Pulmonary artery sealing with ultrasonic energy in open lobectomy: A phase I clinical trial

The Journal of Thoracic and Cardiovascular Surgery
Eric GoudieMoishe Liberman

Abstract

Pulmonary artery branch sealing in video-assisted thoracoscopic surgical lobectomy is usually achieved with vascular endostaplers. Iatrogenic pulmonary artery injury may be caused by endostaplers. We evaluated the safety of pulmonary artery sealing with an ultrasonic energy vessel-sealing device in a phase I clinical trial evaluating in vivo safety of the device during open lobectomy. Patients scheduled to undergo elective open (thoracotomy) pulmonary lobectomy were prospectively enrolled. Target sample size was 10 patients. Pulmonary artery diameter was measured intraoperatively. All branches ≤7 mm were divided with an ultrasonic energy vessel-sealing device. The remainder of the lobectomy was performed in a standard fashion. Intraoperative and postoperative bleeding were strictly recorded. Eighteen patients were prospectively enrolled. Eight patients were not amenable to pulmonary artery sealing with the device. In the 10 patients included in the analysis, a total of 14 pulmonary arteries were sealed with the ultrasonic device. The mean vessel diameter was 5 mm (range, 2-7 mm). One patient underwent reoperation for bronchial artery bleeding (vessel not sealed with device). There was no intra- or postoperative bleeding related...Continue Reading

Citations

Mar 23, 2018·Interactive Cardiovascular and Thoracic Surgery·Tomoharu YoshiyaMorihito Okada
Nov 6, 2020·Interactive Cardiovascular and Thoracic Surgery·Eric GoudieMoishe Liberman
Nov 5, 2019·The Journal of Thoracic and Cardiovascular Surgery·Moishe LibermanUNKNOWN VATS PA Study Working Group
Nov 13, 2018·The Journal of Thoracic and Cardiovascular Surgery·Morihito OkadaKenji Suzuki
Apr 9, 2021·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Hassan A Khalil, M Blair Marshall

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