Relevant bibliographies by topics / Transaxillary access

Academic literature on the topic 'Transaxillary access'

Author: Grafiati
Published: 5 July 2023

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Journal articles on the topic "Transaxillary access"

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Semenov, D. Yu, M. E. Boriskova, P. A. Pankova, G. V. Volchkov, and M. A. Bykov. "TRANSAXILLARY ENDOVIDEOSURGICAL ACCESS IN THYROID SURGERY." VESTNIK KHIRURGII IMENI I.I.GREKOVA 177, no. 1 (March 10, 2018): 37–40. http://dx.doi.org/10.24884/0042-4625-2018-177-1-37-40.

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Marsillac, Alexandre Elmães de, Rossano Kepler Alvim Fiorelli, Henrique Neubarth Phillips, Pietro Novellino, André Lacerda Oliveira, and Ricardo Paiva A. Scheiba Zorron. "Transaxillary single-port subtotal parathyroidectomy: feasibility study in cadavers." Revista do Colégio Brasileiro de Cirurgiões 44, no. 2 (April 2017): 125–30. http://dx.doi.org/10.1590/0100-69912017002003.

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ABSTRACT Objective : to test the minimally invasive technique of single-port transaxillary subtotal parathyroidectomy in non-formalized cadavers to evaluate its viability and reproduction. Method : we performed ten subtotal parathyroidectomies through a transaxillary TriPort access in cadavers. The technique consisted of access through the axillary fossa, creating a subcutaneous tunnel to the anterior cervical region, for handling of the thyroid gland and dissection and resection of the parathyroid glands. Results : all surgeries were successful. The mean time of surgery was 65 minutes (57-79 min), with uncomplicated identification of all anatomical structures. There was no need for complementary incisions in the cervical region. Conclusion : the transaxillary single-port subtotal parathyroidectomy technique was feasible and reproducible, suggesting an alternative for minimally invasive cervical surgery.
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Wilbring, Manuel, Konstantin Alexiou, Torsten Schmidt, Asen Petrov, Ali Taghizadeh-Waghefi, Efstratios Charitos, Klaus Matschke, Sebastian Arzt, and Utz Kappert. "Safety and Efficacy of the Transaxillary Access for Minimally Invasive Aortic Valve Surgery." Medicina 59, no. 1 (January 13, 2023): 160. http://dx.doi.org/10.3390/medicina59010160.

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Background and Objectives: Transaxillary access is one of the latest innovations for minimally invasive aortic valve replacement (MICS-AVR). This study compares clinical performance in a large transaxillary MICS-AVR group to a propensity-matched sternotomy control group. Materials and Methods: This study enrolled 908 patients undergoing isolated AVR with a mean age of 69.4 ± 18.0 years, logistic EuroSCORE of 4.0 ± 3.9%, and body mass index (BMI) of 27.3 ± 6.1 kg/m2. The treatment group comprised 454 consecutive transaxillary MICS-AVR patients. The control group was 1:1 propensity-matched out of 3115 consecutive sternotomy aortic valve surgeries. Endocarditis, redo, and combined procedures were excluded. The multivariate matching model included age, left ventricular ejection fraction, logistic EuroSCORE, pulmonary hypertension, coronary artery disease, chronic lung disease, and BMI. Results: Propensity-matching was successful with subsequent comparable clinical baselines in both groups. MICS-AVR had longer skin-to-skin time (120.0 ± 31.5 min vs. 114.2 ± 28.7 min; p < 0.001) and more frequent bleeding requiring chest reopening (5.0% vs. 2.4%; p < 0.010), but significantly less packed red blood cell transfusions (0.57 ± 1.6 vs. 0.82 ± 1.6; p = 0.040). In addition, MICS-AVR patients had fewer access site wound abnormalities (1.5% vs. 3.7%; p = 0.038), shorter intensive care unit stays (p < 0.001), shorter ventilation times (p < 0.001), and shorter hospital stays (7.0 ± 5.1 days vs. 11.1 ± 6.5; p < 0.001). No significant differences were observed in stroke > Rankin 2 (0.9% vs. 1.1%; p = 0.791), renal replacement therapy (1.5% vs. 2.4%; p = 0.4762), and hospital mortality (0.9% vs. 1.5%; p = 0.546). Conclusions: Transaxillary MICS-AVR is at least as safe as AVR by sternotomy and can be performed in the same time frame. Its advantages are fewer transfusions and quicker postoperative recovery with a significantly shorter hospital stay. The cosmetic result and unrestricted physical abilities due to the untouched sternum and ribs are unique advantages of transaxillary access.
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Terzi, Alberto, Andrea Viti, and Luca Bertolaccini. "Transaxillary access to aortopulmonary window and paraaortic nodes." Asian Cardiovascular and Thoracic Annals 22, no. 9 (December 6, 2013): 1138–40. http://dx.doi.org/10.1177/0218492313516326.

