Academic literature on the topic 'Minimal Invasive Cardiac Surgery'

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Journal articles on the topic "Minimal Invasive Cardiac Surgery"

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Onan, Burak. "Minimal access in cardiac surgery." Turkish Journal of Thoracic and Cardiovascular Surgery 28, no. 4 (October 22, 2020): 708–24. http://dx.doi.org/10.5606/tgkdc.dergisi.2020.19614.

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Over the past two decades, minimally invasive cardiac surgery has been adopted with the use of endoscopic methods in 1990s and advanced robotic surgery since the early 2000s. In parallel with technological developments, surgical experience has increased and several cardiac operations are able to be performed using different mini-incisions. In this review, we discuss approaches to minimally invasive cardiac surgery, incisions, technical details, and suggestions.
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Sampath Kumar, Arkalgud. "What is minimal in “minimally invasive cardiac surgery”?" Asian Cardiovascular and Thoracic Annals 28, no. 6 (June 19, 2020): 339–40. http://dx.doi.org/10.1177/0218492320937140.

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Wadhawa, Vivek A., Kartik G. Patel, Chirag P. Doshi, Jigar K. Shah, Jaydip A. Ramani, Pankaj D. Garg, Sudhir H. Adalti, Yashpal R. Rana, Himani M. Pandya, and Vijay Gupta. "Direct Femoral Cannulation in Minimal Invasive Pediatric Cardiac Surgery." Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery 13, no. 4 (July 2018): 300–304. http://dx.doi.org/10.1097/imi.0000000000000540.

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Objective One of the major challenges faced in minimally invasive pediatric cardiac surgery is cannulation strategy for cardiopulmonary bypass. Central aortic cannulation through the same incision has been the usual strategy, but it has the disadvantage of cluttering of the operative field. We hereby present the results of femoral cannulation in minimally invasive pediatric cardiac surgery in terms of adequacy and safety. Methods From January 2013 to June 2016, 200 children (122 males) with mean ± SD age of 9.2 ± 4.51 years (median = 6 years, range = 3–18 years) and weight of 19.22 ± 8.49 kg (median = 15 kg, range = 8–45 kg) were operated for congenital cardiac defects through anterolateral thoracotomy. The most common diagnosis was atrial septal defect (144 patients). In all the patients, femoral artery and femoral vein were cannulated along with direct superior vena cava cannulation for institution of cardiopulmonary bypass. Results There were no deaths or any major complications related to femoral cannulation. Femoral artery cannulation provided adequate arterial inflow, whereas femoral vein with direct superior vena cava cannulation provided adequate venous return in all the patients. No patient required vacuum-assisted venous drainage. No patient required conversion to sternotomy or developed vascular, neurological complications. At discharge and at 1-year follow-up, both femoral artery and vein were patent without a significant stenosis on color Doppler ultrasonography in all the patients. At mean ± SD follow-up period of 30.63 ± 10.09 months, all the patients were doing well without any wound-related, neurological, or vascular complications. Conclusions Femoral arterial and venous cannulation is a feasible, reliable, and efficient method for institution of cardiopulmonary bypass in minimally invasive pediatric cardiac surgery.
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Argiriadou, Helena, Polychronis Antonitsis, Anna Gkiouliava, Evangelia Papapostolou, Apostolos Deliopoulos, and Kyriakos Anastasiadis. "Minimal invasive extracorporeal circulation preserves platelet function after cardiac surgery: a prospective observational study." Perfusion 35, no. 2 (August 5, 2019): 138–44. http://dx.doi.org/10.1177/0267659119866289.

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Introduction: Cardiac surgery on conventional cardiopulmonary bypass induces a combination of thrombocytopenia and platelet dysfunction which is strongly related to postoperative bleeding. Minimal invasive extracorporeal circulation has been shown to preserve coagulation integrity, though effect on platelet function remains unclear. We aimed to prospectively investigate perioperative platelet function in a series of patients undergoing cardiac surgery on minimal invasive extracorporeal circulation using point-of-care testing. Methods: A total of 57 patients undergoing elective cardiac surgery on minimal invasive extracorporeal circulation were prospectively recruited. Anticoagulation strategy was based on individualized heparin management and heparin level–guided protamine titration performed in all patients with a specialized point-of-care device (Hemostasis Management System – HMS Plus; Medtronic, Minneapolis, MN, USA). Platelet function was evaluated with impedance aggregometry using the ROTEM platelet (TEM International GmbH, Munich, Germany). ADPtest and TRAPtest values were assessed before surgery and after cardiopulmonary bypass. Results: ADPtest value was preserved during surgery on minimal invasive extracorporeal circulation (58.2 ± 20 U vs. 53.6 ± 21 U; p = 0.1), while TRAPtest was found significantly increased (90 ± 27 U vs. 103 ± 38 U; p = 0.03). Postoperative ADPtest and TRAPtest values were inversely related to postoperative bleeding (correlation coefficient: −0.29; p = 0.03 for ADPtest and correlation coefficient: −0.28; p = 0.04 for TRAPtest). The preoperative use of P2Y12 inhibitors was identified as the only independent predictor of a low postoperative ADPtest value (OR = 15.3; p = 0.02). Conclusion: Cardiac surgery on minimal invasive extracorporeal circulation is a platelet preservation strategy, which contributes to the beneficial effect of minimal invasive extracorporeal circulation in coagulation integrity.
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Navia, Jose L., Eric E. Roselli, Fernando A. Atik, Gonzalo V. Gonzalez-Stawinski, and Nicholas G. Smedira. "Orthotopic Heart Transplantation through Minimally Invasive Approach." Asian Cardiovascular and Thoracic Annals 15, no. 5 (October 2007): 446–48. http://dx.doi.org/10.1177/021849230701500520.

