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Prosthetic Valve Removal Technique Using Ultrasonic Scalpel.
Hiroyuki Tsukui1, Shizuko Iwasa1, Kenji Yamazaki1
1Department of Cardiovascular Surgery, Hokkaido Cardiovascular Hospital, Sapporo, Japan.
The Annals of Thoracic Surgery
|June 25, 2019
Summary
Ultrasonic scalpels offer a fast, safe method for removing prosthetic valves during reoperative valve replacement, minimizing cardiac damage. This technique reduces procedure time and avoids the need for permanent pacemakers.
Area of Science:
- Cardiovascular Surgery
- Surgical Technology
Background:
- Reoperative valve replacement can be lengthy and risky due to adhesions.
- Damage to the heart is a concern during prosthetic valve removal.
Purpose of the Study:
- To evaluate the safety and efficiency of using an ultrasonic scalpel for prosthetic valve removal.
- To assess the impact of this technique on procedure time and patient outcomes.
Main Methods:
- Prosthetic valves were removed using an ultrasonic scalpel (Harmonic Scalpel).
- Dissection of the space between the prosthesis and native annulus was performed using Harmonic Synergy blades and an Ethicon Gen11 Generator at energy level 5.
Main Results:
- The average time for prosthetic valve removal was 6 minutes and 11 seconds.
- No patients required new permanent pacemaker implantation following the procedure.
Conclusions:
- Ultrasonic scalpels provide a quick, easy, and safe method for prosthetic valve removal.
- This technique may reduce operative risks and time in reoperative valve replacement procedures.
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