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Minimally Invasive Cardiac Surgery: A Practical Guide [Hardback]

Edited by (National University Health System, Singapore)
  • Formāts: Hardback, 427 pages, height x width: 254x178 mm, weight: 1120 g, 26 Tables, color; 269 Illustrations, color
  • Izdošanas datums: 26-Mar-2021
  • Izdevniecība: CRC Press Inc
  • ISBN-10: 1498736467
  • ISBN-13: 9781498736466
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Minimally Invasive Cardiac Surgery: A Practical GuidePalielināt
  • Formāts: Hardback, 427 pages, height x width: 254x178 mm, weight: 1120 g, 26 Tables, color; 269 Illustrations, color
  • Izdošanas datums: 26-Mar-2021
  • Izdevniecība: CRC Press Inc
  • ISBN-10: 1498736467
  • ISBN-13: 9781498736466
Citas grāmatas par šo tēmu:
Speciālā piedāvājuma visas grāmatas: Taylor & Francis izdevniecība piedāvā populāras grāmatas par ISE (International Student Edition) cenām
Permanent link: https://www.kriso.lv/db/9781498736466.html
Keywords:
"Minimally invasive cardiac surgery(MICS) is an integral component of every future cardiac surgeon's training. There continues to be a growing global demand towards less invasive surgical techniques. Both cardiologist and cardiac surgeon form "heart teams" to provide patients with novel, minimally invasive procedures, with all their benefits. Less invasive techniques are often complex and require special knowhow and skills. This book offers an innovative approach to learning, utilizing QR code technology, which refers the reader to essential audio-visual material, which, along with the didactic text, focuses on practical aspects of minimally invasive cardiac surgery. In modern Heart Teams, and with the advent of the hybrid era, surgeons will only be ableto survive if they have state-of-the-art skills in less invasive technologies, which can be incorporated in the hybrid theatre and/or trans-catheter arena. This text accompanies the surgeon along this path, and provides clinical advice and practical solutions, beyond the necessary basic knowledge. Which courses to visit, which videos to watch, which centres to join for serious training? How best to exploit public and multimedia? How to consent a patient into a MICS procedure? How to set up a MICS programor practice? In the era of value driven outcomes, and a shift towards shorter and better patient journeys, MICS is a skill that no heart surgeon can be without. Minimally Invasive Cardiac Surgery: A Practical Guide is a teaching resource, reference book and manual written by surgeons who both operate and teach the procedures described within. Provides access to online resources via QR codes Includes links to videos and the e-version of the text Acts as a gateway to a huge choice of minimally invasive cardiac surgery materials"--

Minimally invasive cardiac surgery(MICS) is an integral component of every future cardiac surgeon’s training. There continues to be a growing global demand towards less invasive surgical techniques. Both cardiologist and cardiac surgeon form "heart teams" to provide patients with novel, minimally invasive procedures, with all their benefits.

Less invasive techniques are often complex and require special knowhow and skills. This book offers an innovative approach to learning, utilizing QR code technology, which refers the reader to essential audio-visual material, which, along with the didactic text, focuses on practical aspects of minimally invasive cardiac surgery. In modern Heart Teams, and with the advent of the hybrid era, surgeons will only be able to survive if they have state-of-the-art skills in less invasive technologies, which can be incorporated in the hybrid theatre and/or trans-catheter arena. This text accompanies the surgeon along this path, and provides clinical advice and practical solutions, beyond the necessary basic knowledge. Which courses to visit, which videos to watch, which centres to join for serious training? How best to exploit public and multimedia? How to consent a patient into a MICS procedure? How to set up a MICS program or practice? In the era of value driven outcomes, and a shift towards shorter and better patient journeys, MICS is a skill that no heart surgeon can be without.

Minimally Invasive Cardiac Surgery: A Practical Guide

is a teaching resource, reference book and manual written by surgeons who both operate and teach the procedures described within.

  • Provides access to online resources via QR codes

  • Includes links to videos and the e-version of the text

  • Acts as a gateway to a huge choice of minimally invasive cardiac surgery materials

Recenzijas

This book is a first-class inspiration for a lot of young surgeons, who would like to stay relevant in todays landscape. A must read and a professional companion for the rest of their career. -Hugo Baron Vanermen

"Cardiac surgery is a difficult, high-stakes, reconstructive surgical field, which has slowed down the uptake of minimal invasive procedures. But we are there, finally. This book represents the must-have reference on the topic." -Marc Ruel MD, MPH, FRCSC, FCCS, FAHA This book is a first-class inspiration for a lot of young surgeons, who would like to stay relevant in todays landscape. A must read and a professional companion for the rest of their career. -Hugo Baron Vanermen