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Minimal access approaches are a trend in cardiothoracic surgery. Gained experience in these minimally invasive techniques have allowed its application to more complicated procedures, such as heart transplantation. Both classic and bicaval techniques of cardiac transplant were performed through a partial lower sternotomy in 10 end-stage heart failure patients with no previous cardiac surgery. The procedure was considered safe with adequate exposure, minimal postoperative pain medication requirements, acceptable operative times, and good long-term outcome.
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Крачак, Д. И., and В. Д. Крачак. "Experience of Minimal Invasive Extracorporeal Circulation Usage in Cardiac Surgery." Кардиология в Беларуси, no. 6 (January 6, 2022): 966–75. http://dx.doi.org/10.34883/pi.2021.13.6.010.

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Цель. Изучить опыт применения мини-контуров искусственного кровообращения при выполнении кардиохирургических операций и оценить безопасность их использования. Материалы и методы. В исследование было включено 58 пациентов, которым были выполнены различные кардиохирургические вмешательства в условиях искусственного кровообращения (ИК). Из них 14 пациентов были прооперированы с использованием мини-контуров ИК (группа MiECC), а у 44 пациентов были использованы стандартные «открытые» контуры ИК (группа CECC). Виды проведенных операций: АКШ - 46,6%, АКШ и клапанная коррекция - 13,8%, клапанная коррекция - 25,9%, протезирование восходящей аорты - 8,6%, прочие операции - 5,2%. Длительность ИК и ишемии миокарда в исследуемых группах не различалась (р=0,696 и р=0,501 соответственно). Результаты. Скорость перфузии для группы MiECC составила 4,1 (3,9-4,4) л/мин, для группы CECC - 4,5 (4,0-4,95) л/мин (р=0,021). В обеих группах сатурация тканей головного мозга статистически значимо не различалась. Интраоперационные уровни лактата были в группе MiECC 1,4 (1,2-1,9) ммоль/л, в группе CECC - 2,2 (1,6-3,0) ммоль/л (р=0,003). Частота использования препаратов крови в группе CECC составила 20,5%. Заключение. Использование мини-контуров для искусственного кровообращения является безопасным для пациента. Применение данной технологии позволяет минимизировать использование донорских компонентов крови и, соответственно, снизить частоту трансфузий зависимых осложнений. Purpose. To study the experience of minimal invasive extracorporeal circulation usage during cardiac surgery and to assess the safety of their use. Materials and methods. The study included 58 patients who underwent various types of cardiac surgery under cardiopulmonary bypass. 14 patients were operated using minimal invasive extracorporeal circuit (MiECC group) and 44 patients had standard conventional extracorporeal circuit (CECC group). Types of operations performed were CABG 46.6%, CABG combined with valve procedure 13.8%, isolate valve correction 25.9%, prosthetics of the ascending aorta 8.6%, other operations 5.2%. Bypass and aortic cross clamp times in studying groups did not differ (p=0.696 and p=0.501, respectively). Results. The perfusion rate for the MiECC group was 4.1 (3.9-4.4) l/min, for the CECC group - 4.5 (4.0- 4.95) l/min (p=0.021). In both groups the saturation of brain tissues (NIRS) did not differ significantly. Intraoperative lactate levels in the MiECC group were 1.4 (1.2-1.9) mmol/L, in the CECC group 2.2 (1.6- 3.0) mmol/L (p=0.003). The frequency of blood products usage in the CECC group was 20.5%. Conclusion. Minimal invasive extracorporeal circulation usage is safe procedure for the patient. This technology allows to minimize usage of donor blood components and reduces the frequency of transfusion-associated complications.
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Vandoren, Vincent, Thomas Phlips, and Philippe Timmermans. "Bundle Branch Re-Entrant Ventricular Tachycardia after Minimal Invasive Cardiac Surgery." Hearts 2, no. 4 (December 15, 2021): 570–74. http://dx.doi.org/10.3390/hearts2040044.

