A Single Bicaval Venous Cannula Used for Optimization of Endoscopic Robotically Assisted Procedures of the Heart

Authors

  • Jürg Grünenfelder
  • Achim Häussler
  • Andre Plass
  • Oliver Reuthebuch
  • Hitendu Dave
  • Boris Leskosek
  • Marko Turina
  • Gregor Zünd

DOI:

https://doi.org/10.1532/hsf.785

Abstract

Robotically assisted heart operation is one of the minimally invasive approaches that have revolutionized many surgical procedures. Robotic procedures on the heart, however, are by no means routine, and their optimization requires development of new instruments and techniques. Described here is the robotically assisted use in a sheep model of a new peripherally inserted bicaval venous cannula in the totally endoscopic closure of atrial septal defect. The exposure of the surgical target area was successful with no obstructions in the surgical view. The cannula shows sufficient flow characteristics for cardiopulmonary bypass. Subsequent suturing of the atrial septum defect was achieved without complications in the 4 experimental animals.

References

Tevaearai HT, Muller XM, Jegger D, Ruchat P, von Segesser LK. 2001. Venous drainage with a single peripheral bicaval cannula for less invasive atrial septal defect repair. Ann Thorac Surg 72:1772-3.nArgenziano M, Oz MC, DeRose JJ Jr, et al. 2001. Totally endoscopic atrial septal defect repair with robotic assistance. Heart Surg Forum 5:294-300.nCarpentier A, Loulmet D, Aupecle B, et al. 1998. Computer assisted open heart surgery: first case operated on with success [in French]. C R Acad Sci III 321:437-42.nGregoretti S. 1996. Suction-induced haemolyses at various vacuum pressures: implications for intraoperative blood salvage. Transfusion 36:57-60.nJegger D, Tevaearai HT, Horisberger J, et al. 1999. Augmented venous return for minimally invasive open heart surgery with selective caval cannulation. Eur J Cardiothorac Surg 16:312-6.nTevaearai HT, Muller XM, Jegger D, Augsberger M, Stumpe F, von Segesser LK. 1999. Optimisation of the pump driven return for minimally invasive open heart surgery. Int J Artif Organs 22:684-9.n

Published

2005-02-08

How to Cite

Grünenfelder, J., Häussler, A., Plass, A., Reuthebuch, O., Dave, H., Leskosek, B., Turina, M., & Zünd, G. (2005). A Single Bicaval Venous Cannula Used for Optimization of Endoscopic Robotically Assisted Procedures of the Heart. The Heart Surgery Forum, 6(5), 393-395. https://doi.org/10.1532/hsf.785

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