Department of Cardiac Surgery, University Hospital Bonn, Germany.
Multimed Man Cardiothorac Surg. 2024 Mar 26;2024. doi: 10.1510/mmcts.2023.094.
Micro-invasive totally endoscopic aortic valve replacement surgery is a minimally invasive cardiac procedure that can be performed with the help of several techniques and technologies that employ the latest innovations in instrumentation and technological advances in the field, thereby greatly limiting the overall invasiveness of the procedure. With the help of a 3-dimensional camera, long instruments, a very small thoracotomy and a soft-tissue retractor without any rib retractor, the aortic valve can be easily and safely accessed for replacement. The other main features of these techniques are extracorporeal circulation that is achieved through peripheral percutaneous cannulation of the femoral vessels, antegrade cardioplegia, the use of automated devices for suturing the valvular ring and the prosthetic suture cuff, namely the RAM device, the Sew-Easy device and the Cor-Knot Mini device. Additionally, an automated vascular closure device such as the MANTA device is later used to close the femoral artery following decannulation.
微创全内窥镜主动脉瓣置换术是一种微创心脏手术，可以借助几种技术来完成，这些技术采用了器械方面的最新创新和该领域的技术进步，从而大大降低了手术的整体侵入性。借助三维摄像机、长器械、非常小的开胸术和没有任何肋骨牵开器的软组织牵开器，可以轻松、安全地进入主动脉瓣进行置换。这些技术的其他主要特点是通过股血管的经皮穿刺建立体外循环，顺行心脏停搏液，使用自动装置缝合瓣环和人工缝合袖口，即 RAM 装置、Sew-Easy 装置和 Cor-Knot Mini 装置。此外，在拔管后，通常会使用 MANTA 装置等自动血管闭合装置来闭合股动脉。