"Cardiac surgery is a difficult, high-stakes, reconstructive surgical field, which has slowed down the uptake of minimal invasive procedures. But we are there, finally. This book represents the must-have reference on the topic." -Marc Ruel MD, MPH, FRCSC, FCCS, FAHA

"A very practical guide to caring for patients with operative heart disease"



-Wiley Nifong, MD, East Carolina University

Prologue xxv
Acknowledgments xxix
Our Editorial Team xxxi
Contributors xxxv
1 Foreword/Introduction
1(6)
Theo Kofidis
How to Get the Most Out of the Present Book
4(1)
Who Is the Primary and Secondary Readership of the Book?
5(2)
2 History of Minimally Invasive Cardiac Surgery
7(14)
Chang Guohao
Theo Kofidis
History or Introduction
7(1)
How It Has Been Done
7(5)
Tools/Instruments and Devices
12(3)
Perioperative Consideration
15(2)
Alternative Approaches
17(1)
Caveats and Controversies
17(1)
Research, Trends and Innovation
18(1)
Where and How to Learn
18(1)
References
19(2)
3 How to Set up a Minimally Invasive Program
21(10)
Theo Kofidis
Chang Guohao
History or Introduction
21(1)
How to Do It/Step by Step
22(1)
Tools/Instruments and Devices
23(3)
Perioperative Consideration
26(2)
Alternative Approaches
28(1)
Caveats and Controversies
28(1)
Where and How to Learn
29(1)
References
30(1)
4 Instrumentation and Operating Theater Set up in Minimally Invasive Cardiac Surgery
31(20)
Faizus Sazzad
Theo Kofidis
Introduction
31(1)
How to Do It/Step by Step
32(1)
Minimally Invasive Valve Surgery
32(1)
Minimally Invasive Mitral Valve Surgery
32(1)
Minimally Invasive Aortic Valve Surgery
33(1)
Minimally Invasive CABG Surgery
33(1)
Positioning Draping of Patient
33(1)
Special Considerations
33(1)
Special Instruments and Consumables
34(1)
TAVI (Transfemoral and Transapical)
34(1)
Femoral Cannulation Technique
34(3)
Cannula Selection
35(1)
Cannula Sizing
35(1)
The Insertion Technique
36(1)
Cannula Positioning
36(1)
Cannula Securing
36(1)
Open Cannulation for Endoballoon (Thruport)
36(1)
Percutaneous Femoral Cannulation
37(1)
Tools/Instruments and Devices
37(7)
General Instrumentation
37(1)
Special Retractor for Minimally Invasive Mitral Valve Surgery
38(1)
Special Instruments for MICS CABG Surgery
39(1)
ThoraTrak Retractor
39(1)
Octopus Nuvo Stabilizer and Starfish NS Positioner
39(3)
Femoral Cannula
42(1)
Special Instruments
42(2)
Perioperative Consideration
44(1)
Alternatives
45(2)
Alternative Stabilizers
45(1)
Aesculap FLEXHeart
45(1)
Valve XS Atrium Retractor
45(1)
Alternative Cannulation Technique for CPB
45(1)
Axillary Artery Cannulation
45(1)
SVC Cannulation
45(1)
Conventional Cannulation
46(1)
Peripheral Cannulation Technique
46(1)
Robotic Surgery
46(1)
TAVI
47(1)
Caveats and Controversies
47(2)
Heart Valve Surgery
47(1)
MIS AVR: Approach - Upper J Sternotomy vs RATS
47(1)
TAVI vs SAVR
47(1)
MiMVR: Mini MVR vs Robotic-Assisted
48(1)
MICS CABG
48(1)
References
49(2)
5 Anesthesia for Minimally Invasive Cardiac Surgery
51(18)
Ti Lian Kah
Sophia Ang Bee Leng
Wei Zhang
Lalitha Manickam
Jai Ajitchandra Sule
History and Introduction
51(2)
How to Do It/Step by Step
53(7)
Monitoring
53(1)
Anesthetic Preparation
53(2)
Transesophageal Echocardiography (TOE)
55(4)
Ventilation Strategy
59(1)
Principles Guiding Conduct of Anesthesia
59(1)
Tools/Instruments and Devices
60(1)
Perioperative Considerations
61(2)
Pre-Anesthetic Evaluation
61(1)
Positioning
62(1)
Postoperative Management
62(1)
Alternative Approaches
63(1)
Caveats and Controversies
63(2)
One-Lung Ventilation
63(1)
Postoperative Pulmonary Edema
64(1)
Surgical Techniques Impacting Anesthesia
64(1)
Deairing of the Heart
64(1)
Mitral Valve and Right Mini-Thoracotomy
64(1)
Long-Acting Cardioplegia
65(1)
MICS CABG
65(1)
Proximal Anastomosis
65(1)
Reinflating the Left Lung
65(1)
Research, Trends and Innovation