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Background: Bundle branch re-entrant ventricular tachycardia (BBRVT) is a monomorphic ventricular arrhythmia with wide QRS complexes caused by re-entrant tachycardia between both bundle branches. BBRVT can occur in a variety of cardiac pathologies with His–Purkinje system (HPS) conduction abnormalities such as dilated cardiomyopathy, coronary artery disease, hypertrophic cardiomyopathy, valvular heart disease and even after aortic valve surgery. Case report: A 62-year-old male patient with an ischemic cardiomyopathy and implantable cardioverter defibrillator (ICD) underwent minimal invasive aortic valve replacement (Yil-AVR) and coronary artery bypass graft (CABG). He was remitted a week later because of relapsing sustained ventricular tachycardia (VT). Electrocardiogram showed a wide QRS tachycardia, which was remarkably similar to the patient’s sinus rhythm. Analysis of ICD revealed the presence of BBRVT. Catheter ablation of the right bundle branch (RBB) was performed. He is currently in clinical follow-up and no reoccurrence of VT has been recorded so far. Conclusion: Patients with known cardiomyopathy can develop BBRVT early after cardiac surgery. To our knowledge, this is the first time that BBRVT occurred after Yil-AVR.
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Ellam, Sten, Otto Pitkänen, Pasi Lahtinen, Tadeusz Musialowicz, Mikko Hippeläinen, Juha Hartikainen, and Jari Halonen. "Impact of minimal invasive extracorporeal circulation on the need of red blood cell transfusion." Perfusion 34, no. 7 (April 26, 2019): 605–12. http://dx.doi.org/10.1177/0267659119842811.

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Objective: Minimal invasive extracorporeal circulation may decrease the need of packed red blood cell transfusions and reduce hemodilution during cardiopulmonary bypass. However, more data are needed on the effects of minimal invasive extracorporeal circulation in more complex cardiac procedures. We compared minimal invasive extracorporeal circulation and conventional extracorporeal circulation methods of cardiopulmonary bypass. Methods: A total of 424 patients in the minimal invasive extracorporeal circulation group and 844 patients in the conventional extracorporeal circulation group undergoing coronary artery bypass grafting and more complex cardiac surgery were evaluated. Age, sex, type of surgery, and duration of perfusion were used as matching criteria. Hemoglobin <80 g/L was used as red blood cell transfusion trigger. The primary endpoint was the use of red blood cells during the day of operation and the five postoperative days. Secondary endpoints were hemodilution (hemoglobin drop after the onset of perfusion) and postoperative bleeding from the chest tubes during the first 12 hours after the operation. Results: Red blood cell transfusions were needed less often in the minimal invasive extracorporeal circulation group compared to the conventional extracorporeal circulation group (26.4% vs. 33.4%, p = 0.011, odds ratio 0.72, 95% confidence interval 0.55-0.93), especially in coronary artery bypass grafting subgroup (21.3% vs. 35.1%, p < 0.001, odds ratio 0.50, 95% confidence interval 0.35-0.73). Hemoglobin drop after onset of perfusion was also lower in the minimal invasive extracorporeal circulation group than in the conventional extracorporeal circulation group (24.2 ± 8.5% vs. 32.6 ± 12.6%, p < 0.001). Postoperative bleeding from the chest tube did not differ between the groups (p = 0.808). Conclusion: Minimal invasive extracorporeal circulation reduced the need of red blood cell transfusions and hemoglobin drop when compared to the conventional extracorporeal circulation group. This may have implications when choosing the perfusion method in cardiac surgery.
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Nijs, Kristof, Jeroen Vandenbrande, Fidel Vaqueriza, Jean-Paul Ory, Alaaddin Yilmaz, Pascal Starinieri, Jasperina Dubois, Luc Jamaer, Ingrid Arijs, and Björn Stessel. "Neurological outcome after minimal invasive coronary artery surgery (NOMICS): protocol for an observational prospective cohort study." BMJ Open 7, no. 10 (October 2017): e017823. http://dx.doi.org/10.1136/bmjopen-2017-017823.

