Safety of Minimally Invasive Cardiac Surgery in Japan
- VernacularTitle:MICSの安全性
- Author:
Taichi SAKAGUCHI
1
Author Information
- Keywords: minimally invasive cardiac surgery; cardioplegia; complication; registry
- From:Japanese Journal of Cardiovascular Surgery 2024;53(4):163-168
- CountryJapan
- Language:Japanese
- Abstract: Minimally invasive cardiac surgery (MICS) is rapidly gaining popularity in Japan, and its safety is attracting public attention. The Japanese Society for Minimally Invasive Cardiac Surgery (J-MICS) surveyed myocardial protection during MICS. Among the 97 institutions, blood CP is used in 60, crystalloid CP in 21, and a mixture in 16. Six percent of institutions using blood CP (other than del Nido CP) and 44% of those using crystalloid CP have CP administration intervals of 30 min or longer. De-airing of the aortic root to prevent air embolization into the coronary arteries is routinely performed at 94% of institutions during CP administration and 72% of institutions during water injection tests after mitral valve repair. According to the Japanese Cardiovascular Surgery Database (JCVSD), MICS requires longer aortic cross-clamp time than median sternotomy, but the incidence of postoperative complications, including perioperative myocardial infarction, was similar. J-MICS starts the MICS registry in 2024, and we plan to conduct a detailed analysis of the MICS-specific complications. With our certification and proctorship programs, J-MICS will continue promoting MICS safely in Japan.