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Taghizadeh-Waghefi, Ali, Sebastian Arzt, Veronica De Angelis, Jana Schiffarth, Asen Petrov, Matuš Tomko, Konstantin Alexiou, Klaus Matschke, Utz Kappert, and Manuel Wilbring. "Safety and Efficacy of the Transaxillary Access for Minimally Invasive Mitral Valve Surgery—A Propensity Matched Competitive Analysis." Medicina 58, no. 12 (December 15, 2022): 1850. http://dx.doi.org/10.3390/medicina58121850.

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Background and Objectives: Transaxillary access is a straightforward “single incision—direct vision” concept, based on a 5 cm skin incision in the right anterior axillary line. It is suitable for aortic, mitral and tricuspid surgery. The present study evaluates the hospital outcomes of the transaxillary access for isolated mitral valve surgery compared with full sternotomy. Patients and Methods: The final study group included 480 patients. A total of 160 consecutive transaxillary patients served as treatment group (MICS-MITRAL). Based on a multivariate logistic regression model including age, sex, body-mass-index, EuroScore II and LVEF, a 1:2 propensity matched control-group (n = 320) was generated out of 980 consecutive sternotomy patients. Redo surgeries, endocarditis or combined procedures were excluded. The mean age was 66.6 ± 10.6 years, 48.6% (n = 234) were female. EuroSCORE II averaged 1.98 ± 1.4%. Results: MICS-MITRAL had longer perfusion (88.7 ± 26.6 min vs. 68.7 ± 32.7 min; p < 0.01) and cross-clamp (64.4 ± 22.3 min vs. 49.7 ± 22.4 min; p < 0.01) times. This did not translate into longer procedure times (132 ± 31 min vs. 131 ± 46 min; p = 0.76). Both groups showed low rates of failed repair (MICS-MITRAL: n = 6/160; 3.75%; Sternotomy: n = 10/320; 3.1%; p = 0.31). MICS-MITRAL had lower transfusion rates (p ≤ 0.001), less re-exploration for bleeding (p = 0.04), shorter ventilation times (p = 0.02), shorter ICU-stay (p = 0.05), less postoperative hemofiltration (p < 0.01) compared to sternotomy patients. No difference was seen in the incidence of stroke (p = 0.47) and postoperative delirium (p = 0.89). Hospital mortality was significantly lower in MICS-MITRAL patients (0.0% vs. 3.4%; p = 0.02). Conclusions: The transaxillary access for MICS-MITRAL provides superior cosmetics and excellent clinical outcomes. It can be performed at least as safely and in the same time frame as conventional mitral surgery by sternotomy.
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Trani, Carlo, Cristina Aurigemma, Enrico Romagnoli, and Francesco Burzotta. "Percu-Ax aortic valve implantation with a double arm approach: a case report." European Heart Journal - Case Reports 4, no. 5 (October 1, 2020): 1–5. http://dx.doi.org/10.1093/ehjcr/ytaa225.

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Abstract Background Transaxillary route for structural and coronary percutaneous interventions represents a valid alternative access in patients with obstructive peripheral disease. Nevertheless, its widespread use is limited by a less manageable haemostasis procedure. Case summary In this case, we describe a minimalistic high-risk transcatheter aortic valve implantation (TAVI) procedure (TAVI Score 6.42%) conducted with a double arm approach (radial and axillary accesses) in an 88-year-old patient with severe aortic stenosis and multiple co-morbidities preventing both surgical (Society of Thoracic Surgeons mortality 7.9%) and percutaneous transfemoral approach (extensive peripheral artery disease). We also described the successful management of a complicated transaxillary haemostasis with this technique. Discussion In our cases, a minimalist double-arm approach was successfully used for TAVI procedure as an alternative to transfemoral approach assuring effective and safe management of vascular access haemostasis.
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Liu, Yang, Jiazhong Wang, Shuo Chen, and Gang Cao. "Endoscopic total thyroidectomy using a unilateral transaxillary approach: A case report." Journal of International Medical Research 51, no. 3 (March 2023): 030006052311589. http://dx.doi.org/10.1177/03000605231158962.

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Endoscopic transaxillary thyroidectomy is a common method for remote-access thyroidectomy. The approach typically uses a gasless method, and a long incision to insert a special retractor. In addition, it is considered only suitable for unilateral lobectomy because of problems accessing contralateral parts of the thyroid gland. We describe here, a case of a young woman who had a total thyroidectomy performed using an endoscopic approach. We reduced the non-inflated 4–6 cm incision that is usually required, into three holes, and performed unilateral transaxillary thyroidectomy; this was verified by radioactive iodine uptake and thyroglobulin levels during follow-up. The approach was clinically successful and resulted in minimal scarring. More studies are required to optimize this promising technique.
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Arru, M., L. Aldrighetti, F. Gremmo, M. Ronzoni, E. Angeli, R. Caterini, and G. Ferla. "Arterial Devices for Regional Hepatic Chemotherapy: Transaxillary versus Laparotomic Access." Journal of Vascular Access 1, no. 3 (July 2000): 93–99. http://dx.doi.org/10.1177/112972980000100305.