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IntroductionAdverse neurocognitive outcomes are still an important cause of morbidity and mortality after cardiac surgery. The most common neurocognitive disorders after conventional cardiac surgery are postoperative cognitive dysfunction (POCD), stroke and delirium. Minimal invasive cardiac procedures have recently been introduced into practice. Endoscopic coronary artery bypass grafting (Endo-CABG) is a minimal invasive cardiac procedure based on the conventional CABG procedure. Neurocognitive outcome after minimal invasive cardiac surgery, including Endo-CABG, has never been studied. Therefore, the main objective of this study is to examine neurocognitive outcome after Endo-CABG.Methods and analysisWe will perform a prospective observational cohort study including 150 patients. Patients are categorised into three groups: (1) patients undergoing Endo-CABG, (2) patients undergoing a percutaneous coronary intervention and (3) a healthy volunteer group. All patients in the Endo-CABG group will be treated following a uniform, standardised protocol. To assess neurocognitive outcome after surgery, a battery of six neurocognitive tests will be administered at baseline and at 3-month follow-up. In the Endo-CABG group, a neurological examination will be performed at baseline and postoperatively and delirium will be scored at the intensive care unit. Quality of life (QOL), anxiety and depression will be assessed at baseline and at 3-month follow-up. Satisfaction with Endo-CABG will be assessed at 3-month follow-up. Primary endpoints are the incidence of POCD, stroke and delirium after Endo-CABG. Secondary endpoints are QOL after Endo-CABG, patient satisfaction with Endo-CABG and the incidence of anxiety and depression after Endo-CABG.Ethics and disseminationThe neurological outcome after minimal invasive coronary artery surgery study has received approval of the Jessa Hospital ethics board. It is estimated that the trial will be executed from December 2016 to January 2018, including enrolment and follow-up. Analysis of data, followed by publication of the results, is expected in 2018.Trial registration numberNCT02979782.
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Şimşek, Mustafa, and Türkan Kudsioğlu. "Our Experiences in Percutaneous Cannulation and Monitoring in Minimal Invasive Cardiac Surgery." Hamidiye Medical Journal 3, no. 3 (December 1, 2022): 171–76. http://dx.doi.org/10.4274/hamidiyemedj.galenos.2022.72473.

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Dissertations / Theses on the topic "Minimal Invasive Cardiac Surgery"

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Gaffney, Leah. "Cardiac Catheter Brace for Minimally Invasive Surgery." Thesis, Harvard University, 2015. http://nrs.harvard.edu/urn-3:HUL.InstRepos:17417586.

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Cardiac disease is common and many cases require invasive surgical intervention. Most cardiac surgeries, for example, require stopping the patient’s heart. A percutaneous, beating heart, catheter-based system has been proposed as a less invasive option. Toward this goal, a mechanical device for bracing cardiac catheters against safe structures in the heart has been developed to allow more robust probing of heart tissue. The device presented here is rigid in its bracing conformation to support a catheter inside of the cardiac chambers, but is compliant enough to be delivered to the heart via the patient’s vasculature. This brace aims to provide comparable surgical dexterity in a less invasive protocol.
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Seco, Michael. "Minimising the Invasiveness of Major Cardiac Surgery." Thesis, The University of Sydney, 2018. http://hdl.handle.net/2123/19910.

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Minimally invasive surgery refers to modifications to traditional procedures that reduce the disruption of the body’s normal function. This thesis examined three techniques designed to reduce the invasiveness of major cardiac procedures. Coronary artery bypass grafting performed without cardiopulmonary bypass or any manipulation of the ascending aorta (anaortic off-pump) was found to reduce the incidence of post-operative stroke, mortality and other complications. An anaortic off-pump surgical technique that achieves achieve complete revascularisation and utilising total-arterial grafts was developed. Transcatheter aortic valve implantation (TAVI) is a novel minimally invasively method of treating severe aortic stenosis. Despite the complexity of the procedure, TAVI was successfully introduced into an Australian hospital with excellent perioperative outcomes. The transapical approach was demonstrated to be a feasible alternative in patients who were not suitable for transfemoral access, though there was increased risk of vascular and bleeding complications. Prophylactic extracorporeal membrane oxygenation in selected very high-risk TAVI patients may also help avoid the consequences of intraoperative complications and the need for emergent support. Lastly, a novel minimally invasive strategy for managing high-risk patients with combined aortic stenosis and multivessel coronary artery disease was described. Robotic ‘telemanipulators’ have enabled complex cardiac procedures to be performed via port-access. Systematic reviews of published studies demonstrated improved postoperative recovery in robotic-assisted coronary and mitral valve surgery, whilst maintain the quality of the procedure. High intra-procedural costs are largely offset by faster discharge from hospital and return to work. A step-wise program for introducing robotic-assistance into coronary surgery was developed and implemented in an Australian public hospital. Though major challenges limited progression.
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CLERICI, ALBERTO. "Development of a novel technology platform for thoracoscopic aortic valve replacement." Doctoral thesis, Politecnico di Torino, 2019. http://hdl.handle.net/11583/2745352.

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Jegaden, Olivier. "Chirurgie cardiaque mini-invasive : du concept à l'évaluation d'une instrumentation spécifique." Thesis, Lyon 1, 2012. http://www.theses.fr/2012LYO10186/document.

