Download
s13019-021-01400-6.pdf 2,83MB
WeightNameValue
1000 Titel
  • Impact of standardized computed tomographic angiography for minimally invasive mitral and tricuspid valve surgery
1000 Autor/in
  1. Immohr, Moritz B. |
  2. Sugimura, Yukiharu |
  3. Kröpil, Patric |
  4. Aubin, Hug |
  5. Minol, Jan-Philipp |
  6. Albert, Alexander |
  7. Boeken, Udo |
  8. Lichtenberg, Artur |
  9. Akhyari, Payam |
1000 Erscheinungsjahr 2021
1000 Publikationstyp
  1. Artikel |
1000 Online veröffentlicht
  • 2021-03-20
1000 Erschienen in
1000 Quellenangabe
  • 16(1):34
1000 Copyrightjahr
  • 2021
1000 Lizenz
1000 Verlagsversion
  • https://doi.org/10.1186/s13019-021-01400-6 |
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7981880/ |
1000 Publikationsstatus
1000 Sprache der Publikation
1000 Abstract/Summary
  • Background!#!Femoral cannulation for extracorporeal circulation (ECC) is a standard procedure for minimally invasive cardiac surgery (MICS) of the atrio-ventricular valves. Vascular pathologies may cause serious complications. Preoperative computed tomography-angiography (CT-A) of the aorta, axillary and iliac arteries was implemented at our department.!##!Methods!#!Between July 2017 and December 2018 all MICS were retrospectively reviewed (n = 143), and divided into 3 groups.!##!Results!#!In patients without CT (n = 45, 31.5%) ECC was applied via femoral arteries (91.1% right, 8.9% left). Vascular related complications (dissection, stroke, coronary and visceral ischemia, related in-hospital death) occurred in 3 patients (6.7%). In patients with non-contrast CT (n = 35, 24.5%) only femoral cannulation was applied (94.3% right) with complications in 4 patients (11.4%). CT-angiography (n = 63, 44.1%) identified 12 patients (19.0%) with vulnerable plaques, 7 patients (11.1%) with kinking of iliac vessels, 41 patients (65.1%) with multiple calcified plaques and 5 patients (7.9%) with small femoral artery diameter (d ≤ 6 mm). In 7 patients (11.1%) pathologic findings led to alternative cannulation via right axillary artery, additional 4 patients (6.3%) were cannulated via left femoral artery. Only 2 patients (3.2%) suffered from complications.!##!Conclusions!#!CT-A identifies vascular pathologies otherwise undetectable in routine preoperative preparation. A standardized imaging protocol may help to customize the operative strategy.
1000 Sacherschließung
lokal Femoral Artery/surgery [MeSH]
lokal Aged [MeSH]
lokal Cardiac Surgical Procedures [MeSH]
lokal Angiography [MeSH]
lokal Aorta [MeSH]
lokal CT protocol
lokal Male [MeSH]
lokal Ischemia/etiology [MeSH]
lokal Computed Tomography Angiography [MeSH]
lokal Preoperative Period [MeSH]
lokal Tricuspid Valve/surgery [MeSH]
lokal Vulnerable plaques
lokal Calcification
lokal Research Article
lokal Female [MeSH]
lokal Preoperative screening
lokal CT-angiography
lokal Reference Standards [MeSH]
lokal Humans [MeSH]
lokal Minimally invasive cardiac surgery
lokal Retrospective Studies [MeSH]
lokal Middle Aged [MeSH]
lokal Minimally Invasive Surgical Procedures [MeSH]
lokal Mitral valve
lokal Mass Screening [MeSH]
lokal Catheterization [MeSH]
lokal Mitral Valve/surgery [MeSH]
lokal Stroke/etiology [MeSH]
1000 Liste der Beteiligten
  1. https://frl.publisso.de/adhoc/uri/SW1tb2hyLCBNb3JpdHogQi4=|https://frl.publisso.de/adhoc/uri/U3VnaW11cmEsIFl1a2loYXJ1|https://frl.publisso.de/adhoc/uri/S3LDtnBpbCwgUGF0cmlj|https://frl.publisso.de/adhoc/uri/QXViaW4sIEh1Zw==|https://frl.publisso.de/adhoc/uri/TWlub2wsIEphbi1QaGlsaXBw|https://frl.publisso.de/adhoc/uri/QWxiZXJ0LCBBbGV4YW5kZXI=|https://frl.publisso.de/adhoc/uri/Qm9la2VuLCBVZG8=|https://frl.publisso.de/adhoc/uri/TGljaHRlbmJlcmcsIEFydHVy|https://frl.publisso.de/adhoc/uri/QWtoeWFyaSwgUGF5YW0=
1000 Hinweis
  • DeepGreen-ID: cfab27c8bb8c4bae87acf810f98fd045 ; metadata provieded by: DeepGreen (https://www.oa-deepgreen.de/api/v1/), LIVIVO search scope life sciences (http://z3950.zbmed.de:6210/livivo), Crossref Unified Resource API (https://api.crossref.org/swagger-ui/index.html), to.science.api (https://frl.publisso.de/), ZDB JSON-API (beta) (https://zeitschriftendatenbank.de/api/), lobid - Dateninfrastruktur für Bibliotheken (https://lobid.org/resources/search)
1000 Label
1000 Dateien
1000 Objektart article
1000 Beschrieben durch
1000 @id frl:6463521.rdf
1000 Erstellt am 2023-11-15T19:07:34.649+0100
1000 Erstellt von 322
1000 beschreibt frl:6463521
1000 Zuletzt bearbeitet Thu Nov 30 21:49:22 CET 2023
1000 Objekt bearb. Thu Nov 30 21:49:22 CET 2023
1000 Vgl. frl:6463521
1000 Oai Id
  1. oai:frl.publisso.de:frl:6463521 |
1000 Sichtbarkeit Metadaten public
1000 Sichtbarkeit Daten public
1000 Gegenstand von

View source