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Schäfer, Ulrich, Yen Ho, Christian Frerker, Dimitry Schewel, Damian Sanchez-Quintana, Joachim Schofer, Klaudija Bijuklic, et al. "Direct Percutaneous Access Technique for Transaxillary Transcatheter Aortic Valve Implantation." JACC: Cardiovascular Interventions 5, no. 5 (May 2012): 477–86. http://dx.doi.org/10.1016/j.jcin.2011.11.014.

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Wang, Huan, James L. Swischuk, Kenneth Fraser, Jorge Alvernia, and Giuseppe Lanzino. "Transaxillary Carotid Stenting: Technical Case Report." Operative Neurosurgery 56, suppl_4 (April 1, 2005): ONS—E441—ONS—E441. http://dx.doi.org/10.1227/01.neu.0000156847.28054.66.

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Abstract OBJECTIVE AND IMPORTANCE: As endovascular neurointerventions continue to evolve rapidly, angioplasty and stenting of both the extracranial and intracranial vessels have become more routine procedures. When the transfemoral approach is contraindicated or technically difficult, familiarity with alternative access techniques becomes essential. We report a successful transaxillary carotid stenting in a patient with an axillary bifemoral bypass graft. CLINICAL PRESENTATION: A 77-year-old man presented with a symptomatic high-grade stenosis (80%) of the left internal carotid artery. Because of the increased risk of general anesthesia related to his advanced age and severe comorbidities, stenting of the left internal carotid artery was considered. A left transaxillary approach was chosen because of the presence of an axillary bifemoral bypass graft. TECHNIQUE: Under ultrasound guidance, the left axillary artery was successfully punctured and cannulated. After a 0.038 Magic Torque wire (Boston Scientific/Medi-Tech, Watertown, MA) was anchored with the tip of the wire in the distal left occipital artery, a 7-French (outer diameter) Vista Bright guiding sheath (Cordis, Miami, FL) was successfully positioned in the mid left common carotid artery, with an MPA catheter (Cordis) used as guiding support. Subsequently, two Precise stents (Cordis) were successfully deployed across the stenosis, yielding a satisfactory angiographic result. CONCLUSION: With proper patient selection and the use of ultrasound guidance during the initial puncture, the transaxillary approach is a safe and technically feasible alternative to the transfemoral approach when performing carotid stenting.
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Dissertations / Theses on the topic "Transaxillary access"

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Debry, Nicolas. "Complications ischémiques et hémorragiques des procédures de réparation valvulaire aortique percutanée." Electronic Thesis or Diss., Université de Lille (2018-2021), 2021. http://www.theses.fr/2021LILUS040.

