The MANTA Vascular Closure Device for Percutaneous Femoral Vessel Cannulation in Minimally Invasive Surgical Mitral Valve Repair

Author(s):  
Karel M. Van Praet ◽  
Markus Kofler ◽  
Stephan Jacobs ◽  
Volkmar Falk ◽  
Axel Unbehaun ◽  
...  

A 65-year-old Caucasian male was referred to our institution with severe mitral regurgitation due to posterior mitral leaflet prolapse. The patient underwent minimally invasive surgical mitral valve repair. Here we present the application of a new vascular closure device (MANTA) for percutaneous arterial access and closure.

2013 ◽  
Vol 146 (1) ◽  
pp. 109-113 ◽  
Author(s):  
Bettina Pfannmüller ◽  
Joerg Seeburger ◽  
Martin Misfeld ◽  
Michael Andrew Borger ◽  
Jens Garbade ◽  
...  

Author(s):  
Karel M Van Praet ◽  
Christof Stamm ◽  
Simon H Sündermann ◽  
Alexander Meyer ◽  
Axel Unbehaun ◽  
...  


2017 ◽  
Vol 13 (01) ◽  
pp. 14 ◽  
Author(s):  
Karel M Van Praet ◽  
Christof Stamm ◽  
Simon H Sündermann ◽  
Alexander Meyer ◽  
Axel Unbehaun ◽  
...  

Minimally invasive surgical mitral valve repair (MVRepair) has become routine for the treatment of mitral valve regurgitation, and indications have been expanded to include reoperations. Current European Society of Cardiology/European Association for Cardio-Thoracic Surgery guidelines for the management of valvular heart disease recommended standards in terms of mitral valve disease differentiation, timing of intervention and surgical techniques to improve patient care. Numerous minimally invasive techniques to lessen the invasiveness have been described, such as the minimal-access J-sternotomy (ministernotomy), the parasternal incision, the port-access technique and the right minithoracotomy. Despite the development of catheter-based techniques, surgical repair remains the gold standard today for nearly all patients with degenerative valvular diseases and the majority of patients with other types of valvular diseases. Techniques include resection of the prolapsed segment, neo-chordae implantation and ring annuloplasty. In this review, the current indications for mitral valve surgery are summarised and state-of-the-art MVRepair techniques are highlighted.


2017 ◽  
Vol 65 (S 01) ◽  
pp. S1-S110
Author(s):  
N. Thaqi ◽  
A. Cetinkaya ◽  
T. Holubec ◽  
W. Skwara ◽  
M. Richter ◽  
...  

2018 ◽  
Vol 13 (14) ◽  
pp. 1645-1651 ◽  
Author(s):  
Maria Isabel Körber ◽  
Maximilian Scherner ◽  
Kathrin Kuhr ◽  
Hugai Kasisada ◽  
Svenja Ney ◽  
...  

2020 ◽  
Vol 6 (1) ◽  
Author(s):  
Matthias Ivantsits ◽  
Lennart Tautz ◽  
Simon Sündermann ◽  
Isaac Wamala ◽  
Jörg Kempfert ◽  
...  

AbstractMinimally invasive surgery is increasingly utilized for mitral valve repair and replacement. The intervention is performed with an endoscopic field of view on the arrested heart. Extracting the necessary information from the live endoscopic video stream is challenging due to the moving camera position, the high variability of defects, and occlusion of structures by instruments. During such minimally invasive interventions there is no time to segment regions of interest manually. We propose a real-time-capable deep-learning-based approach to detect and segment the relevant anatomical structures and instruments. For the universal deployment of the proposed solution, we evaluate them on pixel accuracy as well as distance measurements of the detected contours. The U-Net, Google’s DeepLab v3, and the Obelisk-Net models are cross-validated, with DeepLab showing superior results in pixel accuracy and distance measurements.


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