A novel cardioport for beating-heart, image-guided intracardiac surgery
Objective Intracardiac beating-heart procedures require the introduction and exchange of complex instruments and devices. To prevent potential complications such as air embolism and bleeding, a universal cardioport was designed and tested. Methods The design consists of a port body and a series of i...
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| Veröffentlicht in: | The Journal of thoracic and cardiovascular surgery 2011-12, Vol.142 (6), p.1545-1551 |
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| container_title | The Journal of thoracic and cardiovascular surgery |
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| creator | Vasilyev, Nikolay V., MD Kawata, Mitsuhiro, MD, PhD DiBiasio, Christopher M., PhD Durand, Keith V., PhD Hopkins, Jonathan, PhD Traina, Zachary J., MS Slocum, Alexander H., PhD del Nido, Pedro J., MD |
| description | Objective Intracardiac beating-heart procedures require the introduction and exchange of complex instruments and devices. To prevent potential complications such as air embolism and bleeding, a universal cardioport was designed and tested. Methods The design consists of a port body and a series of interchangeable sleeves. The port uses a fluid purging system to remove air from the instrument before insertion into the heart, and a valve system minimizes blood loss during instrument changes. Results The cardioport was tested ex vivo and in vivo in pigs (n = 5). Beating-heart procedures, such as septal defect closure and mitral valve repair, were modeled. Ex vivo trials (n = 150) were performed, and no air emboli were introduced using the port. In comparison, air emboli were detected in 40% to 85% of the cases without the use of the port-based purging system. Port operation revealed excellent ergonomics and minimal blood loss. Conclusions A novel cardioport system designed to prevent air entry and blood loss from transcardiac instrument introduction was shown to be an enabling platform for intracardiac beating-heart surgery. The port system improves safety and facilitates further development of complex instruments and devices for transcardiac beating-heart surgery. |
| doi_str_mv | 10.1016/j.jtcvs.2011.07.041 |
| format | Article |
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To prevent potential complications such as air embolism and bleeding, a universal cardioport was designed and tested. Methods The design consists of a port body and a series of interchangeable sleeves. The port uses a fluid purging system to remove air from the instrument before insertion into the heart, and a valve system minimizes blood loss during instrument changes. Results The cardioport was tested ex vivo and in vivo in pigs (n = 5). Beating-heart procedures, such as septal defect closure and mitral valve repair, were modeled. Ex vivo trials (n = 150) were performed, and no air emboli were introduced using the port. In comparison, air emboli were detected in 40% to 85% of the cases without the use of the port-based purging system. Port operation revealed excellent ergonomics and minimal blood loss. Conclusions A novel cardioport system designed to prevent air entry and blood loss from transcardiac instrument introduction was shown to be an enabling platform for intracardiac beating-heart surgery. The port system improves safety and facilitates further development of complex instruments and devices for transcardiac beating-heart surgery.</description><identifier>ISSN: 0022-5223</identifier><identifier>EISSN: 1097-685X</identifier><identifier>DOI: 10.1016/j.jtcvs.2011.07.041</identifier><identifier>PMID: 21855093</identifier><identifier>CODEN: JTCSAQ</identifier><language>eng</language><publisher>New York, NY: Mosby, Inc</publisher><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Animals ; Biological and medical sciences ; Cardiac Surgical Procedures - instrumentation ; Cardiology. Vascular system ; Cardiothoracic Surgery ; Coronary Artery Bypass, Off-Pump ; Echocardiography, Three-Dimensional ; Endoscopes ; In Vitro Techniques ; Medical sciences ; Minimally Invasive Surgical Procedures - instrumentation ; Myocardial Contraction ; Pneumology ; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases ; Surgery of the heart ; Sus scrofa</subject><ispartof>The Journal of thoracic and cardiovascular surgery, 2011-12, Vol.142 (6), p.1545-1551</ispartof><rights>The American Association for Thoracic Surgery</rights><rights>2011 The American Association for Thoracic Surgery</rights><rights>2015 INIST-CNRS</rights><rights>Copyright © 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.