ArticleJTCVS techniques2025
Automated annular suture device versus conventional annular suture technique in endoscopic aortic valve replacement: A propensity score-matched analysis.
Article in JTCVS techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
- Redefining Access: Transition from Conventional to Transaxillary Endoscopic Aortic Valve and Ascending Aorta Replacement-A Case Report with Literature Review.Journal of clinical medicine · 2026Article
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10 authors.
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Abstract
Objective: To overcome some of the challenges of endoscopic aortic valve replacement, an automated annular suturing device has been developed and used in aortic valve replacement surgeries. The current study compares the early clinical outcomes of patients who received endoscopic aortic valve replacement with the help of the RAM device (LSI Solutions) versus the conventional annular suture technique. Methods: From March 2017 to March 2025, 1280 patients underwent endoscopic aortic valve replacement via right anterior minithoracotomy in 3 cardiac referral centers in Germany. The RAM automated suture device was used in 259 cases, and the conventional annular suture technique was used in 1021 patients. A propensity score analysis was performed in 259 matched pairs. Results: The mean age in the matched cohort was 61.87 ± 11.24 years, and mean body mass index was 27.04 ± 4.83 kg/m Conclusions: The use of the RAM device in endoscopic aortic valve replacement is as safe, feasible, and effective as the conventional annular suture technique and yields excellent early outcomes. After a short learning curve, the RAM device was associated with reduced surgical time by facilitating annular suturing in endoscopic fashion.
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