65(1)
Where and How to Learn
66(1)
References
67(2)
6 Surgical Approaches in Minimally Invasive Cardiac Surgery
69(18)
Faizus Sazzad
Theo Kofidis
History or Introduction
69(1)
How to Do It/Step by Step
70(13)
Patient Selection, Preparation and Positioning
70(2)
Perioperative Considerations
72(11)
Tools/Instruments and Devices
83(1)
Alternative Approaches
83(2)
Alternative Caval Isolation for Right Heart
84(1)
Trans-areolar Endoscopic approach
84(1)
Caveats and Controversies
85(1)
Potential Complications and Troubleshooting
85(1)
References
85(2)
7.1 The Aortic Valve: Minimally Invasive Aortic Valve Replacement. The Right Anterior Minithoracotomy
87(12)
Igo B. Ribeiro
Marc Ruel
Introduction
87(1)
How to Do It/Step by Step
88(4)
Step 1 Patient Preparation and Exposure
88(1)
Step 2 CPB Installation - Cannulation, Cardioplegia and LV Venting
89(1)
Step 3 AVR - Aortotomy, Aortic Valve Exposure and Replacement
90(2)
Tools/Instruments and Devices
92(1)
Medtronic ThoraTrak (MICS Retractor System)
92(1)
Perioperative Considerations
92(2)
Alternative Approaches
94(1)
Caveats and Controversies
94(2)
Research, Trends and Innovation
96(1)
Where and How to Learn
97(1)
References
97(2)
7.2 Minimally Invasive Aortic Valve Replacement: Upper "J" Sternotomy
99(12)
Faizus Sazzad
Theo Kofidis
Introduction
99(1)
How to Do It/Step by Step
100(4)
Special Considerations
102(2)
Tools/Instruments and Devices
104(1)
Saw: Oscillating Saw
104(1)
Aortic Cannula: EOPA™
104(1)
Aortic Cross Clamp
104(1)
Automated Knot Fastener
104(1)
Perioperative Consideration
104(2)
Preoperative CTScan of the Patient (CT Thorax, Abdomen and Pelvis)
104(1)
Chest Wall Deformity
104(1)
Severe Calcified Ascending Aorta
104(1)
Reoperations/Redo Surgery
105(1)
Status Post-Pneumonectomy
105(1)
Obesity
106(1)
Post-Radiation Therapy
106(1)
Alternative Approaches
106(1)
Manubrium-Limited Sternotomy
106(1)
Suprasternal AVR
106(1)
Caveats and Controversies
106(2)
Research, Trends and Innovation
108(1)
Trans-Apical TAVI
108(1)
Valve-in-Valve
108(1)
Where and How to Learn
108(1)
Professional Education: LivaNova
108(1)
EACTS Academy
108(1)
National University Health System (NUHS), Singapore (ASTC)
108(1)
Aortic Valve and Root Boot Camp
108(1)
References
109(2)
7.3 The Aortic Valve: Sutureless Valves in the Setting of MICS AVR
111(14)
Theodor Fischlein
Giuseppe Santarpinq
History and Introduction
111(2)
How to Do It/Step by Step
113(2)
Patient Selection
113(1)
Perceval
113(1)
Intuity Elite Valve
114(1)
Tools/Instruments and Devices
115(2)
Perceval S (LivaNova Group, Milan, Italy)
115(1)
Intuity (Edwards Lifesciences, Irvine, CA)
116(1)
Perioperative Consideration
117(1)
Alternative Approaches
117(1)
Caveats and Controversies
118(1)
Research, Trends and Innovation
119(3)
Perceval
119(1)
Intuity
119(1)
Perceval versus Intuity
119(2)
Current Evidence and Future Prospects
121(1)
Where and How to Learn
122(1)
International Valvular Surgery Study Group (IVSSG)
122(1)
References
122(3)
7.4 The Aortic Valve: Endoscopic Aortic Valve Surgery
125(8)
Giovanni Domenico Cresce
Loris Salvador
History and Introduction
125(1)
OT Setup and Instrumentation
126(1)
How to Do It/Step by Step
126(2)
Cardiopulmonary Bypass (CPB)
126(1)
Aortic Cross Clamping, Cardioplegia and Ventricular Venting
127(1)
Surgical Technique
127(1)
Prosthetic Choice
128(1)
Summarized Experience
128(1)
Caveats and Controversies
128(1)
Where and How to Learn
129(1)
Conclusions
130(1)
References
130(3)
8.1 Transcatheter Aortic Valve Implantation (TAVI): Transapical Transcatheter Aortic Valve Replacement
133(10)
Amalia Winters
Jessica Forcillo
Vinod H. Thourani
History and Introduction
133(1)
How to Do It/Step by Step
134(3)
The Transapical Approach
134(1)
Operative Technique
135(2)
Tools/Instruments and Devices
137(1)
Perioperative Consideration