</rights><rights>2011 The American Association For Thoracic Surgery. Published by Mosby, Inc. All rights reserved. 2011</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c543t-e6efa0c8380d199086abef80703ebf761b64bf04f3bb16d9c5cd500e8feb8d1d3</citedby><cites>FETCH-LOGICAL-c543t-e6efa0c8380d199086abef80703ebf761b64bf04f3bb16d9c5cd500e8feb8d1d3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/j.jtcvs.2011.07.041$$EHTML$$P50$$Gelsevier$$Hfree_for_read</linktohtml><link.rule.ids>230,314,780,784,885,3550,27924,27925,45995</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25244489$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21855093$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Vasilyev, Nikolay V., MD</creatorcontrib><creatorcontrib>Kawata, Mitsuhiro, MD, PhD</creatorcontrib><creatorcontrib>DiBiasio, Christopher M., PhD</creatorcontrib><creatorcontrib>Durand, Keith V., PhD</creatorcontrib><creatorcontrib>Hopkins, Jonathan, PhD</creatorcontrib><creatorcontrib>Traina, Zachary J., MS</creatorcontrib><creatorcontrib>Slocum, Alexander H., PhD</creatorcontrib><creatorcontrib>del Nido, Pedro J., MD</creatorcontrib><title>A novel cardioport for beating-heart, image-guided intracardiac surgery</title><title>The Journal of thoracic and cardiovascular surgery</title><addtitle>J Thorac Cardiovasc Surg</addtitle><description>Objective Intracardiac beating-heart procedures require the introduction and exchange of complex instruments and devices. To prevent potential complications such as air embolism and bleeding, a universal cardioport was designed and tested. Methods The design consists of a port body and a series of interchangeable sleeves. The port uses a fluid purging system to remove air from the instrument before insertion into the heart, and a valve system minimizes blood loss during instrument changes. Results The cardioport was tested ex vivo and in vivo in pigs (n = 5). Beating-heart procedures, such as septal defect closure and mitral valve repair, were modeled. Ex vivo trials (n = 150) were performed, and no air emboli were introduced using the port. In comparison, air emboli were detected in 40% to 85% of the cases without the use of the port-based purging system. Port operation revealed excellent ergonomics and minimal blood loss. Conclusions A novel cardioport system designed to prevent air entry and blood loss from transcardiac instrument introduction was shown to be an enabling platform for intracardiac beating-heart surgery. The port system improves safety and facilitates further development of complex instruments and devices for transcardiac beating-heart surgery.</description><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Animals</subject><subject>Biological and medical sciences</subject><subject>Cardiac Surgical Procedures - instrumentation</subject><subject>Cardiology. Vascular system</subject><subject>Cardiothoracic Surgery</subject><subject>Coronary Artery Bypass, Off-Pump</subject><subject>Echocardiography, Three-Dimensional</subject><subject>Endoscopes</subject><subject>In Vitro Techniques</subject><subject>Medical sciences</subject><subject>Minimally Invasive Surgical Procedures - instrumentation</subject><subject>Myocardial Contraction</subject><subject>Pneumology</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><subject>Surgery of the heart</subject><subject>Sus scrofa</subject><issn>0022-5223</issn><issn>1097-685X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkktv1DAUhS0EokPhFyChbBAbEq7tPJwFlaoKClIlFoDEznLs69QhEw92MtL8e5zOUB4bVl74O_cc3XMJeU6hoEDrN0MxzHofCwaUFtAUUNIHZEOhbfJaVN8ekg0AY3nFGD8jT2IcAKAB2j4mZ4yKqoKWb8j1ZTb5PY6ZVsE4v_NhzqwPWYdqdlOf36IK8-vMbVWPeb84gyZz0xzUHa90FpfQYzg8JY-sGiM-O73n5Ov7d1-uPuQ3n64_Xl3e5Loq-ZxjjVaBFlyAoW0LolYdWpFycexsU9OuLjsLpeVdR2vT6kqbCgCFxU4Yavg5uTjO3S3dFo3GNcsodyElDAfplZN__0zuVvZ-Lzlj0FQ8DXh1GhD8jwXjLLcuahxHNaFfomyhqpuyKdtE8iOpg48xoL13oSDXBuQg7xqQawMSGpkaSKoXfwa81_xaeQJengAVtRptUJN28TdXsbIsxWr_9shhWufeYZBRO5w0GhdQz9J4958gF__o9egmlyy_4wHj4JcwpaYklZFJkJ_XY1lvhdJ0Jk0t-E-JLrxL</recordid><startdate>20111201</startdate><enddate>20111201</enddate><creator>Vasilyev, Nikolay V., MD</creator><creator>Kawata, Mitsuhiro, MD, PhD</creator><creator>DiBiasio, Christopher M., PhD</creator><creator>Durand, Keith V., PhD</creator><creator>Hopkins, Jonathan, PhD</creator><creator>Traina, Zachary J., MS</creator><creator>Slocum, Alexander H., PhD</creator><creator>del Nido, Pedro J., MD</creator><general>Mosby, Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><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><scope>5PM</scope></search><sort><creationdate>20111201</creationdate><title>A