Enoch Akowuah of the James Cook Hospital in Middlesbrough, United Kingdom, discusses key aspects of the UK Mini Mitral Trial and sets the scene for a debate on median sternotomy versus minithoracotomy for degenerative mitral valve disease.
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Minimally Invasive
December 18, 2018
The authors, using the STS/ACC TVT Registry, analyzed the the occurrence of patient-prosthesis mismatch (PPM) in 62,215 patients enrolled between 2014 and 2017. They found that severe and moderate PPM occurred in 12% and 25% of patients, respectively.
December 18, 2018
This study analyzed the cost-effectiveness of TAVR versus SAVR in 3110 intermediate-risk aortic stenosis patients from the PARTNER-2 trial. Using a Markov model, the authors found that TAVR is economically dominant from the perspective of lifetime cost-effectiveness in the US healthcare system.
December 17, 2018
Grant and colleagues studied short- and midterm outcomes for 639 matched pairs of patients who underwent mitral valve surgery by either sternotomy or a minimally invasive approach at three UK institutions between 2008 and 2016. Patients were included even if they underwent concomitant tricuspid valve surgery or ablation for atrial fibrillation.
December 13, 2018
Torsten Doenst of the University Hospital Jena in Germany presents the argument for minimally invasive techniques over median sternotomy in the treatment of mitral valve disease.
December 6, 2018
Gilles Dreyfus and colleagues share a decade of mitral reconstruction for degenerative posterior leaflet pathology in Harefield and Monaco (38 per year was the formidable average). The supplementary video is of particular educational value for the mitral surgeon and the cardiologist/TOE (TEE) specialist.
December 3, 2018
This video demonstrates the utility of cadaveric simulation in preparation for a complete portal robotic carinal resection and reconstruction on extracorporeal membrane oxygenation.
November 29, 2018
Bob Kiaii of the London Health Sciences Centre in Ontario, Canada, makes the case for a hybrid approach to coronary revascularization.
November 27, 2018
This video demonstrates three methods for identifying the LAD target in minimally invasive robot-assisted CABG.
November 15, 2018
An interesting randomized controlled trial asserting robustly that endoscopic harvesting of saphenous vein is: (1) better for leg dehiscence and (2) at least noninferior for MACE compared to the conventional open "full touch" method.