Robotic Mitral Valve Repair: Impact of Experience on Results and Complex Mitral Disease Treatment
Abstract
:1. Introduction
2. Materials and Methods
2.1. Surgical Technique
2.2. Statistical Analysis
3. Results
3.1. Preoperative and Operative Data
3.2. Postoperative and Follow-Up Data
3.3. Mitral Valve Repair Complexity
4. Discussion
5. Conclusions
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Conflicts of Interest
References
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All (144 PTS) | Group 1 (39 PTS) | Group 2 (105 PTS) | p Value | |
---|---|---|---|---|
Age, years (mean ± SD) | 58 ± 10 | 56 ± 10 | 59 ± 10 | ns |
Male, n (%) | 131 (91) | 36 (92) | 95 (90.5) | ns |
Hypertension, n (%) | 78 (54) | 22 (56) | 56 (53) | ns |
Diabetes Mellitus, n (%) | 3 (2.5) | 1 (2.5) | 3 (2.5) | ns |
Extracardiac Arteriopathy, n (%) | 3 (2) | 2 (5) | 1 (1) | ns |
COPD, n (%) | 6 (4) | 1 (2.5) | 5 (4.5) | ns |
EuroSCORE II (mean ± SD) | 0.8 ± 0.5 | 0.7 ± 0.6 | 0.8 ± 0.6 | ns |
STS Score (mean ± SD) | 0.6 ± 0.3 | 0.6 ± 0.2 | 0.6 ± 0.4 | ns |
MV pathology | ||||
Barlow disease, n (%) | 13 (9) | 3 (7) | 10 (9) | ns |
Posterior Leaflet pathology, n (%) | 136 (94) | 35 (90) | 101 (96) | ns |
Anterior Leaflet pathology, n (%) | 10 (7) | 1 (2.5) | 9 (8.5) | 0.03 |
LVEF > 55%, n (%) | 141 (98) | 37 (95) | 104 (99) | ns |
All (144 PTS) | Group 1 (39 PTS) | Group 2 (105 PTS) | p Value | |
---|---|---|---|---|
Transareolar approach, n (%) | 14 (10) | 4 (10) | 10 (9.5) | ns |
Jugular-femoral venous cannulation, n (%) | 72 (50) | 39 (100) | 33 (31) | <0.001 |
Femoral venous cannulation, n (%) | 72 (50) | 0 (0) | 72 (69) | < 0.001 |
Femoral arterial cannulation, n (%) | 143 (99.3) | 39 (100) | 104 (99) | ns |
Axillary arterial cannulation, n (%) | 1 (0.7) | 0 (0) | 1 (1) | ns |
Endoclamp, n (%) | 28 (19) | 28 (72) | 0 (0) | <0.001 |
External clamp, n (%) | 116 (80) | 11 (28) | 105 (100) | <0.001 |
CPB time, min (mean ± SD) | 128 ± 40 | 155 ± 44 | 121 ± 36 | 0.002 |
Cross-clamp time, min (mean ± sd) | 78 ± 42 | 112 ± 25 | 68 ± 39 | <0.001 |
Conversion to sternotomy, n (%) | 1 (0.7) | 0 (0) | 1 (1) | ns |
Triangular resection PL, n (%) | 68 (60) | 16 (41) | 70 (67) | 0.002 |
Quadrangular resection PL, n (%) | 35 (24) | 4 (10) | 31 (29) | 0.01 |
Commissuroplasty, n (%) | 5 (3.5) | 0 (0) | 5 (5) | ns |
Sliding plasty, n (%) | 50 (35) | 3 (7) | 47 (45) | <0.001 |
Neochordae, n (%) | 39 (27) | 24 (65) | 15 (14) | <0.001 |
Flexible band, n (%) | 144 (100) | 39 (100) | 105 (100) | ns |
All (144 PTS) | Group 1 (39 PTS) | Group 2 (105 PTS) | p Value | |
---|---|---|---|---|
In-hospital Mortality, n (%) | 1 (0.7) | 0 (0) | 1 (1) | ns |
AMI, n (%) | 1 (0.7) | 1 (2.5) | 0 (0) | ns |
Stroke major, n (%) | 1 (0.7) | 1 (2.5) | 0 (0) | ns |
Revision for bleeding, n (%) | 4 (2.5) | 0 (0) | 4 (4) | ns |
Blood transfusion, n (%) | 24 (16) | 13 (33) | 11 (10) | <0.001 |
ICU stay, hours median (IQR) | 24 (48) | 24 (20–30) | 27 (24–49) | ns |
Ventilation time, hours–median (IQR) | 6 (1–15) | 7 (5–19) | 6 (1–15) | ns |
In-Hospital stay, days–median (IQR) | 8 (7–12) | 9 (8–12) | 8 (7–12) | ns |
MR > 1+, n (%) | 0 (0) | 0 (0) | 0 (0) | ns |
LVEF > 55%, n (%) | 139 (96) | 36 (92) | 103 (98) | ns |
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Lio, A.; Russo, M.; Sangiorgi, B.; Nicolò, F.; Chirichilli, I.; Irace, F.; Ranocchi, F.; Musumeci, F. Robotic Mitral Valve Repair: Impact of Experience on Results and Complex Mitral Disease Treatment. J. Clin. Med. 2024, 13, 3744. https://doi.org/10.3390/jcm13133744
Lio A, Russo M, Sangiorgi B, Nicolò F, Chirichilli I, Irace F, Ranocchi F, Musumeci F. Robotic Mitral Valve Repair: Impact of Experience on Results and Complex Mitral Disease Treatment. Journal of Clinical Medicine. 2024; 13(13):3744. https://doi.org/10.3390/jcm13133744
Chicago/Turabian StyleLio, Antonio, Marco Russo, Beatrice Sangiorgi, Francesca Nicolò, Ilaria Chirichilli, Francesco Irace, Federico Ranocchi, and Francesco Musumeci. 2024. "Robotic Mitral Valve Repair: Impact of Experience on Results and Complex Mitral Disease Treatment" Journal of Clinical Medicine 13, no. 13: 3744. https://doi.org/10.3390/jcm13133744
APA StyleLio, A., Russo, M., Sangiorgi, B., Nicolò, F., Chirichilli, I., Irace, F., Ranocchi, F., & Musumeci, F. (2024). Robotic Mitral Valve Repair: Impact of Experience on Results and Complex Mitral Disease Treatment. Journal of Clinical Medicine, 13(13), 3744. https://doi.org/10.3390/jcm13133744