Key result
Endoscopic surgical aortic valve replacement requires specific 'must dos' and 'preferences' to ensure safety and avoid severe adverse events or emergency conversion to full sternotomy.
This paper outlines essential techniques and preferences for performing safe endoscopic surgical aortic valve replacement.
Adherence to defined techniques is essential for safe endoscopic SAVR; leaves open prospective validation before broader adoption.
Aortic valve replacement via a full sternotomy remains the gold standard for aortic stenosis treatment; however, minimally invasive techniques have grown in popularity and continue to evolve. A recent evolution of minimally invasive aortic valve replacement is endoscopic surgical aortic valve replacement: a miniaturized surgical approach under video guidance. To ensure a safe and reproducible procedure, we have developed 'must dos' and 'preferences' for endoscopic surgical aortic valve replacement. These include specific endoscopic surgical skills to avoid severe adverse events or an emergency conversion to a full sternotomy.
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Danesi et al. (2018) conducted a review in Aortic stenosis. Endoscopic surgical aortic valve replacement vs. Full sternotomy was evaluated. Endoscopic surgical aortic valve replacement requires specific 'must dos' and 'preferences' to ensure safety and avoid severe adverse events or emergency conversion to full sternotomy.
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