Robotic mitral valve repair: A single center experience over a 7-year period.

Cardiac Surgical Procedures / methods Humans Mitral Valve / surgery Mitral Valve Insufficiency / surgery Retrospective Studies Robotic Surgical Procedures Treatment Outcome
minimally invasive surgical procedures mitral valve mitral valve insufficiency mitral valve prolapse robotics

Journal

Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809

Informations de publication

Date de publication:
Aug 2022
Historique:
revised: 21 08 2021
received: 03 07 2021
accepted: 23 09 2021
pubmed: 6 5 2022
medline: 6 7 2022
entrez: 5 5 2022
Statut: ppublish

Résumé

We report the clinical and echocardiographic results of our experience in robotic mitral valve repair over a 7-year period. The outcomes of the earliest and the latest patients will be compared. Between March 2012 and October 2019, 226 patients underwent robotic mitral valve repair for severe mitral regurgitation in a single institution. The first 113 patients (Group 1) were operated between March 2012 and September 2015 and the last 113 patients (Group 2) between October 2015 and October 2019. Conventional techniques employed in open surgery were used. Clinical and echographic follow-up were 96.0% and 94.2% complete, respectively. Successful mitral repair was achieved in all cases with no hospital mortality. The overall survival rate was 92.7 ± 2.8% and 91.0 ± 3.2% at 3 and 7 years, respectively, with no in between groups difference (p = 0.513). The overall freedom from mitral reoperation was 97.4 ± 1.2% at 3 and 7 years and was similar in both groups (p = 0.276). Freedom from mitral regurgitation Grade 2+ at 3 and 7 years were 89.1 ± 2.6% and 87.9 ± 2.8%, respectively, with no significant difference between groups (p = 0.056). Developing a robotic mitral repair program can be done without compromising the safety and efficacy of repair. After a well-conducted training, robotic approach allows to perform simple and complex mitral repair using similar techniques as in conventional approach and without additional risk for the patient.

Sections du résumé

BACKGROUND BACKGROUND
We report the clinical and echocardiographic results of our experience in robotic mitral valve repair over a 7-year period. The outcomes of the earliest and the latest patients will be compared.
METHODS METHODS
Between March 2012 and October 2019, 226 patients underwent robotic mitral valve repair for severe mitral regurgitation in a single institution. The first 113 patients (Group 1) were operated between March 2012 and September 2015 and the last 113 patients (Group 2) between October 2015 and October 2019. Conventional techniques employed in open surgery were used. Clinical and echographic follow-up were 96.0% and 94.2% complete, respectively.
RESULTS RESULTS
Successful mitral repair was achieved in all cases with no hospital mortality. The overall survival rate was 92.7 ± 2.8% and 91.0 ± 3.2% at 3 and 7 years, respectively, with no in between groups difference (p = 0.513). The overall freedom from mitral reoperation was 97.4 ± 1.2% at 3 and 7 years and was similar in both groups (p = 0.276). Freedom from mitral regurgitation Grade 2+ at 3 and 7 years were 89.1 ± 2.6% and 87.9 ± 2.8%, respectively, with no significant difference between groups (p = 0.056).
CONCLUSIONS CONCLUSIONS
Developing a robotic mitral repair program can be done without compromising the safety and efficacy of repair. After a well-conducted training, robotic approach allows to perform simple and complex mitral repair using similar techniques as in conventional approach and without additional risk for the patient.

Identifiants

DOI: 10.1111/jocs.16575 PMID: 35510407
pubmed: 35510407
doi: 10.1111/jocs.16575
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

2266-2277

Commentaires et corrections

Type : CommentIn

Informations de copyright

© 2022 Wiley Periodicals LLC.

Références

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Auteurs

Maureen Klepper (M)

Cardiovascular Research Center, Institute for Experimental and Clinical Research, Catholic University of Louvain, Brussels, Belgium.
Department of Cardiovascular and Thoracic Surgery, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.
ORCID: 0000-0003-2393-9486

Philippe Noirhomme (P)

Cardiovascular Research Center, Institute for Experimental and Clinical Research, Catholic University of Louvain, Brussels, Belgium.
Department of Cardiovascular and Thoracic Surgery, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.

Laurent de Kerchove (L)

Cardiovascular Research Center, Institute for Experimental and Clinical Research, Catholic University of Louvain, Brussels, Belgium.
Department of Cardiovascular and Thoracic Surgery, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.

Stefano Mastrobuoni (S)

Cardiovascular Research Center, Institute for Experimental and Clinical Research, Catholic University of Louvain, Brussels, Belgium.
Department of Cardiovascular and Thoracic Surgery, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.

Cristiano Spadaccio (C)

Department of Cardiovascular and Thoracic Surgery, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.
Institute of Cardiovascular and Medical Sciences, College of Medical, Veterinary and Life Sciences, University of Glasgow, Glasgow, UK.

Guillaume Lemaire (G)

Department of Anesthesiology, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.

Gébrine El Khoury (G)

Cardiovascular Research Center, Institute for Experimental and Clinical Research, Catholic University of Louvain, Brussels, Belgium.
Department of Cardiovascular and Thoracic Surgery, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.

Emiliano Navarra (E)

Cardiovascular Research Center, Institute for Experimental and Clinical Research, Catholic University of Louvain, Brussels, Belgium.
Department of Cardiovascular and Thoracic Surgery, Saint-Luc University Clinics, Catholic University of Louvain, Brussels, Belgium.

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questionsmedicales.fr › Procédures de chirurgie opératoire › Procédures de chirurgie thoracique › Procédures de chirurgie cardiaque › Robotic mitral valve repair: A single center...
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questionsmedicales.fr › Système cardiovasculaire › Coeur › Valves cardiaques › Valve atrioventriculaire gauche › Robotic mitral valve repair: A single center...
questionsmedicales.fr › Maladies cardiovasculaires › Cardiopathies › Valvulopathies › Insuffisance mitrale › Robotic mitral valve repair: A single center...
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