Evidence map›Paper›PMID 38627244›Full record

ArticleInterdisciplinary cardiovascular and thoracic surgery2024

Subcostal bilateral internal thoracic artery harvesting with the da Vinci Single Port system: an experimental feasibility study.

Hubert Stein, Volkmar Falk, Joseph Zacharias, Michael Ikeda, John Michael Smith, Georgia Crichton, Louis Ryckembusch, Jörg Kempfert

Open access · diamondAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Interdisciplinary cardiovascular and thoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
0.4field-weighted citation impact, top 38% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed, 1 citations in OpenAlex.

  1. Robotically assisted internal mammary artery harvesting-will single-port systems be useful?Interdisciplinary cardiovascular and thoracic surgery · 2024
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors at 5 institutions in 4 countries.

Hubert SteinIntuitive Surgical Inc., Sunnyvale, CA, USA.ORCID 0000-0003-0193-4369
Volkmar FalkDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité, Berlin, Germany.ORCID 0000-0002-7911-8620
Joseph ZachariasDepartment of Cardiothoracic Surgery, Blackpool Victoria Hospital, Blackpool, UK.ORCID 0000-0003-1832-0638
Michael IkedaIntuitive Surgical Inc., Sunnyvale, CA, USA.
John Michael SmithDepartment of Heart and Vascular Surgery, The Christ Hospital, Cincinnati, OH, USA.
Georgia CrichtonIntuitive Surgical Inc., Sunnyvale, CA, USA.
Louis RyckembuschIntuitive Surgical Inc., Sunnyvale, CA, USA.
Jörg KempfertDepartment of Cardiothoracic and Vascular Surgery, Deutsches Herzzentrum der Charité, Berlin, Germany.ORCID 0000-0002-2009-6375
Intuitive Surgical (United States) · USChrist Hospital · USDeutsches Herzzentrum der Charité · DEETH Zurich · CHUniversity of Liverpool · GB

Funding

Intuitive Surgical Inc.
6 · The paper itself

Abstract

We evaluated the feasibility of harvesting bilateral internal thoracic arteries with the da Vinci Single Port system (SP) through a single left-sided subcostal incision. Complete bilateral mobilization with sufficiently long conduits for multivessel grafting was possible in 2 human cadavers and 2 live porcine. Creating the subcostal access and docking the SP system took between 14 and 21 min and the total harvest time ranged from 65 to 125 min in all models. No major bleeding was observed in the live porcine and hemostasis was managed with the available instrumentation. One porcine deceased during surgery due to ventricular fibrillation followed by cardiac arrest. The robotic harvesting was technically easily reproduced by the surgeons and required no additional rib-spreading. Further studies will be required to assess if this subcostal approach with the da Vinci SP system yields true clinical benefits in patients.

Indexed as

Bilateralda VinciInternal mammary arteryInternal thoracic arteryRoboticSingle PortSubcostal

Identifiers

PMID38627244
PMCPMC11181862
OpenAlexW4394867122

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.