ATS
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

Ann Thorac Surg 2008;86:1401. doi:10.1016/j.athoracsur.2008.03.081
© 2008 The Society of Thoracic Surgeons
This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Yoshito Inoue
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Inoue, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Inoue, Y.
Related Collections
Right arrow Cardiac - other
Right arrowRelated Article

Correspondence

Beating Heart Cardioscopy: On-Pump or Off-Pump?

Yoshito Inoue, MD

Department of Cardiovascular Surgery, 911-1 Takebayashi, Saiseikai Utsunomiya Hospital, Utsunomiya, Tochigi, 321-0974 Japan

(Email: yosito_inoue{at}saimiya.com).

To the Editor:

I read with great interest the article by Mihaljevic and colleagues [1] on cardioscopy. The authors presented a novel method for obtaining intracardiac visual fields during on-pump beating heart conditions, and they advocate that this method would provide a less invasive percutaneous approach compared with current open heart procedures.

Cardioscopic procedures have been performed within small cardiac chambers filled with pulsating body fluids and moving target organs [2]. Because transluminal access to cardiac chambers is limited, designs for (1) vision technique, (2) access, (3) placement of flexible catheters, and (4) stabilization of the visual field and target organ are important for percutaneous intervention [3]. However, Mihaljevic and colleagues' [1] methods may be incompatible with this strategy because cannulas for cardiopulmonary bypass and perfusion dominate percutaneous access and leave little room for manipulation of a properly-sized cardioscope, transluminal forceps, and catheters.

If a cardioscopic procedure is intended to reduce surgical trauma, off-pump beating heart surgery would be preferred [4]. Although the visual field is limited, a balloon-tipped flexible cardioscope assures a clear visual field without blood clouding, obviates blocking percutaneous access, and provides stabilization with flexible angle manipulation and long-term inspection without cardiopulmonary bypass [5]. Combined with the latest color Doppler and three-dimensional ultrasound imaging, which provide sufficient functional and spatial anatomical landmarks, this method allows an alternative approach for off-pump beating heart intracardiac technique.


   References
Top
 References
 

  1. Mihaljevic T, Ootaki Y, Robertson JO, et al. Beating heart cardioscopy: a platform for real-time, intracardiac imaging Ann Thorac Surg 2008;85:1061-1066.[Abstract/Free Full Text]
  2. Inoue Y, Yozu R, Ueda T, Mitsumaru A, Kawada S. Transluminal cardioscopic maze-ablation of atrial fibrillation Circulation 1995;92(Suppl):I-85.
  3. Inoue Y, Yozu R, Mitsumaru A, Ueda T, Kawada S. Video-assisted cardioscopic staple closure for atrial septal defect Artif Organs 1997;21:1303-1305.[Medline]
  4. Inoue Y, Yozu R, Mitsumaru A, et al. Video assisted thoracoscopic and cardioscopic maze ablation ASAIO J 1997;43:334-337.[Medline]
  5. Inoue Y, Yozu R, Onoguchi K, Kabei N, Takeuchi S, Kawada S. Cardioscopic guidance of linear lesion creation for radiofrequency ablation Ann Thorac Surg 2003;75:1189-1193.[Abstract/Free Full Text]

Related Article

Reply
Tomislav Mihaljevic
Ann. Thorac. Surg. 2008 86: 1401. [Extract] [Full Text] [PDF]



This article has been cited by other articles:


Home page
 Ann. Thorac. Surg.Home page
T. Mihaljevic
Reply.
Ann. Thorac. Surg., October 1, 2008; 86(4): 1401 - 1401.
[Full Text] [PDF]

This Article
Right arrow Full Text (PDF)
Right arrow Alert me when this article is cited
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Add to Personal Folders
Right arrow Download to citation manager
Right arrow Author home page(s):
Yoshito Inoue
Right arrow Permission Requests
Citing Articles
Right arrow Citing Articles via HighWire
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Inoue, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Inoue, Y.
Related Collections
Right arrow Cardiac - other
Right arrowRelated Article

HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
J THORAC CARDIOVASC SURG ICVTS ALL CTSNet JOURNALS