ReviewDeutsches Arzteblatt international2017
The Opportunities and Limitations of Minimally Invasive Cardiac Surgery.
Review in Deutsches Arzteblatt international, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 38 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
38 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Percutaneous Versus Surgical Femoral Cannulation in Minimally Invasive Cardiac Surgery: A Systematic Review and Meta-Analysis.Innovations (Philadelphia, Pa.)Pooled it
- Programmed intermittent bolus for erector spinae plane block versus intercostal nerve block in minimally invasive direct coronary artery bypass surgery: a randomized controlled trial.BMC anesthesiology · 2025Trial
- Transaxillary valve surgery in Dresden: a 99% concept.Annals of cardiothoracic surgery · 2026Article
- Risk analysis of additional procedures concomitantly with totally endoscopic mitral valve repair.Surgery today · 2026Article
- A Reproducible Post-Valve-Replacement EHR Cohort for Comparative AI Studies.Diagnostics (Basel, Switzerland) · 2026Article
- Less fear, better function: the impact of minimally invasive cardiac surgery on kinesiophobia and functional capacity compared to median sternotomy.Frontiers in medicine · 2026Article
- Combining Minimally Invasive Mitral Valve Replacement with Kidney Transplantation: A Pioneering Case.The American journal of case reports · 2025Article
- Endoscopic and direct vision approaches in minimally-invasive mitral and tricuspid valve surgery - insights from the mini-mitral registry.Journal of cardiothoracic surgery · 2025Article
- Article
- Iatrogenic aortic dissection in minimally invasive cardiac surgery for atrioventricular valves and atrial structures†.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Observational
- The efficiency of endocardial suture occlusion of the left atrial appendage at a single institution: MICs vs. sternotomy.BMC cardiovascular disorders · 2025Article
- Fast-track extubation in minimally invasive cardiac surgery: limits and lessons of a 4-year single-center analysis.Frontiers in cardiovascular medicine · 2025Article
- Knowledge, Attitudes, and Practices of Cardiac Healthcare Workers Toward Thoracoscopic Surgery in Xinjiang: A Cross-Sectional Study.Journal of multidisciplinary healthcare · 2025Article
- Technique and early outcomes of total thoracoscopic double-valve replacement.JTCVS techniques · 2024Article
- Editorial: Minimally invasive cardiothoracic surgery: cost-effectiveness, prognostic factors, and outcomes.Frontiers in surgery · 2024Article
- Beyond Conventional Operations: Embracing the Era of Contemporary Minimally Invasive Cardiac Surgery.Journal of clinical medicine · 2023Review
- Propensity-matched analysis of robotic versus sternotomy approaches for mitral valve replacement.Journal of robotic surgery · 2023Article
- Early Results of Total Coronary Revascularization via Left Anterior Thoracotomy.The Thoracic and cardiovascular surgeon · 2023Article
- Incidence, predictors and vascular sequelae of distal limb ischemia in minimally invasive cardiac surgery with femoral artery cannulation: an observational cohort study.Heart and vessels · 2023Observational
- Postoperative Weight Gain within Enhanced Recovery after Cardiac Surgery.Journal of cardiovascular development and disease · 2023Article
Corrections and comments
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundOver the past two decades, minimally invasive techniques for classic heart valve surgery and isolated bypass surgery have been developed that enable access to the heart via partial sternotomy for most aortic valve procedures and via sternotomy-free mini-thoracotomy for other procedures.
methodsWe review the current evidence on minimally invasive cardiac surgery on the basis of pertinent randomized studies and database studies retrieved by a selective search in the MEDLINE and PubMed Central databases, as well as by the Google Scholar search engine.
resultsA PubMed search employing the search term "minimally invasive cardiac surgery" yielded nearly 10 000 hits, among which there were 7 prospective, randomized, controlled trials (RCTs) on aortic valve replacement, with a total of 477 patients, and 3 RCTs on mitral valve surgery, with a total of 340 patients. Only limited reports of specified centers are currently available for multiple valvular procedures and multiple coronary artery bypass procedures. The RCTs reveal that the minimally invasive techniques are associated with fewer wound infections and faster mobilization, without any difference in survival. Minimally invasive procedures are technically demanding and have certain anatomical prerequisites, such as appropriate coronary morphology for multiple bypass operations and the position of the aorta in the chest for sternotomy-free aortic valve procedures. The articles reviewed here were presumably affected by selection bias, in that patients in the published studies were preselected, and there may have been negative studies that were not published at all.
conclusionSpecialized surgeons and centers can now carry out many cardiac valvular and bypass operations via minithoracotomy rather than sternotomy. According to current evidence, these minimally invasive techniques yield results that are at least as good as classic open-heart surgery.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.