137(1)
Preoperative Assessment and Planning
137(1)
Alternative Approaches
138(1)
Caveats and Controversies
138(2)
Research, Trends and Innovation
140(1)
Where and How to Learn
140(1)
References
141(2)
8.2 Transfemoral Transcatheter Aortic Valve Implantation
143(28)
Ivandito Kuntjoro
Edgar Tay
History and Introduction
143(1)
How to Do It/Step by Step
144(4)
Patient Selection
144(1)
Setup and Equipment
144(1)
Vascular Access
145(1)
Temporary Pacemaker Placement
146(1)
Aortic Root Angiogram
146(1)
Delivery Sheath Insertion
146(1)
Aortic Valve Crossing
146(1)
Balloon Aortic Valvuloplasty (BAV)
147(1)
Valve Implantation
147(1)
Post-Valve Implantation Assessment
148(1)
Tools/Instruments and Devices
148(3)
Sapien 3 (Edwards Lifesciences, Irvine, CA, USA)
148(1)
Evolut R (Medtronic, Fridley, MN, USA)
148(1)
Lotus Edge (Boston Scientific, Marlborough, MA, USA)
148(2)
Portico (Abbott, Chicago, IL, USA)
150(1)
Perioperative Considerations
151(6)
Preoperative Assessment and Screening
151(1)
Echocardiogram
151(1)
Cardiac Catheterization
151(4)
Computed Tomography (CT) Angiography
155(1)
Associated Co-Morbidities
156(1)
Alternative Approaches
157(1)
Caveats and Controversies
158(4)
Paravalvular Regurgitation (PVR)
158(2)
Cardiac atrioventricular conduction abnormalities
160(1)
Stroke
160(1)
Vascular Complications
161(1)
Specific Caveats
162(1)
Research, Trends and Innovation
162(4)
Current Status of TAVI
162(2)
Balloon Valvuloplasty Catheter
164(1)
Delivery Sheath Design
164(1)
Future of Transfemoral TAVI
165(1)
Where and How to Learn
166(1)
Medtronic TAVI course
166(1)
PCR Online TAVI Atlas
166(1)
ESC Courses
166(1)
References
167(4)
8.3 Transcatheter Aortic Valve Implantation (TAVI): Alternative Approaches for Transcatheter Aortic Valve Implantation
171(12)
Faizus Sazzad
Theo Kofidis
Introduction
171(1)
Alternative Approaches
172(1)
How to Do It/Step by Step
172(5)
Subclavian Transcatheter Aortic Valve Replacement (SC-TAVI)
172(1)
Technique
172(1)
Pros and Cons
173(1)
Transaxillary Transcatheter Aortic Valve Replacement (TAX-TAVI)
173(1)
Technique
173(1)
Pros and Cons
174(1)
Direct Aortic Transcatheter Aortic Valve Replacement (DA-TAVI)
174(1)
Technique
174(1)
Pros and Cons
175(1)
Transcarotid Transcatheter Aortic Valve Replacement (TC-TAVI)
175(1)
Technique
175(1)
Pros and Cons
175(1)
Transcaval Transcatheter Aortic Valve Replacement (TCA-TAVI)
176(1)
Technique
176(1)
Pros and Cons
177(1)
Devices
177(2)
Peri-Procedural Considerations
179(1)
Where and How to Learn
179(2)
TAVI Fellowship
180(1)
References
181(2)
9.1 The Mitral Valve: Minimally Invasive Mitral Valve Surgery
183(18)
Hugo Vanermen
History and Introduction
183(1)
How to do it/Step by Step
184(11)
Position the Patient
184(1)
Installing Extracorporeal Circulation
184(3)
Myocardial Preservation
187(1)
Exposure
188(5)
Mitral Valve Repair Technique
193(2)
Tools/Instruments and Devices
195(1)
Medtronic Extracorporeal Cannula
195(1)
ThruPort IntraClude from Edwards Lifesciences
195(1)
Perioperative Considerations
196(1)
Caveats and Controversies
196(1)
Research, Trends and Innovation
197(1)
Where and How to Learn
197(2)
FOCUS Valve Workshops
197(1)
NUHCS Singapore Minimally Invasive Mitral Valve Programme
197(1)
Cleveland Clinic Minimally Invasive Mitral Repair
197(2)
References
199(2)
9.2 The Mitral Valve: Alternative Approaches to Minimally Invasive Mitral Valve Surgery
201(14)
Chang Guohao
Theo Kofidis
History or Introduction
201(1)
How to Do It/Step by Step
202(1)
Right Paramedian Approach
202(1)
Upper Sternotomy Approach
203(1)
Right Thoracotomy Approach
203(1)
Tools/Instruments and Devices
203(6)
MitraClip™
203(1)
Tiara Valve
204(1)
AccuFit Valve
204(1)
Tendyne™ Valve
205(1)
Cardiaq Valve
206(1)
Coronary Sinus-Based Percutaneous Mitral Annuloplasty
206(1)