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Ce travail reprend les études d’évaluation d’une plateforme instrumentale dédiée à la chirurgie mitrale mini-invasive vidéo-assistée, et du télémanipulateur Da Vinci pour la réalisation d’anastomose mammaire interne / IVA à thorax fermé.) Evaluation du Portaclamp. Cette étude clinique a porté sur 20 patients opérés de chirurgie cardiaque sous CEC et a confirmé la simplicité d’utilisation du système, son efficacité et l’absence de morbidité ou complication induite. L’étude chez le porc des effets histologiques sur la paroi de l’aorte des trois clamps (l’endo-clamp, le clamp Chitwood et le Portaclamp) a révélé une atteinte majeure de l’endothélium aortique induite par l’endo-clamp . 2) Evaluation du Portapleg. Le Portapleg est un dispositif auto-suturant de cardioplégie antérograde constitué d’un clip en Nitinol restant implanté sur l’aorte. Une étude sur 20 patients a été rapportée avec comme critère principal le temps de saignement du site de ponction après injection de protamine. Le système a montré son efficacité hémostatique dans tous les cas sans événement secondaire. 3) Evaluation du Mitrax’s. C’est un cône en plastique polymère auto ajustable et auto expansible, qui repousse de façon symétrique et concentrique les parois de l’oreillette. Une étude prospective de son efficacité a été réalisée chez 62 patients opérés de chirurgie mitrale vidéo-assistée de façon consécutive. L’indice de satisfaction a été en moyenne 4.6, témoin d’une exposition optimale de la valve mitrale avec une vision endoscopique ou directe de la valve mitrale jugée excellente. 4) Analyse comparative des techniques mini-invasives de revascularisation de l’IVA par pontage mammaire (Port Access, MIDCAB, TECAB). Cette étude prospective a porté sur 160 patients ; à trois mois, le taux de réintervention sur l’IVA était : PA-CABG, 0% ; MIDCAB, 1.8% ; TECAB, 10% ; p<0.01. A trois ans, les taux actuariels de survie sans réintervention étaient : PA-CABG, 100% ; MIDCAB, 98±5 % ; TECAB, 88±8 % ; p<0.05
This thesis is based on the evaluation studies of an instrumental platform dedicated to video assisted minimally invasive mitral valve surgery, and of the robotic Da Vinci system in LAD bypass with mammary artery in a closed chest approach. 1) Evaluation of Portaclamp. In 20 patients who underwent cardiac surgery with Portaclamp, a clinical study showed that the clamping system is safe, fast and easy and does not generate undue morbidity. In a pig model, severe lesions of the intima were observed on the clamping spot with the endoclamp, in comparison with Portaclamp and Chitwood clamp. 2) Evaluation of Portapleg. Portapleg is an auto-suturing system dedicated to antegrade cardioplegia delivery, and based on a Nitinol clip left implanted on the aorta. In 20 patients, the closure of the puncture aortic hole and the haemostasis after protamine were obtained in all cases. The procedure did not generate undue morbidity and there was no device-related adverse event. 3) Evaluation of Mitrax’s. The Mitrax’s retractor is a pattern cut polymer sheet, self-expanding and auto-adjusting. The effectiveness of Mitrax’s was evaluated in 62 patients who consecutively underwent a video-assisted mitral valve procedure. The global satisfaction index was 4.6±0.5, demonstrating the effectiveness of the device which provides optimal exposure and excellent direct vision. 4) Comparative analysis of minimally invasive techniques for LAD revascularization with mammary artery graft (Port Access, MIDCAB, TECAB). In a prospective study, 160 patients were included. At 3-month postoperatively, the end-point of LAD reintervention were PA-CABG, 0%; MIDCAB, 1.8%; TECAB, 10%; p=0.01. At 3-year, reintervention-free survival was significantly lower in the TECAB group: PA-CABG, 100% ; MIDCAB, 98±5 % ; TECAB, 88±8 % ; p<0.05
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Dill, Rafaela Brittes. "Compensação dos movimentos fisiológicos do coração em cirurgia robótica." reponame:Biblioteca Digital de Teses e Dissertações da UFRGS, 2013. http://hdl.handle.net/10183/76168.

