Key result
MECC linked to ~33% shorter ICU stay versus CECC in minimally invasive valve surgery.
Why the study?
Data regarding the application of minimally invasive extracorporeal circulation (MECC) in minimally invasive valve surgery are largely missing.
Does minimally invasive extracorporeal circulation improve perioperative outcomes compared to conventional extracorporeal circulation in patients undergoing minimally invasive cardiac valve surgery?
Comparison
Minimally invasive extracorporeal circulation (MECC) vs conventional extracorporeal circulation (CECC)
Design
Prospectively analyzed cohort study
Follow-up
Hospital stay
Authors
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Extends MECC application to minimally invasive valve surgery; hypothesis-generating for outcomes versus CECC, requiring prospective confirmation.
Cohort (n=168)
Does minimally invasive extracorporeal circulation improve perioperative outcomes compared to conventional extracorporeal circulation in patients undergoing minimally invasive cardiac valve surgery?
Absolute Event Rate: 1.2% vs 1.8%
p-value: p=0.005
The use of minimally invasive extracorporeal circulation in minimally invasive valve surgery is feasible and associated with less hemodilution, better preserved renal function, and shorter ICU stays compared to conventional circuits.
Rustenbach et al. (2013) conducted a cohort in Minimally invasive cardiac valve surgery (n=168). Minimally invasive extracorporeal circulation (MECC) vs. Conventional extracorporeal circulation (CECC) was evaluated on Intensive care unit (ICU) stay in days (p=0.005). Minimally invasive extracorporeal circulation during minimally invasive valve surgery significantly reduced intensive care unit stay compared to conventional circulation (1.2 vs 1.8 days, p=0.005).
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