Imperial College London
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Professor Thanos Athanasiou MD PhD MBA FECTS FRCS

Faculty of Medicine, Department of Surgery & Cancer

Professor of Cardiovascular Sciences
 
 
 
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Contact

 

t.athanasiou

 
 
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Location

 

1022Queen Elizabeth the Queen Mother Wing (QEQM)St Mary's Campus

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Summary

 

Publications

Citation

BibTex format

@article{Soylu:2017:10.1186/s13019-017-0599-z,
author = {Soylu, E and Kidher, E and Ashrafian, H and Stavridis, G and Harling, L and Athanasiou, T},
doi = {10.1186/s13019-017-0599-z},
journal = {Journal of Cardiothoracic Surgery},
title = {A systematic review of left ventricular cardio-endoscopic surgery},
url = {http://dx.doi.org/10.1186/s13019-017-0599-z},
volume = {12},
year = {2017}
}
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RIS format (EndNote, RefMan)

TY  - JOUR
AB  - Better visualisation, accurate resection and avoidance of ventriculotomy associated with use of endoscopic devices during intracardiac surgery has led to increasing interest in their use. The possibility of combining a cardio-endoscopic technique with either minimally invasive or totally endoscopic cardiac surgery provides an incentive for its further development. Several devices have been used, however their uptake has been limited due to uncertainty around their impact on patient outcomes. A systematic review of the literature identified 34 studies, incorporating 54 subjects undergoing treatment of left ventricular tumours, thrombus or hypertrophic myocardium using a cardio-endoscopic technique. There were no mortalities (0%; 0/47). In 12 studies, the follow-up period was longer than 30 days. There were no post-operative complications apart from one case of atrial fibrillation (2.2%; 1/46). Complete resection of left ventricular lesion was achieved in all cases (100%; 50/50). These successful results demonstrate that the cardio-endoscopic technique is a useful adjunct in resection of left ventricular tumours, thrombus and hypertrophic myocardium. This approach facilitates accurate resection of pathological tissue from left ventricle whilst avoiding exposure related valvular damage and adverse effects associated with ventriculotomy. Future research should focus on designing adequately powered comparative randomised trials focusing on major cardiac and cerebrovascular morbidity outcomes in both the short and long-term. In this way, we may have a more comprehensive picture of both the safety and efficacy of this technique and determine whether such devices could be safely adopted for routine use in minimal access or robotic intra-cardiac surgery.
AU  - Soylu,E
AU  - Kidher,E
AU  - Ashrafian,H
AU  - Stavridis,G
AU  - Harling,L
AU  - Athanasiou,T
DO  - 10.1186/s13019-017-0599-z
PY  - 2017///
SN  - 1749-8090
TI  - A systematic review of left ventricular cardio-endoscopic surgery
T2  - Journal of Cardiothoracic Surgery
UR  - http://dx.doi.org/10.1186/s13019-017-0599-z
UR  - http://hdl.handle.net/10044/1/48511
VL  - 12
ER  -
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