Valtech Cardioband
207(1)
Mitralign
207(1)
GDS Accucinch
208(1)
Transapical Off-Pump NeoChord Implantation
208(1)
Valtech V-Chordal
209(1)
Mitra-Spacer
209(1)
Perioperative Consideration
209(1)
Alternative Approaches
210(3)
Transcatheter Mitral Valve Replacement
210(1)
Percutaneous Mitral Valve Repair
211(2)
Where and How to Learn
213(1)
References
214(1)
9.3 The Mitral Valve: Robotic Mitral Valve Surgery
215(20)
Nirav C. Patel
Meghan K. Torres
Jonathan M. Hemli
History and Introduction
215(1)
How to Do It/Step by Step
216(9)
Patient Selection
216(2)
Preparation
218(1)
Surgical Exposure and Access
219(1)
Cardiopulmonary Bypass and Myocardial Protection
220(2)
Operating on the Mitral Valve
222(1)
Concluding the Operation
223(2)
Tools/Instruments and Devices
225(1)
Da Vinci Xi System
225(1)
Alexis Wound Protector
225(1)
Endo Close™ Trocar Site Closure Device
225(1)
LivaNova Venous Return Cannulas
225(1)
Optisite Arterial Cannulas
225(1)
MiaR™ Cardioplegia Cannula
226(1)
Chitwood Debakey Aortic Cross-Clamp
226(1)
StrykeFlow II Suction Irrigation Pump
226(1)
Perioperative Consideration
226(4)
Preoperative Assessment
226(1)
Previous Cardiac Surgery
227(1)
Clinical Outcomes
227(3)
Alternative Approaches
230(1)
LEAR Technique
230(1)
Cardioplegia
230(1)
Cross-Clamp
230(1)
Reoperative Surgery
230(1)
Caveats and Controversies
230(1)
Research, Trends and Innovation
231(1)
Where and How to Learn
232(1)
Annals of Cardiothoracic Surgery (ACS) Video Atlas
232(1)
STS workshop on Robotic Cardiac Surgery
232(1)
References
232(3)
9.4 The Mitral Valve: Percutaneous Mitral Valve Repair: MitraClip®
235(18)
Mohammad Abdulrahman Al Otaiby
History and Introduction
235(1)
Percutaneous Mitral Valve Repair Using the MitraClip® System
235(1)
How to Do It/Step by Step
236(4)
Steps
236(1)
Surgical Approach
236(1)
Transseptal Puncture
236(2)
Anatomy of the septum
238(2)
Tools/Instruments and Devices
240(1)
Perioperative Consideration
241(3)
Indications for MICS Procedure
241(2)
Patient Selection
243(1)
Contraindications
243(1)
Alternative Approaches
244(1)
A look to current and soon-to-come transcatheter mitral valve repair options
244(1)
Caveats and Controversies
245(2)
From the Cardiologist's point of view
245(1)
Transcatheter Mitral Valve Repair Today and Tomorrow
245(1)
Experiences so far
245(1)
Real-World Experience
245(1)
Butterfly in the Heart
245(2)
Beyond Everest
247(1)
Research, Trends and Innovation
247(5)
ACCESS-EU PHASE I
250(1)
ACCESS-EU PHASE II
250(2)
Where and How to Learn
252(1)
10 Minimally Invasive Tricuspid Valve Surgery
253(14)
Christos Alexiou
Theo Kofidis
History and Introduction
253(1)
Tricuspid Regurgitation
253(1)
TR at the Time of Left-Sided Heart Surgery
254(1)
Tricuspid Stenosis
254(1)
How to Do It/Step by Step
254(5)
Exposure of the Heart and Right Atrium
256(1)
Cannulation and Cardiopulmonary Bypass
257(1)
Aortic Clamping and Cardioplegia Delivery
258(1)
Main Operation (TV Repair or Replacement)
258(1)
Completion of the Procedure
259(1)
Redo Right Mini Thoracotomy TV Surgery (after Previous Pericardiotomy)
259(1)
Tools/Instruments and Devices
259(1)
Perioperative Consideration
260(1)
Alternative Approaches
260(1)
Caveats and Controversies
260(1)
Research, Trends and Innovation
261(2)
Where and How to Learn
263(1)
References
263(4)
11 Minimally Invasive Combined Heart Valve Surgery
267(10)
Faizus Sazzad
Theo Kofidis
Introduction
267(1)
How to Do It/Step by Step
268(4)
Upper J sternotomy Approach for Double Valve Repair/Replacement (AVR+MVR)
268(1)
Upper T Sternotomy Approach
269(1)
Right Mini-Thoracotomy Approach
269(1)
Caval Isolation
269(1)
Caval Occlusion
270(1)
Concomitant Procedures
271(1)
Tools/Instruments and Devices
272(1)
External Defibrillator Pads
272(1)
Soft Tissue Retractor
272(1)
Atrial Lift System and Visor
272(1)
