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Beyond Small Incision: Where Minimal Invasive Cardiac Surgery Meets Minimal Invasive Extracorporeal Circulation
Pascal Starinieri, Boris Robic, Alaaddin Yilmaz.
Jessa Hospital, Hasselt, Belgium.
Objectives
Minimally invasive cardiac surgery (MICS) has been developed in an attempt to diminish the disadvantages of conventional sternotomy. MICS has been proven to be more beneficial, but leads this minimal invasive approach in combination with minimal invasive extracorporeal circulation (MiECC) to an additional beneficial effect for patients undergoing isolated aortic valve replacement?
Methods
Prospective collected retrospective data from 270 elective patients undergoing isolated aortic valve replacement with use of MiECC has been analysed. Patients were selected according to the type of cardioplegia and oxygenator that was used.
Results
Significant differences in perfusion times (P = <.001), clamping times (P = <.001), perioperative blood loss (P = <.001) and postoperative transfusion (P = <.001) were seen in favour of the MiECC group. No significant differences were shown regarding hospital stay (P = .93), ventilation time (P = .65) and postoperative blood loss (P = .08).
Conclusion
MiECC is more beneficial than conventional ECC in MICS regarding intraoperative collected data and postoperative transfusion requirements. Based on feasibility and safety aspects, no differences were documented between both systems.
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