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Esta dissertação refere-se `a simulação de um sistema de controle em um manipulador robótico para compensação dos movimentos do coração em cirurgias cardíacas minimamente invasivas. No intuito de compensar os movimentos do batimento cardíaco utilizam-se técnicas de controle híbrido de posição/força e dados dos movimentos do coração obtidos in vivo, utilizadas como elementos básicos para a constituição deste sistema. Tópicos de modelagem de manipuladores robóticos e, em especial, a modelagem da relação entre as forças e deslocamentos na superfície do coração compõe a base estrutural. Focalizou-se, ainda, o papel do controle de força em relação `a posição da ferramenta do manipulador na superfície do coração. Pretende-se que a principal contribuição deste trabalho seja demonstrar que o controlador híbrido segue as restrições impostas pela dinâmica do sistema coração-pulmão.
This paper refers to the simulation of a control system for a robotic manipulator to compensate the movements of the heart in minimally invasive cardiac surgery. In order to compensate the motion of the beating heart techniques are used to implement a hybrid position/force controller based on data and the movements of the heart obtained in vivo, used as references to the input of the system. Topics modeling robotic manipulators, and in particular, modeling the relationship between forces and displacements on the surface of the heart comprises the structural basis. The role of power control over the position of the manipulator tool on the surface of the heart. It is intended that the main contribution of this study is to show that the hybrid controller follows the restrictions imposed by the dynamics of the heart-lung system.
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Osada, Hiroaki. "Novel device prototyping for endoscopic cell sheet transplantation using a three-dimensional printed simulator." Doctoral thesis, Kyoto University, 2021. http://hdl.handle.net/2433/263545.

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Fares, Charbel. "Simulator for training of the minimal invasive surgery." Marne-la-Vallée, 2006. http://www.theses.fr/2006MARN0290.

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Récemment, la réalité virtuelle devient de plus en plus utilisée dans le domaine de l’apprentissage des études pratiques dont la chirurgie. De même la robotique a trouvé un nouveau type d’applications dans ce milieu chirurgical où elle participe a l’assistance du chirurgien, en complétant les informations qui lui sont fournies, en augmentant son geste, ou encore en réalisant certaines taches qui lui permettent de ce concentrer sur la sienne. Ce projet s’inscrit dans le cadre du développement d’un environnement de réalité virtuelle pour aider à l’enseignement de la chirurgie arthroscopiques et à plus long terme, pour la simulation d’opérations sur un patient virtuel voire l’assistance en temps réel sur de vrais patients. Trois nouveaux algorithmes sont présentés: détection de collision, lissage Laplacien, et prédiction de collision. Le simulateur avec le retour d’effort est aussi montré en détails
Nowadays there is a growing interest in the computer-based surgical simulation since it has many applications in education, training, surgical planning, and on-line assistance. This project consists of developing a virtual reality environment used for the education of the arthroscopic surgery and for the simulation of the operation on a virtual patient. Its final objective is to assist in real time the operation on a real patient. Three new algorithms are presented: collision detection, Laplacian filter, and penetration depth calculation. The simulator with feedback forces is also presented in details
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DYRDA, ALESSANDRO. "Influence of different perfusion and aortic clamping techniques in minimally invasive mitral valve surgery." Doctoral thesis, Politecnico di Torino, 2020. http://hdl.handle.net/11583/2836790.

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Feuerstein, Marco. "Augmented reality in laparoscopic surgery new concepts and methods for intraoperative multimodal imaging and hybrid tracking in computer aided surgery." Saarbrücken VDM Verlag Dr. Müller, 2007. http://d-nb.info/991301250/04.

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Christiane, Peter-John. "Development of a minimally invasive robotic surgical manipulator." Thesis, Stellenbosch : Stellenbosch University, 2009. http://hdl.handle.net/10019.1/4497.

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Thesis (MScEng)--Stellenbosch University, 2009.
ENGLISH ABSTRACT: Minimal invasive surgery (MIS) enables surgeons to operate through a few small incisions made in the patient’s body. Through these incisions, long rigid instruments are inserted into the body and manipulated to perform the necessary surgical tasks. Conventional instruments, however, are constrained by having only five degrees of freedom (DOF), as well as having scaled and mirrored movements, thereby limiting the surgeon’s dexterity. Surgeons are also deprived of depth perception and hand-eye coordination due to only having two-dimensional visual feedback. Surgical robotics attempt to alleviate these drawbacks by increasing dexterity, eliminating the fulcrum effect and providing the surgeon with three-dimensional visualisation. This reduces the risks to the patient as well as to the surgeon. However, existing MIS systems are extremely expensive and bulky in operating rooms, preventing their more widespread adoption. In this thesis, a new, inexpensive seven-DOF primary slave manipulator (PSM) is presented. The four-DOF wrist is actuated through a tendon mechanism driven by five 12 VDC motors. A repeatability study on the wrist’s joint position was done and showed a standard deviation of 0.38 degrees. A strength test was also done and demonstrated that the manipulator is able to resist a 10 N opposing tip force and is capable of a theoretical gripping force of 15 N.
AFRIKAANSE OPSOMMING: Minimale indringende chirurgie (MIC) maak dit vir chirurge moontlik om operasies uit te voer deur ’n paar klein insnydings wat op die pasiënt se liggaam gemaak word. Deur hierdie insnydings word lang onbuigsame instrumente in die liggaam ingesit en gemanipuleer om die nodige chirurgiese take uit te voer. Konvensionele instrumente is egter beperk vanweë die feit dat hulle net vyf vryheidsgrade het, asook afgeskaalde bewegings en spieëlbewegings, en gevolglik die chirurg se handvaardigheid beperk. Chirurge word ook ontneem van dieptewaarneming en hand-oog-koördinasie, want hulle is beperk tot tweedimensionele visuele terugvoer. Chirurgiese robotika poog om hierdie nadele aan te spreek deur handvaardigheid te vermeerder, die hefboomeffek uit te skakel en die chirurg driedimensionele visualisering te bied. Dit verminder die risiko’s vir die pasiënt én vir die chirurg. Bestaande MIC-stelsels is egter uiters duur en neem baie plek op in teaters, wat verhoed dat hulle op ’n groter skaal gebruik word. In hierdie tesis word ’n nuwe, goedkoop sewevryheidsgrade- primêre slaafmanipuleerder (PSM) voorgelê. Die viervryheidsgrade-pols word beweeg deur ’n tendonmeganisme wat aangedryf word deur vyf 12 VDC-motors. ’n Herhaalbaarheidstudie is op die pols se gewrigsposisie gedoen, wat ’n standaardafwyking van 0.38 grade aangetoon het. ’n Sterktetoets is ook gedoen en het gewys dat die manipuleerder in staat is om ’n 10 N-teenkantelkrag te weerstaan en dat dit oor ’n teoretiese greepsterkte van 15 N beskik.
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Books on the topic "Minimal Invasive Cardiac Surgery"

