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Minimally invasive heart valve surgery: already established in clinical routine?

Standard

Minimally invasive heart valve surgery: already established in clinical routine? / Gulbins, Helmut; Pritisanac, Anita; Hannekum, Andreas.

In: EXPERT REV CARDIOVAS, Vol. 2, No. 6, 11.2004, p. 837-843.

Research output: SCORING: Contribution to journal › SCORING: Review article › Research

Harvard

Gulbins, H, Pritisanac, A & Hannekum, A 2004, 'Minimally invasive heart valve surgery: already established in clinical routine?', EXPERT REV CARDIOVAS, vol. 2, no. 6, pp. 837-843. https://doi.org/10.1586/14779072.2.6.837

APA

Gulbins, H., Pritisanac, A., & Hannekum, A. (2004). Minimally invasive heart valve surgery: already established in clinical routine? EXPERT REV CARDIOVAS, 2(6), 837-843. https://doi.org/10.1586/14779072.2.6.837

Vancouver

Gulbins H, Pritisanac A, Hannekum A. Minimally invasive heart valve surgery: already established in clinical routine? EXPERT REV CARDIOVAS. 2004 Nov;2(6):837-843. https://doi.org/10.1586/14779072.2.6.837

Bibtex

@article{3da4f3c9297e4665a7d2cf7bcf6a4b7d,
title = "Minimally invasive heart valve surgery: already established in clinical routine?",
abstract = "Cardiac valve replacement with the need for open heart surgery still has the highest morbidity and mortality rates among routine cardiac surgery, with the exception of aortic aneurysm repair and surgery for congenital heart defects. Reducing invasiveness is a desirable goal, and different strategies and approaches have been used to achieve this with valve repair or replacement less invasive. Despite the good results reported with minimally invasive techniques, time on extracorporal circulation is always longer compared with the conventional procedures. Since these techniques do not reduce real invasiveness but rather improve the cosmetic results, minimal-access surgery would be a better nomenclature. With the exception of patients at a high risk for sternal infections or redo heart operations, a reduction in postoperative morbidity by the avoidance of a median sternotomy is not yet definitely proven. Meanwhile, most surgeons comply with the demand for minimally invasive surgery posed by patients by reducing the length of the incision in aortic valve replacement and by using a right anterolateral approach with a limited incision for mitral valve operations. However, the use of endoscopic or robotic devices is limited to a few centers, and has not yet found its way into clinical routine. Nonetheless, minimally invasive or minimal-access surgery is now established in many centers, and patients should always be informed of these techniques. When this information is provided objectively and patient selection is carried out accurately, these alternative approaches can help to improve postoperative convalescence.",
keywords = "Adult, Aged, Female, Heart Valve Diseases/diagnosis, Heart Valve Prosthesis, Heart Valve Prosthesis Implantation/adverse effects, Humans, Length of Stay, Male, Middle Aged, Minimally Invasive Surgical Procedures/adverse effects, Pain, Postoperative/physiopathology, Patient Satisfaction, Postoperative Complications/mortality, Prognosis, Randomized Controlled Trials as Topic, Risk Assessment, Survival Rate, Thoracotomy/methods, Treatment Outcome",
author = "Helmut Gulbins and Anita Pritisanac and Andreas Hannekum",
year = "2004",
month = nov,
doi = "10.1586/14779072.2.6.837",
language = "English",
volume = "2",
pages = "837--843",
journal = "EXPERT REV CARDIOVAS",
issn = "1477-9072",
publisher = "Taylor and Francis Ltd.",
number = "6",

}

RIS

TY - JOUR

T1 - Minimally invasive heart valve surgery: already established in clinical routine?

AU - Gulbins, Helmut

AU - Pritisanac, Anita

AU - Hannekum, Andreas

PY - 2004/11

Y1 - 2004/11

N2 - Cardiac valve replacement with the need for open heart surgery still has the highest morbidity and mortality rates among routine cardiac surgery, with the exception of aortic aneurysm repair and surgery for congenital heart defects. Reducing invasiveness is a desirable goal, and different strategies and approaches have been used to achieve this with valve repair or replacement less invasive. Despite the good results reported with minimally invasive techniques, time on extracorporal circulation is always longer compared with the conventional procedures. Since these techniques do not reduce real invasiveness but rather improve the cosmetic results, minimal-access surgery would be a better nomenclature. With the exception of patients at a high risk for sternal infections or redo heart operations, a reduction in postoperative morbidity by the avoidance of a median sternotomy is not yet definitely proven. Meanwhile, most surgeons comply with the demand for minimally invasive surgery posed by patients by reducing the length of the incision in aortic valve replacement and by using a right anterolateral approach with a limited incision for mitral valve operations. However, the use of endoscopic or robotic devices is limited to a few centers, and has not yet found its way into clinical routine. Nonetheless, minimally invasive or minimal-access surgery is now established in many centers, and patients should always be informed of these techniques. When this information is provided objectively and patient selection is carried out accurately, these alternative approaches can help to improve postoperative convalescence.

AB - Cardiac valve replacement with the need for open heart surgery still has the highest morbidity and mortality rates among routine cardiac surgery, with the exception of aortic aneurysm repair and surgery for congenital heart defects. Reducing invasiveness is a desirable goal, and different strategies and approaches have been used to achieve this with valve repair or replacement less invasive. Despite the good results reported with minimally invasive techniques, time on extracorporal circulation is always longer compared with the conventional procedures. Since these techniques do not reduce real invasiveness but rather improve the cosmetic results, minimal-access surgery would be a better nomenclature. With the exception of patients at a high risk for sternal infections or redo heart operations, a reduction in postoperative morbidity by the avoidance of a median sternotomy is not yet definitely proven. Meanwhile, most surgeons comply with the demand for minimally invasive surgery posed by patients by reducing the length of the incision in aortic valve replacement and by using a right anterolateral approach with a limited incision for mitral valve operations. However, the use of endoscopic or robotic devices is limited to a few centers, and has not yet found its way into clinical routine. Nonetheless, minimally invasive or minimal-access surgery is now established in many centers, and patients should always be informed of these techniques. When this information is provided objectively and patient selection is carried out accurately, these alternative approaches can help to improve postoperative convalescence.

KW - Adult

KW - Aged

KW - Female

KW - Heart Valve Diseases/diagnosis

KW - Heart Valve Prosthesis

KW - Heart Valve Prosthesis Implantation/adverse effects

KW - Humans

KW - Length of Stay

KW - Male

KW - Middle Aged

KW - Minimally Invasive Surgical Procedures/adverse effects

KW - Pain, Postoperative/physiopathology

KW - Patient Satisfaction

KW - Postoperative Complications/mortality

KW - Prognosis

KW - Randomized Controlled Trials as Topic

KW - Risk Assessment

KW - Survival Rate

KW - Thoracotomy/methods

KW - Treatment Outcome

U2 - 10.1586/14779072.2.6.837

DO - 10.1586/14779072.2.6.837

M3 - SCORING: Review article

C2 - 15500429

VL - 2

SP - 837

EP - 843

JO - EXPERT REV CARDIOVAS

JF - EXPERT REV CARDIOVAS

SN - 1477-9072

IS - 6

ER -