nbsp;Hiromichi Sonoda MD, PhD ,&nbsp;Akira Shiose MD, PhD","doi":"10.1016/j.xjtc.2024.09.022","DOIUrl":"10.1016/j.xjtc.2024.09.022","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 70-74"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145873","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kasai-like repair of recurrent pulmonary venous obstruction","authors":"Majid Husain MD ,&nbsp;Thayne Dalrymple MD ,&nbsp;Megan Schultz MD ,&nbsp;Ashley Prosper MD ,&nbsp;Daniel Levi MD ,&nbsp;Glen Van Arsdell MD","doi":"10.1016/j.xjtc.2024.10.025","DOIUrl":"10.1016/j.xjtc.2024.10.025","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 123-126"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143145882","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Simplified patch-repair technique for the reinforcement of the posterior mitral valve annulus","authors":"Alan Gallingani MD, PhD ,&nbsp;Giulia Pampuri MD ,&nbsp;Luca De Donno MD ,&nbsp;Domenico Mangino MD ,&nbsp;Andrea Venturini MD, PhD","doi":"10.1016/j.xjtc.2024.10.020","DOIUrl":"10.1016/j.xjtc.2024.10.020","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 12-14"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146129","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical excision of giant obstructive ventricular fibroma of the interventricular septum in an infant","authors":"Hüseyin Sicim MD,&nbsp;Daniel A. Velez MD,&nbsp;Mohamad Alaeddine MD","doi":"10.1016/j.xjtc.2024.11.003","DOIUrl":"10.1016/j.xjtc.2024.11.003","url":null,"abstract":"","PeriodicalId":53413,"journal":{"name":"JTCVS Techniques","volume":"29 ","pages":"Pages 127-128"},"PeriodicalIF":1.7,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143146378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}