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Goldstein, Daniel J., and Mehmet C. Oz. Minimally Invasive Cardiac Surgery. New Jersey: Humana Press, 2003. http://dx.doi.org/10.1385/1592594166.

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Oz, Mehmet C., and Daniel J. Goldstein, eds. Minimally Invasive Cardiac Surgery. Totowa, NJ: Humana Press, 1999. http://dx.doi.org/10.1007/978-1-4757-3036-4.

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Goldstein, Daniel J., and Mehmet C. Oz, eds. Minimally Invasive Cardiac Surgery. Totowa, NJ: Humana Press, 2004. http://dx.doi.org/10.1007/978-1-59259-416-0.

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Kofidis, Theo. Minimally Invasive Cardiac Surgery. Edited by Theo Kofidis. First edition. | Boca Raton : CRC Press, [2021]: CRC Press, 2021. http://dx.doi.org/10.1201/9780429188725.

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MD, Goldstein Daniel J., and Oz Mehmet 1960-, eds. Minimally invasive cardiac surgery. 2nd ed. Totowa, N.J: Humana Press, 2004.

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MD, Goldstein Daniel J., and Oz Mehmet 1960-, eds. Minimally invasive cardiac surgery. 2nd ed. Totowa, N.J: Humana Press, 2004.

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G, Cohen Robbin, ed. Minimally invasive cardiac surgery. St. Louis, Mo: Quality Medical Pub., 1999.

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Krakor, Ralf. Endoscopic mitral valve surgery: Handbook of minimal-invasive cardiac surgery. Berlin: Walter de Gruyter, 2011.

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Inderbitzi, Rolf Gilbert Carl, Ralph Alexander Schmid, Franca M. A. Melfi, and Roberto Pasquale Casula, eds. Minimally Invasive Thoracic and Cardiac Surgery. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-11861-6.

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LLC, Medtech Insight, ed. European markets for minimally invasive cardiac surgery and intracoronary diagnostic devices. Newport Beach, CA (23 Corporate Plaza, Suite 125, Newport Beach 92660): Medtech Insight, 2006.

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Book chapters on the topic "Minimal Invasive Cardiac Surgery"

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Clements, Fiona. "Minimally Invasive and Minimal Access Cardiac Surgery." In Transoesophageal Echocardiography in Anaesthesia and Intensive Care Medicine, 265–80. London, UK: BMJ Publishing Group, 2008. http://dx.doi.org/10.1002/9780470760239.ch14.

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Garbade, Jens, Sreekumar Subramanian, and Friedrich-Wilhelm Mohr. "Minimally Invasive Cardiac Surgery." In Cardiac Surgery, 831–67. Berlin, Heidelberg: Springer Berlin Heidelberg, 2017. http://dx.doi.org/10.1007/978-3-662-52672-9_26.

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Folliguet, Thierry A. "Minimal Access Mitral Valve Surgery." In Minimally Invasive Thoracic and Cardiac Surgery, 403–7. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-11861-6_39.

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Casula, Roberto Pasquale. "Minimal Access Aortic Valve Surgery." In Minimally Invasive Thoracic and Cardiac Surgery, 451–64. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-11861-6_42.

