Does preoperative multislice computed tomography predict operative times in total endoscopic coronary artery bypass grafting?
Multislice computed tomography (MSCT) is currently discussed as a potential tool for procedure planning in endoscopic heart surgery. We aimed to assess the influence of various thoracic measurements on operative times in arrested heart totally endoscopic coronary artery bypass grafting (AHTECAB). 34...
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| Veröffentlicht in: | The Heart surgery forum 2005, Vol.8 (5), p.E314-E318 |
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| creator | Schachner, Thomas Feuchtner, Gudrun Bonaros, Nikolaos Oehlinger, Armin Gassner, Eva Friedrich, Guy Smekal, Alexander Laufer, Guenther Bonatti, Johannes |
| description | Multislice computed tomography (MSCT) is currently discussed as a potential tool for procedure planning in endoscopic heart surgery. We aimed to assess the influence of various thoracic measurements on operative times in arrested heart totally endoscopic coronary artery bypass grafting (AHTECAB).
34 patients (aged 59 years, 71% male) scheduled for AHTECAB were examined prospectively with ECG-gated 16-channel MSCT angiography of coronary arteries and internal mammary arteries. All AHTECABs were single LIMA to LAD bypass operations using the Da Vinci telemanipulator and the ESTECH remote access perfusion system.
The LIMA-LAD distances were: I (at origin of the first diagonal branch) 4.3 cm (2.5-6.0), II (aortic valve level) 3.7 cm (1.1-6.4), III (mitral valve level) 2.9 cm (0.7-5.0), and IV (basis cordis) 2.3 cm (0.6-4.3). The anterioposterior thoracic diameter was 12.4 cm (8.9-15.6), and the transverse diameter was 24.9 cm (21.1-26.8). LIMA-LAD distances I (P = .025, r = .396) and III (P = .042, r = .356) significantly correlated with the anastomotic time. Increased rotation of the heart to the left was associated with a decreased cardiopulmonary bypass time (p = .016, r = -.451).
These data suggest that MSCT has the potential to predict operative times in robotic AHTECAB. |
| doi_str_mv | 10.1532/HSF98.20051135 |
| format | Article |
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34 patients (aged 59 years, 71% male) scheduled for AHTECAB were examined prospectively with ECG-gated 16-channel MSCT angiography of coronary arteries and internal mammary arteries. All AHTECABs were single LIMA to LAD bypass operations using the Da Vinci telemanipulator and the ESTECH remote access perfusion system.
The LIMA-LAD distances were: I (at origin of the first diagonal branch) 4.3 cm (2.5-6.0), II (aortic valve level) 3.7 cm (1.1-6.4), III (mitral valve level) 2.9 cm (0.7-5.0), and IV (basis cordis) 2.3 cm (0.6-4.3). The anterioposterior thoracic diameter was 12.4 cm (8.9-15.6), and the transverse diameter was 24.9 cm (21.1-26.8). LIMA-LAD distances I (P = .025, r = .396) and III (P = .042, r = .356) significantly correlated with the anastomotic time. Increased rotation of the heart to the left was associated with a decreased cardiopulmonary bypass time (p = .016, r = -.451).
These data suggest that MSCT has the potential to predict operative times in robotic AHTECAB.</description><identifier>ISSN: 1098-3511</identifier><identifier>EISSN: 1522-6662</identifier><identifier>DOI: 10.1532/HSF98.20051135</identifier><identifier>PMID: 16099732</identifier><language>eng</language><publisher>United States</publisher><subject>Coronary Angiography ; Coronary Artery Bypass ; Electrocardiography ; Endoscopy ; Female ; Heart Arrest, Induced ; Humans ; Image Processing, Computer-Assisted ; Male ; Mammary Arteries - diagnostic imaging ; Mammary Arteries - transplantation ; Middle Aged ; Predictive Value of Tests ; Preoperative Care ; Prospective Studies ; Robotics ; Time Factors ; Tomography, X-Ray Computed - methods</subject><ispartof>The Heart surgery forum, 2005, Vol.8 (5), p.E314-E318</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c326t-1d2c095a60f160658d90f91016e6c7188314b9d8c0338c08ed4985d703d3a3813</citedby><cites>FETCH-LOGICAL-c326t-1d2c095a60f160658d90f91016e6c7188314b9d8c0338c08ed4985d703d3a3813</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,4024,27923,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16099732$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schachner, Thomas</creatorcontrib><creatorcontrib>Feuchtner, Gudrun</creatorcontrib><creatorcontrib>Bonaros, Nikolaos</creatorcontrib><creatorcontrib>Oehlinger, Armin</creatorcontrib><creatorcontrib>Gassner, Eva</creatorcontrib><creatorcontrib>Friedrich, Guy</creatorcontrib><creatorcontrib>Smekal, Alexander</creatorcontrib><creatorcontrib>Laufer, Guenther</creatorcontrib><creatorcontrib>Bonatti, Johannes</creatorcontrib><title>Does preoperative multislice computed tomography predict operative times in total endoscopic coronary artery bypass grafting?</title><title>The Heart surgery forum</title><addtitle>Heart Surg Forum</addtitle><description>Multislice computed tomography (MSCT) is currently discussed as a potential tool for procedure planning in endoscopic heart surgery. We aimed to assess the influence of various thoracic measurements on operative times in arrested heart totally endoscopic coronary artery bypass grafting (AHTECAB).
