Robotic versus port‐access mitral repair: A propensity score analysis

Robotic versus port‐access mitral repair: A propensity score analysis

Background Port‐access (PORT) and robotic (ROBO) mitral repair are well established, but differences in patient selection and outcomes are not well documented. Methods A retrospective analysis was performed on 129 ROBO and 628 PORT mitral repairs at one institution. ROBO patients had 4 cm nonrib spr...

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Veröffentlicht in:Journal of cardiac surgery 2021-04, Vol.36 (4), p.1219-1225
Hauptverfasser: Barac, Yaron D., Loungani, Rahul S., Sabulsky, Richard, Zwischenberger, Brittany, Gaca, Jeffrey, Carr, Keith, Glower, Donald D.
Format: Artikel
Sprache:eng
Schlagworte:
Female
Humans
Male
Middle Aged
minimally‐invasive
mitral repair
Mitral Valve - surgery
Mitral Valve Insufficiency - surgery
Propensity Score
Retrospective Studies
Robotic Surgical Procedures
robotics
Treatment Outcome
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Zusammenfassung:Background Port‐access (PORT) and robotic (ROBO) mitral repair are well established, but differences in patient selection and outcomes are not well documented. Methods A retrospective analysis was performed on 129 ROBO and 628 PORT mitral repairs at one institution. ROBO patients had 4 cm nonrib spreading incisions with robotic assistance, while PORT patients had 6–8 cm rib spreading incisions with thoracoscopic assistance. Propensity score analysis matched patients for differences in baseline characteristics. Results Unmatched ROBO patients were younger (58 ± 11 vs. 61 ± 13, p = .05), had a higher percentage of males (77% vs. 63%, p = .003) and had less NYHA Class 3–4 symptoms (11% vs. 21%, p 
ISSN:0886-0440
1540-8191
DOI:10.1111/jocs.15342