Alternatives
272(1)
Conventional Full Sternotomy Approach
272(1)
Caval Isolation
273(1)
Caveats and Controversies
273(1)
Combined Procedures in Minimally Invasive versus Conventional Approaches
273(1)
Research, Trends and Innovation
273(2)
Soft Robotics in Minimally Invasive Surgery
273(2)
Where and How to Learn
275(1)
Minimally Invasive Techniques in Adult Cardiac Surgery (MITACS)
275(1)
International Society for Minimally Invasive Cardiothoracic Surgery (ISMICS) Courses
275(1)
References
275(2)
12.1 The Coronaries: Minimally Invasive Coronary Artery Bypass Grafting Surgery
277(8)
Janet M. C. Ngu
Ming Hao Guo
Marc Ruel
History or Introduction
277(1)
How to Do It/Step by Step
277(5)
Patient Positioning
277(1)
Chest Marking and Incision
278(1)
Harvesting the Left Internal Thoracic Artery (LITA)
278(1)
Proximal Anastomosis
279(1)
Distal Anastomosis
280(1)
Chest Closure
281(1)
Post-Operative Care
281(1)
Tools/Instruments and Devices
282(1)
Perioperative Consideration
282(1)
Anesthesia
282(1)
Alternative Approaches
283(1)
Caveats and Controversies
284(1)
Research, Trends and Innovation
284(1)
Where and How to Learn
284(1)
References
284(1)
12.2 The Coronaries: Robot Facilitated Coronary Artery Bypass Grafting
285(24)
Laszlo Gobolos
Johannes Bonatti
History and Introduction
285(3)
How to Do It/Step by Step
288(6)
Patient Selection
288(1)
Preparation
288(1)
Operative Guide
288(1)
Step 1 Patient Placement and Operative Start-Up
288(1)
Step 2 Port Insertion and Robot Docking
288(1)
Step 3 Internal Mammary Artery Takedown
289(1)
Step 4 Utility Port Placement
290(1)
Step 5 Precordial Fat Pad Resection and Pericardial Exposure
290(1)
Step 6 Vascular Cannulation and Application of Endoclamp (Endoballoon Occlusion)
291(1)
Step 7 Cardiopulmonary Bypass
291(1)
Step 8 Identification and Exposure of the Target Vessels
291(2)
Step 9 Robot-Facilitated Endoscopic Coronary Anastomosis
293(1)
Step 10 Final Actions
294(1)
Tools/Instruments and Devices
294(1)
Perioperative Consideration
294(3)
Preoperative Assessment and Work-Up
294(1)
Anesthetic Considerations
295(1)
Postoperative Care
295(1)
Time Demand
295(2)
Alternative Approaches
297(1)
Cannulation
297(1)
Cardioplegia
297(1)
TECAB Approaches
297(1)
Coronary Grafting Options
298(1)
TECAB as Hybrid Coronary Procedure
298(1)
Caveats and Controversies
298(4)
Contraindications to TECAB
298(1)
Endoballoon
299(1)
Extracorporeal Circulation
300(1)
Coronary Anastomosis
300(1)
Other Caveats
301(1)
Research, Trends and Innovation
302(4)
Reduced Surgical Trauma Advantages
302(1)
Intermediate- and Long-Term Outcomes
302(1)
Predictors of Success and Safety, Further Patient Aspects
303(1)
Summary and Future Aspects
304(2)
Where and How to Learn
306(1)
References
306(3)
12.3 Anaortic, Off-Pump, Total-Arterial Coronary Artery Bypass Grafting Surgery: The Coronaries
309(14)
Michael Seco
J. James B. Edelman
Fabio Ramponi
Michael K. Wilson
Michael P. Vallely
History and Introduction
309(1)
Introduction
309(1)
History of OPCAB and Technical Innovation
310(1)
Research, Trends and Innovation
310(3)
Stroke and Other Peri-Operative Complications
310(1)
High-risk Patients
311(2)
Caveats and Controversies
313(1)
Complete Revascularization and Long-Term Outcomes
313(1)
How to Do It/Step by Step
314(3)
Anaortic OPCAB Surgical Technique
314(3)
Tools/Instruments and Devices
317(2)
Alternative Approaches
319(1)
Where and How to Learn
319(1)
EACTS OPCAB Fellowship
319(1)
EBM Beat + YOUCAN Simulator
319(1)
Summary
320(1)
References
320(3)
12.4 Tne Coronaries: Hybrid Coronary Artery Bypass Grafting Surgery
323(8)
Claudio Muneretto
Chang Guohao
Theo Kofidis
History and Introduction
323(1)
How to Do It/Step by Step
324(2)
Tools/Instruments and Devices
326(1)
Perioperative Consideration
326(1)
Alternative Approaches
327(1)