novel cardioport for beating-heart, image-guided intracardiac surgery</title><author>Vasilyev, Nikolay V., MD ; Kawata, Mitsuhiro, MD, PhD ; DiBiasio, Christopher M., PhD ; Durand, Keith V., PhD ; Hopkins, Jonathan, PhD ; Traina, Zachary J., MS ; Slocum, Alexander H., PhD ; del Nido, Pedro J., MD</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c543t-e6efa0c8380d199086abef80703ebf761b64bf04f3bb16d9c5cd500e8feb8d1d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Animals</topic><topic>Biological and medical sciences</topic><topic>Cardiac Surgical Procedures - instrumentation</topic><topic>Cardiology. Vascular system</topic><topic>Cardiothoracic Surgery</topic><topic>Coronary Artery Bypass, Off-Pump</topic><topic>Echocardiography, Three-Dimensional</topic><topic>Endoscopes</topic><topic>In Vitro Techniques</topic><topic>Medical sciences</topic><topic>Minimally Invasive Surgical Procedures - instrumentation</topic><topic>Myocardial Contraction</topic><topic>Pneumology</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><topic>Surgery of the heart</topic><topic>Sus scrofa</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Vasilyev, Nikolay V., MD</creatorcontrib><creatorcontrib>Kawata, Mitsuhiro, MD, PhD</creatorcontrib><creatorcontrib>DiBiasio, Christopher M., PhD</creatorcontrib><creatorcontrib>Durand, Keith V., PhD</creatorcontrib><creatorcontrib>Hopkins, Jonathan, PhD</creatorcontrib><creatorcontrib>Traina, Zachary J., MS</creatorcontrib><creatorcontrib>Slocum, Alexander H., PhD</creatorcontrib><creatorcontrib>del Nido, Pedro J., MD</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><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><collection>PubMed Central (Full Participant titles)</collection><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Vasilyev, Nikolay V., MD</au><au>Kawata, Mitsuhiro, MD, PhD</au><au>DiBiasio, Christopher M., PhD</au><au>Durand, Keith V., PhD</au><au>Hopkins, Jonathan, PhD</au><au>Traina, Zachary J., MS</au><au>Slocum, Alexander H., PhD</au><au>del Nido, Pedro J., MD</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>A novel cardioport for beating-heart, image-guided intracardiac surgery</atitle><jtitle>The Journal of thoracic and cardiovascular surgery</jtitle><addtitle>J Thorac Cardiovasc Surg</addtitle><date>2011-12-01</date><risdate>2011</risdate><volume>142</volume><issue>6</issue><spage>1545</spage><epage>1551</epage><pages>1545-1551</pages><issn>0022-5223</issn><eissn>1097-685X</eissn><coden>JTCSAQ</coden><abstract>Objective Intracardiac beating-heart procedures require the introduction and exchange of complex instruments and devices. To prevent potential complications such as air embolism and bleeding, a universal cardioport was designed and tested. Methods The design consists of a port body and a series of interchangeable sleeves. The port uses a fluid purging system to remove air from the instrument before insertion into the heart, and a valve system minimizes blood loss during instrument changes. Results The cardioport was tested ex vivo and in vivo in pigs (n = 5). Beating-heart procedures, such as septal defect closure and mitral valve repair, were modeled. Ex vivo trials (n = 150) were performed, and no air emboli were introduced using the port. In comparison, air emboli were detected in 40% to 85% of the cases without the use of the port-based purging system. Port operation revealed excellent ergonomics and minimal blood loss. Conclusions A novel cardioport system designed to prevent air entry and blood loss from transcardiac instrument introduction was shown to be an enabling platform for intracardiac beating-heart surgery. The port system improves safety and facilitates further development of complex instruments and devices for transcardiac beating-heart surgery.</abstract><cop>New York, NY</cop><pub>Mosby, Inc</pub><pmid>21855093</pmid><doi>10.1016/j.jtcvs.2011.07.041</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Animals Biological and medical sciences Cardiac Surgical Procedures - instrumentation Cardiology. Vascular system Cardiothoracic Surgery Coronary Artery Bypass, Off-Pump Echocardiography, Three-Dimensional Endoscopes In Vitro Techniques Medical sciences Minimally Invasive Surgical Procedures - instrumentation Myocardial Contraction Pneumology Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases Surgery of the heart Sus scrofa |
| title | A novel cardioport for beating-heart, image-guided intracardiac surgery |
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