https://scholars.lib.ntu.edu.tw/handle/123456789/430917
DC 欄位 | 值 | 語言 |
---|---|---|
dc.contributor.author | NAI-KUAN CHOU | en_US |
dc.contributor.author | Okano, Ryoi | en_US |
dc.contributor.author | Tedoriya, Takeo | en_US |
dc.contributor.author | I-HUI WU | en_US |
dc.contributor.author | HSI-YU YU | en_US |
dc.contributor.author | YIH-SHARNG CHEN | en_US |
dc.contributor.author | MING-JIUH WANG | en_US |
dc.contributor.author | NAI-HSIN CHI | en_US |
dc.creator | MING-JIUH WANG;YIH-SHARNG CHEN;HSI-YU YU;I-HUI WU;NAI-KUAN CHOU;NAI-HSIN CHI;Tedoriya, Takeo;Okano, Ryoi | - |
dc.date.accessioned | 2019-11-07T03:03:58Z | - |
dc.date.available | 2019-11-07T03:03:58Z | - |
dc.date.issued | 2018 | - |
dc.identifier.issn | 1346-9843 | - |
dc.identifier.uri | https://scholars.lib.ntu.edu.tw/handle/123456789/430917 | - |
dc.description.abstract | Surgical intervention is indicated in symptomatic hypertrophic cardiomyopathy (HCM) patients with a ventricular outflow pressure gradient more than 50 mmHg. The transmitral approach, along with the transapical and transaortic approaches, is routinely used for myectomy, but all are open procedures. We describe a robotic transmitral approach that can be used to resolve septal hypertrophied muscle and eliminate mitral regurgitation (MR) using 1 cardiac incision. Methods and Results: We retrospectively analyzed 20 adult patients with obstructive HCM who exhibited concomitant severe MR and systolic anterior motion (SAM). The 2 groups comprised 12 standard full-sternotomy transaortic and 8 robotic transmitral approaches. The pre-intraventricular pressure gradient was 69±14.2 mmHg in the robotic transmitral group and 70.2±17.4 mmHg in the transaortic group (P=0.876). Both groups had a similar left ventricular ejection fraction (65±8% vs. 72±9%, P=0.901) and maximal ventricular wall thickness (22.3±4.5 and 21.7±6.0, P=0.835). Postoperative MR was reduced to less than grade II in all patients. In the robotic group, the postoperative pressure gradient was 1.5±2.6 mmHg, which was lower than that of the transaortic group at 10.6±10.8 mmHg (P=0.019). The cross-clamp time was 95.3±7.7 min in the robotic group and 104.7±20.8 min in the transaortic group (P=0.193). The operation time was 237.5±22.4 and 309.6±28.5 min (P<0.01) in the robotic transmitral and transaortic groups, respectively. | en_US |
dc.language.iso | en | en_US |
dc.publisher | JAPANESE CIRCULATION SOC | en_US |
dc.relation.ispartof | Circulation journal : official journal of the Japanese Circulation Society | en_US |
dc.subject | Hypertrophic cardiomyopathy; Mitral valve regurgitation; Robotic surgery | en_US |
dc.subject.classification | [SDGs]SDG3 | - |
dc.subject.other | adult; Article; clinical article; cohort analysis; comparative effectiveness; diabetes mellitus; faintness; female; heart left ventricle ejection fraction; heart ventricle hypertrophy; human; hypertension; hypertrophic cardiomyopathy; male; middle aged; mitral valve regurgitation; New York Heart Association class; observational study; postoperative care; retrospective study; robot assisted surgery; systolic heart murmur; transesophageal echocardiography; aged; comparative study; heart stroke volume; heart surgery; hypertrophic cardiomyopathy; mitral valve regurgitation; pathophysiology; robotic surgical procedure; systole; Adult; Aged; Cardiac Surgical Procedures; Cardiomyopathy, Hypertrophic; Female; Humans; Male; Middle Aged; Mitral Valve Insufficiency; Retrospective Studies; Robotic Surgical Procedures; Stroke Volume; Systole | - |
dc.title | Robotic Transmitral Approach for Hypertrophic Cardiomyopathy With Systolic Anterior Motion | en_US |
dc.type | journal article | en |
dc.identifier.doi | 10.1253/circj.CJ-17-1369 | - |
dc.identifier.pmid | 30259897 | - |
dc.identifier.scopus | 2-s2.0-85055482879 | - |
dc.identifier.isi | WOS:000450971300013 | - |
dc.identifier.url | https://api.elsevier.com/content/abstract/scopus_id/85055482879 | - |
dc.relation.pages | 2761 | en_US |
dc.relation.journalvolume | 82 | en_US |
dc.relation.journalissue | 11 | en_US |
dc.relation.pageend | 2766 | en_US |
item.fulltext | no fulltext | - |
item.openairetype | journal article | - |
item.languageiso639-1 | en | - |
item.openairecristype | http://purl.org/coar/resource_type/c_6501 | - |
item.grantfulltext | none | - |
item.cerifentitytype | Publications | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Traumatology-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.dept | Anesthesiology-NTUH | - |
crisitem.author.dept | Anesthesiology | - |
crisitem.author.dept | Surgery-NTUH | - |
crisitem.author.dept | Surgery | - |
crisitem.author.orcid | 0000-0001-5494-7708 | - |
crisitem.author.orcid | 0000-0003-4367-9108 | - |
crisitem.author.orcid | 0000-0001-6669-4699 | - |
crisitem.author.orcid | 0000-0003-3846-8162 | - |
crisitem.author.orcid | 0000-0003-1446-6306 | - |
crisitem.author.orcid | 0000-0003-1829-6084 | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
crisitem.author.parentorg | National Taiwan University Hospital | - |
crisitem.author.parentorg | College of Medicine | - |
顯示於: | 醫學系 |
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