Caveats and Controversies
327(1)
Research, Trends and Innovation
328(1)
ISMICS 2014 Annual Meeting presentation
328(1)
References
329(2)
13 Minimally Invasive Atrial Ablation Surgery
331(28)
Anil K. Gehi
Andy C. Kiser
History and Introduction
331(2)
How to Do It/Step by Step
333(3)
Minimally Invasive Cox Maze Procedure
333(1)
Pulmonary Vein Isolation
333(1)
Pruitt Box Lesion
334(1)
Wolf Mini Maze
334(1)
PVI via Right Minithoracotomy
334(1)
Pulmonary Vein Isolation and Autonomic Denervation
335(1)
Dallas Lesion Set
335(1)
Five Box Ablation
335(1)
Tools/Instruments and Devices
336(1)
Perioperative Considerations
337(3)
Paroxysmal versus Persistent AF
337(1)
Minimally Invasive Surgical versus Catheter Ablation
338(1)
Comorbidities
339(1)
Alternative Approaches
340(5)
Hybrid Ablation
340(1)
Thoracoscopic Approach
341(3)
Subxiphoid Pericardioscopic Approach
344(1)
Transdiaphragmatic Combined Subxiphoid and Laparoscopic Approach
345(1)
Concomitant Minimally Invasive AF Ablation and Mitral Valve Surgery
345(1)
Left Atrial Appendage Exclusion
345(1)
Caveats and Controversies
345(4)
Epicardial Ablation for AF
345(3)
Hybrid Ablation for AF
348(1)
Research, Trends and Innovation
349(7)
Minimally Invasive Cox Maze
349(1)
Minimally Invasive Pulmonary Vein Isolation
349(1)
Pruitt Box Lesion
349(1)
Wolf Mini Maze
349(1)
Pulmonary Vein Isolation via Right Minithoracotomy
350(1)
Pulmonary Vein Isolation and Autonomic Denervation
351(1)
Dallas Lesion Set
351(1)
Five-Box Ablation
352(1)
Hybrid Surgery for AF
352(1)
Thoracoscopic Approach
353(2)
Subxiphoid Pericardioscopic Approach
355(1)
Transdiaphragmatic Combined Subxiphoid and Laparoscopic Approach
355(1)
Concomitant Atrial Ablation with Minimally Invasive Mitral Surgery
355(1)
Conclusion
356(1)
Where and How to Learn
356(1)
International Society of Minimally Invasive Cardiac Surgery (ISMICS) Workshop
356(1)
AtriCure Education and Training
356(1)
The Journal of Innovations in Cardiac Rhythm Management
356(1)
References
356(3)
14.1 Aortic Surgery: Minimally Invasive Ascending Aortic Surgery
359(14)
Ourania Preventza
History or Introduction
359(1)
Minimally Invasive Aortic Surgery for Cardiovascular Surgeons
359(1)
History
359(1)
How to Do It/Step by Step
360(6)
Surgical Approach
360(1)
Aortic Root, Ascending Aorta with or without Proximal Arch, Total Arch
360(2)
Endovascular Repair of the Ascending Aorta
362(1)
Endovascular Repair of Aortic Arch
363(2)
Descending Thoracic Aorta
365(1)
Thoracoabdominal Aorta
365(1)
Tools/Instruments and Devices
366(1)
FDA-Approved Stent Grafts
366(1)
Perioperative Consideration
367(1)
Indications for Minimally Invasive Aortic Surgery
367(1)
Ascending Aorta and Aortic Arch
367(1)
Descending Thoracic Aorta
367(1)
Alternative Approaches
368(1)
Caveats and Controversies
368(1)
Research, Trends and Innovation
369(1)
Current Results
369(1)
Ascending Aorta: Endovascular Repair
369(1)
Arch and Descending Thoracic Aorta
369(1)
Hybrid Results
369(1)
Endovascular Repair
369(1)
Descending Thoracic Aorta
369(1)
Where and How to Learn
370(1)
References
370(3)
14.2 Aortic Surgery: Endovascular and Hybrid Approaches for Distal Arch and Descending Thoracic Aorta
373(16)
Cem Alhan
Sahin Senay
Julian Wong
Andrew M.T.L. Choong
History or Introduction
373(4)
Distal Arch Aneurysms
374(1)
Descending Aortic Aneurysms
374(1)
Traumatic Aortic Injury
374(2)
Penetrating Aortic Ulcers
376(1)
Intramural Hematoma
376(1)
Coarctation of Aorta
376(1)
Type B Aortic Dissections
377(1)
Other Pathologies
377(1)
How to Do It/Step by Step
377(7)
Arch Debranching
377(1)
Evolution of the "Visceral Hybrid" Repair for Thoracoabdominal Aortic Pathology
377(2)
General Principles
379(1)
Treatment Techniques
380(1)
Zone 1 Pathologies
380(2)
Zone 2 Pathologies
382(1)
Zone 3 Pathologies
382(1)