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Folliguet, Thierry A., Borut Gersak, Andy C. Kiser, Gerhard Wimmer-Greinecker, Claudio Muneretto, Michael Zembala, and Marian Zembala. "Minimal Access Atrial Fibrillation Surgery." In Minimally Invasive Thoracic and Cardiac Surgery, 511–18. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-11861-6_46.

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Bauer, Adrian, Jan Schaarschmidt, Thomas Eberle, and Harald Hausmann. "Minimal Invasive Extracorporeal Circulation Systems." In Patient Blood Management in Cardiac Surgery, 129–35. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-030-15342-7_15.

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Glauber, Mattia, and Antonio Miceli. "Minimally Invasive Aortic Valve Surgery." In Cardiac Surgery, 421–28. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-24174-2_46.

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Marin-Cuartas, Mateo, and Piroze M. Davierwala. "Minimally Invasive Mitral Valve Surgery." In Cardiac Surgery, 429–36. Cham: Springer International Publishing, 2020. http://dx.doi.org/10.1007/978-3-030-24174-2_47.

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Preventza, Ourania. "Aortic Surgery." In Minimally Invasive Cardiac Surgery, 359–72. First edition. | Boca Raton : CRC Press, [2021]: CRC Press, 2021. http://dx.doi.org/10.1201/9780429188725-25.

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Alhan, Cem, Sahin Senay, Julian Wong, and Andrew MTL Choong. "Aortic Surgery." In Minimally Invasive Cardiac Surgery, 373–88. First edition. | Boca Raton : CRC Press, [2021]: CRC Press, 2021. http://dx.doi.org/10.1201/9780429188725-26.

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Conference papers on the topic "Minimal Invasive Cardiac Surgery"

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Casula, R. "Robotic technology to facilitate minimal invasive cardiac surgery (Abstract only)." In IET Seminar on Robotic Surgery: The Kindest Cut of All? IEE, 2006. http://dx.doi.org/10.1049/ic:20060524.

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Szpala, Stanislaw, Marcin Wierzbicki, Gerard Guiraudon, and Terry Peters. "Dynamic organ modeling for minimally-invasive cardiac surgery." In Medical Imaging 2004, edited by Robert L. Galloway, Jr. SPIE, 2004. http://dx.doi.org/10.1117/12.536401.

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Starck, C., J. Eulert-Grehn, P. Lanmüller, T. Dreizler, B. Haupt, and V. Falk. "Minimal-Invasive Aspiration Procedure Based on a Venovenous Extracorporeal Circuit for Removal of Thrombi or Vegetations." In 48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678799.

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Aicher, D., A. Micelli, M. Glauber, S. Rankin, T. Klokocovnic, S. Pfeiffer, and T. Fischlein. "Minimally Invasive Aortic Valve Repair Using Internal Ring Annuloplasty." In 48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678894.

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Yasuda, Keigo, Kayo Yoshimoto, Yosuke Takahashi, Toshihiko Shibata, and Hideya Takahashi. "Device size selection support system for minimally invasive cardiac surgery." In Advanced Biomedical and Clinical Diagnostic and Surgical Guidance Systems XXI, edited by Caroline Boudoux and James W. Tunnell. SPIE, 2023. http://dx.doi.org/10.1117/12.2648693.

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von Aspern, K., J. Haunschild, U. Simoniuk, S. Kaiser, M. Misfeld, F. W. Mohr, M. A. Borger, and D. Etz. "Coiling Sequences in Two-Stage Minimally Invasive Segmental Artery Coil Embolization." In 48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678815.

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Bax, L., B. Reiter, H. Reichenspurner, and L. Conradi. "Technical Aspects of Minimally Invasive Direct Coronary Artery Bypass Surgery: Single-Center Experience." In 48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678776.

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Doenst, T., G. Faerber, S. Bargenda, S. Tkebuchava, C. Sponholz, F. Fuchs, P. Heinisch, and M. Bauer. "Minimally Invasive Parasternal Aortic Valve Replacement: A Slow Learning Curve toward Improved Outcomes." In 48th Annual Meeting German Society for Thoracic, Cardiac, and Vascular Surgery. Georg Thieme Verlag KG, 2019. http://dx.doi.org/10.1055/s-0039-1678961.

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Pang, Chunchao, Xiaojun Wu, Wei Lin, and Yaohua Hu. "B-spline based Motion Tracking of Cardiac Surface in Minimally Invasive Surgery." In 2017 IEEE 7th Annual International Conference on CYBER Technology in Automation, Control, and Intelligent Systems (CYBER). IEEE, 2017. http://dx.doi.org/10.1109/cyber.2017.8446305.

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Stefanova, N., M. Hessinger, T. Opitz, and R. Werthschutzky. "Characteristic of a force sensing guide wire for minimally invasive cardiac surgery." In 2016 38th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC). IEEE, 2016. http://dx.doi.org/10.1109/embc.2016.7591904.

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