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A Simplified Stepwise Approach to Echo Guidance during Percutaneous Mitral Valve Repair
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BISMICS consensus statement: implementing a safe minimally invasive mitral programme in the UK healthcare setting
Hunaid A Vohra1, M Yousuf Salmasi2, Lueh Chien3
1Cardiac Surgery, Bristol Heart Institute, Bristol, Bristol, UK.
Open Heart
|October 6, 2020
Summary
Minimally invasive mitral surgery (MVS) offers benefits like faster recovery but requires standardized training and a team approach for wider adoption. This consensus outlines key steps for implementing MVS effectively in cardiothoracic centers.
Area of Science:
- Cardiothoracic Surgery
- Minimally Invasive Techniques
- Surgical Innovation
Background:
- Minimally invasive mitral surgery (MVS) adoption remains limited, primarily to centers of excellence.
- Most cardiothoracic centers still rely on traditional sternotomy for mitral valve procedures.
- Clearer guidance and standardization are needed to facilitate MVS implementation.
Purpose of the Study:
- To outline a consensus agreement for the implementation of MVS.
- To detail the benefits, technical considerations, and training requirements for MVS.
- To provide guidance for overcoming challenges in MVS adoption.
Main Methods:
- Consensus agreement outlining benefits and technical considerations.
- Recommendations for training, simulation, and proctoring.
- Emphasis on team-based approach and institutional planning.
Main Results:
- MVS offers benefits including reduced bleeding, infection, enhanced recovery, and patient satisfaction.
- Technical aspects like cannulation and clamping require specific attention.
- Structured training, simulation, and proctoring are crucial for successful MVS programs.
Conclusions:
- Standardized implementation strategies, including team training and proctoring, are essential for MVS.
- Addressing institutional and team factors facilitates the introduction of MVS services.
- MVS can be effectively introduced by leveraging simulation, team-based learning, and expert guidance.
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