St Mary's Visceral Hybrid Repair Technique
382(2)
Alternative Approaches
384(1)
Standard Approach (Transfemoral)
384(1)
Conduits
384(1)
Iliac/Infra-Renal Abdominal Aortic Approach
384(1)
Thoracic Aortic Approach
384(1)
Tools/Instruments and Devices
385(1)
Tools/Instruments
385(1)
Devices
385(1)
Standard TEVAR Devices
385(1)
Custom-Made TEVAR Devices
385(1)
Hybrid Open TEVAR Devices
386(1)
Perioperative Considerations
386(1)
Device and Stock Considerations
386(1)
Radiation Protection
386(1)
Lumbar Spinal Drainage
386(1)
Caveats and Controversies
386(1)
Subclavian Artery Coverage
386(1)
Chimney Techniques
386(1)
References
387(2)
15 Minimally Invasive Heart Failure Surgery
389(10)
Faizus Sazzad
Theo Kofidis
Introduction
389(1)
Operations for Heart Failure
389(1)
How to Do It/Step by Step
390(2)
Minimally Invasive LVAD Implantation
390(1)
Technique
391(1)
Surgical Access
391(1)
Circulatory Support
391(1)
Operation
391(1)
Special Concerns
392(1)
Tools/Instruments and Devices
392(1)
Acorn CoreCap
392(1)
HeartWare VAD (HVAD)
392(1)
HeartMate III
392(1)
Alternatives
392(1)
Conventional Full Sternotomy Approach
392(1)
Caveats and Controversies
393(3)
Abandoned Surgical Options
393(2)
Managing Arrhythmias in LVAD Patients
395(1)
Park's Plication Stitch for Al at the Time of LVAD
395(1)
Bilateral Mini-Thoracotomy vs Separate Incisions
395(1)
Sternal-Sparing Approach
395(1)
Off-Pump vs On-Pump LVAD Implantation
395(1)
Minimally Invasive vs Conventional LVAD Implantation
396(1)
Research, Trends and Innovation
396(1)
Heart Failure Therapy Update
396(1)
Where and How to Learn
396(1)
ISHLT
396(1)
Postgraduate Courses on Heart Failure in London
397(1)
References
397(2)
16 Epilogue
399(2)
Theo Kofidis
Annex 401(16)
Index 417
Professor Theo Kofidis is Head of the Department of Cardiac-, Thoracic- and Vascular Surgery, at the National University Hospital of Singapore, Senior Consultant Cardiothoracic Surgeon, an expert minimally invasive heart surgeon and avid researcher. He is a renowned Cardiac Surgeon and strongly sought-for proctor and surgical teacher around the world. One of only 2 AATS members in SE Asia. He is Founder and Owner of the Company Kardia Pte Ltd, aiming at the development of disruptive heart valve- and minimally invasive heart surgery technology. He is Chairman of I.R.I.S. (Initiative for Research and Innovation in Surgery), has introduced various new technologies, and launched new types of less invasive surgery. Over the last 10 years in Singapore, he has established the most complete, pioneering and advanced Minimally Invasive Heart Surgery program in the region, and set up the most advanced hemodynamic research laboratory and Cardiovascular Surgical Research Group in Singapore, after winning numerous grants. His enthusiastic involvement in the field of Minimally Invasive cardiac surgery now encompasses a prototype simulation center in Minimally Invasive Cardiac, Thoracic and Vascular Surgery, featuring manual and digital surgical simulators, Virtual Reality and more, in a high-tech environment at NUS.

Professor Kofidis has trained in some of the worlds leading institutions (Rochester, NY/Texas Heart, Houston/Hannover Germany, Stanford, CA, USA). He is decorated with various international Awards and carries various offices and commitments internationally. He has lectured for the American Medical Association, the FDA, the Bill Gates Research Institute and more. As an academic teacher, proctor and Consultant for a number of companies in the field-related industry, he is holding events and workshops in various countries around the world, bringing Minimally Invasive knowhow to doctors and patients alike.

Professor Theo Kofidis lives in Singapore with his wife Persephone and daughter Danae, loves to fly airplanes, photograph, work out and read