title: Recent Developments in Minimally Invasive Cardiac Surgery: Evolution or Revolution?
abstract: Intraluminal aortic clamping has been achieved until now by means of a sophisticated device consisting of a three-lumen catheter named Endoclamp, which allows at the same time occlusion of the aorta, antegrade delivering of cardioplegia, and venting through the aortic root. This tool has shown important advantages allowing aortic occlusion and perfusate delivering without a direct contact with ascending aorta reducing meanwhile the risk of traumatic and/or iatrogenic injuries. Recently, a new device (Intraclude catheter) with the same characteristics and properties has been proposed and introduced in clinical practice. The aim of this paper is to investigate the differences between Endoclamp and Intraclude catheters and to analyze the advantages advocated by this new device for intraluminal aortic occlusion since it is noticeable as these new technological tools are gaining more and more attractiveness due to their appraised clinical efficacy.
authors.affiliation: Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 79, 04100 Latina, Italy.
authors.forename: Antonino G M
authors.initials: AG
authors.lastname: Marullo
authors.affiliation: Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
authors.forename: Francesco G
authors.initials: FG
authors.lastname: Irace
authors.affiliation: Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 79, 04100 Latina, Italy.
authors.forename: Piergiusto
authors.initials: P
authors.lastname: Vitulli
authors.affiliation: Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 79, 04100 Latina, Italy.
authors.forename: Mariangela
authors.initials: M
authors.lastname: Peruzzi
authors.affiliation: Cardiothoracic Department, Lancashire Cardiac Centre, Blackpool Victoria Teaching Hospital, 38 Whinney Heys Road, Blackpool FY3 8NR, UK.
authors.forename: David
authors.initials: D
authors.lastname: Rose
authors.affiliation: Department of Cardiac Surgery, Ospedale dell'Angelo, Mestre, Via Paccagnella 11, 30174 Venice, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: D'Ascoli
authors.affiliation: Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
authors.forename: Alessandra
authors.initials: A
authors.lastname: Iaccarino
authors.affiliation: Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
authors.forename: Angelo
authors.initials: A
authors.lastname: Pisani
authors.affiliation: Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
authors.forename: Carlotta
authors.initials: C
authors.lastname: De Carlo
authors.affiliation: Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Mazzesi
authors.affiliation: Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
authors.forename: Antonio
authors.initials: A
authors.lastname: Barretta
authors.affiliation: Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy.
authors.forename: Ernesto
authors.initials: E
authors.lastname: Greco
mesh_terms: D062906:Cardiac Catheters; D006348:Cardiac Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation*; D004867:Equipment Design; D019544:Equipment Failure Analysis; D006801:Humans; D019060:Minimally Invasive Surgical Procedures / Q000009:adverse effects / Q000295:instrumentation*; D013673:Technology Assessment, Biomedical; D062666:Vascular Access Devices