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La réparation valvulaire aortique percutanée a connu d’immense progrès depuis unevingtaine d’années permettant au patient atteint de rétrécissement aortique (RA) serré debénéficier d’un traitement curatif, le plus souvent avec une approche minimaliste sous anesthésielocale associée à une diminution des complications procédurales. Cependant la prise en charge decertaines situations cliniques d’urgence ou de certains patients à haut risque opératoire est encoremal définie et nécessite une évaluation précise des complications ischémiques et hémorragiquesde la procédure percutanée.Dans la première partie de la thèse nous avons confirmé que certaines situations cliniquescomplexes urgentes telles qu’un état de choc cardiogénique secondaire à un RA serré, ou lanécessité d’une chirurgie extracardiaque urgente constituent encore une zone grise où letraitement optimal du RA n'est pas clair et nécessite de plus amples investigations. Dans le choccardiogénique ou la chirurgie extracardiaque urgente, le risque de complications hémorragiqueset surtout ischémiques et la mortalité à court terme restent très élevés. En cas de choccardiogénique, les complications sont principalement reliées au timing de la valvuloplastieaortique (BAV). En cas de chirurgie extracardiaque urgente, la BAV systématique n’améliore pasle pronostic par rapport au traitement médical.Dans la deuxième partie de la thèse, chez des patients à risque intermédiaire ou élevécontre indiqué à l’accès transfémoral pour un TAVI, nous avons comparé les deux voiesalternatives extrathoraciques les plus utilisées : axillaire et carotidienne. Celles ci font jeu égal enterme de complications ischémiques et de mortalité mais l’accès carotidien semble avoir plus decomplications hémorragiques en particulier locales.La troisième et dernière partie de la thèse nous a permis d’apprécier l’incidenceimportante de microbleeds au cours de la procédure TAVI. Leur apparition semble être reliéeavec la durée de la procédure et l’absence de correction du déficit en facteur Willebrand acquislors du RA ; ces lésions n’ont pas de retentissement sur l’évolution neurologique à court terme(6mois). Des études sont en cours pour mieux préciser le lien entre risque hémorragique cérébral,anomalie du facteur vWF et dispositif cardiaque valvulaire ou d’assistance
Ischemic and haemorrhagic complications during percutaneous aortic valve interventionsPercutaneous aortic valve repair including balloon aortic valvuloplasty (BAV) and TAVI has experienced significant improvements over the past twenty years, allowing patients with severe aortic stenosis (SAS) to benefit from a curative treatment, mostly with a minimalist approach under local anesthesia associated with a drastic reduction of procedural complications.However, the management of specific clinical emergency situations or of high-risk patients is still poorly explored and requires an accurate assessment of the ischemic and hemorrhagic complications of percutaneous procedures.In the first part of this thesis, we confirmed that some urgent complex clinical situations such as cardiogenic shock secondary to SAS, or the need for urgent extracardiac surgery in SAS patients still constitute a grey zone where the optimal treatment is unclear and requires further investigations. During cardiogenic shock or urgent extracardiac surgery, the risk of hemorrhagic and especially ischemic complications and short-term mortality remain very high. During cardiogenic shock, complications are mainly related to the timing of the BAV. When urgent extracardiac surgery is required, routine BAV does not improve the prognosis of SAS patients compared to medical treatment.In the second part of this thesis, we compared the axillary and carotid access in intermediate or high-risk patients contraindicated to transfemoral route for TAVI. These accesses have similar rates of ischemic complications and mortality, but carotid artery has more local hemorrhagic complications.The third and final part of this thesis analyse the significant incidence of microbleeds during the TAVI procedure. Their appearance seems to be related to the duration of the procedure and the lack of correction of the von Willebrand factor deficiency acquired during SAS; these lesions have no impact on the neurological evolution in the short term.Studies are underway to better define the link between the risk of cerebral hemorrhage, the vWF factor and cardiac valvular or circulatory assist device
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Book chapters on the topic "Transaxillary access"

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Kamper, Lars, and Patrick Haage. "Transaxillary Access." In Textbook of Catheter-Based Cardiovascular Interventions, 415–17. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-55994-0_26.

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Wu, Shuodong, Ying Fan, and Yu Tian. "Thyroid Surgery: Single-Port Access Transaxillary Totally Endoscopic Thyroidectomy." In Atlas of Single-Incision Laparoscopic Operations in General Surgery, 365–74. Dordrecht: Springer Netherlands, 2013. http://dx.doi.org/10.1007/978-94-007-6955-7_10.

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Tamburino, Corrado, Claudia Ina Tamburino, and Sebastiano Immè. "Access routes and the transcatheter aortic valve implantation procedure." In Oxford Textbook of Interventional Cardiology, edited by Simon Redwood, Nick Curzen, and Adrian Banning, 583–88. Oxford University Press, 2018. http://dx.doi.org/10.1093/med/9780198754152.003.0038.

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When performing transcatheter aortic valve implantation (TAVI), the access route of choice is transfemoral (TF) access since it is less invasive compared to other approaches and it is feasible in the majority of patients undergoing this procedure. Although new devices with smaller sheath sizes are available for TF-TAVI, a minority of patients still do not represent good candidates for this access route and, because of unfavourable iliofemoral arteries, need an alternative approach. Among the access site options are the transapical, direct aortic, transaxillary, or subclavian and, less frequently, transcarotid approaches. Moreover, when TF access is not feasible, the most common approaches are the transapical for the balloon-expandable Edwards SAPIEN XT valve, the subclavian for the Medtronic self-expandable CoreValve, and the transaortic for both prostheses. This chapter provides a detailed overview of all the access sites available for TAVI.
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Conference papers on the topic "Transaxillary access"

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Wilbring, M., S. Arzt, K. Alexiou, E. Charitos, K. Matschke, and U. Kappert. "Clinical Safety and Efficacy of the Transaxillary Access Route for Minimally Invasive Aortic Valve Replacement." In 52nd Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery (DGTHG). Georg Thieme Verlag KG, 2023. http://dx.doi.org/10.1055/s-0043-1761698.

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Schäfer, A., N. Schofer, J. Schirmer, M. Seiffert, S. Blankenberg, H. Reichenspurner, D. Westermann, and L. Conradi. "Transaxillary Transcatheter Aortic Valve Implantation as First-Line Alternative to Transfemoral Access: A Single-Center Experience." In 50th Annual Meeting of the German Society for Thoracic and Cardiovascular Surgery (DGTHG). Georg Thieme Verlag KG, 2021. http://dx.doi.org/10.1055/s-0041-1725720.

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