34 patients (aged 59 years, 71% male) scheduled for AHTECAB were examined prospectively with ECG-gated 16-channel MSCT angiography of coronary arteries and internal mammary arteries. All AHTECABs were single LIMA to LAD bypass operations using the Da Vinci telemanipulator and the ESTECH remote access perfusion system.
The LIMA-LAD distances were: I (at origin of the first diagonal branch) 4.3 cm (2.5-6.0), II (aortic valve level) 3.7 cm (1.1-6.4), III (mitral valve level) 2.9 cm (0.7-5.0), and IV (basis cordis) 2.3 cm (0.6-4.3). The anterioposterior thoracic diameter was 12.4 cm (8.9-15.6), and the transverse diameter was 24.9 cm (21.1-26.8). LIMA-LAD distances I (P = .025, r = .396) and III (P = .042, r = .356) significantly correlated with the anastomotic time. Increased rotation of the heart to the left was associated with a decreased cardiopulmonary bypass time (p = .016, r = -.451).
These data suggest that MSCT has the potential to predict operative times in robotic AHTECAB.</description><subject>Coronary Angiography</subject><subject>Coronary Artery Bypass</subject><subject>Electrocardiography</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Heart Arrest, Induced</subject><subject>Humans</subject><subject>Image Processing, Computer-Assisted</subject><subject>Male</subject><subject>Mammary Arteries - diagnostic imaging</subject><subject>Mammary Arteries - transplantation</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Preoperative Care</subject><subject>Prospective Studies</subject><subject>Robotics</subject><subject>Time Factors</subject><subject>Tomography, X-Ray Computed - methods</subject><issn>1098-3511</issn><issn>1522-6662</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpFkL1PwzAQxS0EoqWwMqJMbCn-iF17QqhQQKrEAMyRazvFKImN7SB14H_HpUVd7k6633u6ewBcIjhFlOCbp9eF4FMMIUWI0CMwRhTjkjGGj_MMBS9J3ozAWYyfEGKGMTsFI8SgEDOCx-Dn3plY-GCcN0Em-22KbmiTja1VplCu80Myukiuc-sg_cdmy2qrUnEQJNtlD9tnKsm2ML12UTlvVdYH18uwKWRIJrfVxssYi-zUJNuvb8_BSSPbaC72fQLeFw9v86dy-fL4PL9blopglkqksYKCSgabfDmjXAvYCAQRM0zNEOcEVSuhuYKE5MKNrgSnegaJJpJwRCbgeufrg_saTEx1Z6MybSt744ZYM15xSCuSwekOVMHFGExT-2C7_EGNYL0NvP4LvP4PPAuu9s7DqjP6gO8TJr-oYX2v</recordid><startdate>2005</startdate><enddate>2005</enddate><creator>Schachner, Thomas</creator><creator>Feuchtner, Gudrun</creator><creator>Bonaros, Nikolaos</creator><creator>Oehlinger, Armin</creator><creator>Gassner, Eva</creator><creator>Friedrich, Guy</creator><creator>Smekal, Alexander</creator><creator>Laufer, Guenther</creator><creator>Bonatti, Johannes</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>2005</creationdate><title>Does preoperative multislice computed tomography predict operative times in total endoscopic coronary artery bypass grafting?</title><author>Schachner, Thomas ; Feuchtner, Gudrun ; Bonaros, Nikolaos ; Oehlinger, Armin ; Gassner, Eva ; Friedrich, Guy ; Smekal, Alexander ; Laufer, Guenther ; Bonatti, Johannes</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c326t-1d2c095a60f160658d90f91016e6c7188314b9d8c0338c08ed4985d703d3a3813</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Coronary Angiography</topic><topic>Coronary Artery Bypass</topic><topic>Electrocardiography</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Heart Arrest, Induced</topic><topic>Humans</topic><topic>Image Processing, Computer-Assisted</topic><topic>Male</topic><topic>Mammary Arteries - diagnostic imaging</topic><topic>Mammary Arteries - transplantation</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Preoperative Care</topic><topic>Prospective Studies</topic><topic>Robotics</topic><topic>Time Factors</topic><topic>Tomography, X-Ray Computed - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schachner, Thomas</creatorcontrib><creatorcontrib>Feuchtner, Gudrun</creatorcontrib><creatorcontrib>Bonaros, Nikolaos</creatorcontrib><creatorcontrib>Oehlinger, Armin</creatorcontrib><creatorcontrib>Gassner, Eva</creatorcontrib><creatorcontrib>Friedrich, Guy</creatorcontrib><creatorcontrib>Smekal, Alexander</creatorcontrib><creatorcontrib>Laufer, Guenther</creatorcontrib><creatorcontrib>Bonatti, Johannes</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The Heart surgery forum</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schachner, Thomas</au><au>Feuchtner, Gudrun</au><au>Bonaros, Nikolaos</au><au>Oehlinger, Armin</au><au>Gassner, Eva</au><au>Friedrich, Guy</au><au>Smekal, Alexander</au><au>Laufer, Guenther</au><au>Bonatti, Johannes</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Does preoperative multislice computed tomography predict operative times in total endoscopic coronary artery bypass grafting?</atitle><jtitle>The Heart surgery forum</jtitle><addtitle>Heart Surg Forum</addtitle><date>2005</date><risdate>2005</risdate><volume>8</volume><issue>5</issue><spage>E314</spage><epage>E318</epage><pages>E314-E318</pages><issn>1098-3511</issn><eissn>1522-6662</eissn><abstract>Multislice computed tomography (MSCT) is currently discussed as a potential tool for procedure planning in endoscopic heart surgery. We aimed to assess the influence of various thoracic measurements on operative times in arrested heart totally endoscopic coronary artery bypass grafting (AHTECAB).
34 patients (aged 59 years, 71% male) scheduled for AHTECAB were examined prospectively with ECG-gated 16-channel MSCT angiography of coronary arteries and internal mammary arteries. All AHTECABs were single LIMA to LAD bypass operations using the Da Vinci telemanipulator and the ESTECH remote access perfusion system.
The LIMA-LAD distances were: I (at origin of the first diagonal branch) 4.3 cm (2.5-6.0), II (aortic valve level) 3.7 cm (1.1-6.4), III (mitral valve level) 2.9 cm (0.7-5.0), and IV (basis cordis) 2.3 cm (0.6-4.3). The anterioposterior thoracic diameter was 12.4 cm (8.9-15.6), and the transverse diameter was 24.9 cm (21.1-26.8). LIMA-LAD distances I (P = .025, r = .396) and III (P = .042, r = .356) significantly correlated with the anastomotic time. Increased rotation of the heart to the left was associated with a decreased cardiopulmonary bypass time (p = .016, r = -.451).
These data suggest that MSCT has the potential to predict operative times in robotic AHTECAB.</abstract><cop>United States</cop><pmid>16099732</pmid><doi>10.1532/HSF98.20051135</doi></addata></record> |
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| subjects | Coronary Angiography Coronary Artery Bypass Electrocardiography Endoscopy Female Heart Arrest, Induced Humans Image Processing, Computer-Assisted Male Mammary Arteries - diagnostic imaging Mammary Arteries - transplantation Middle Aged Predictive Value of Tests Preoperative Care Prospective Studies Robotics Time Factors Tomography, X-Ray Computed - methods |
| title | Does preoperative multislice computed tomography predict operative times in total endoscopic coronary artery bypass grafting? |
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