{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:49:12Z","timestamp":1789591752638,"version":"build-2803163510"},"reference-count":21,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2025,3,25]],"date-time":"2025-03-25T00:00:00Z","timestamp":1742860800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"National Insitute of Health National Heart Lung Blood Institute","award":["# 2UM1 HL088925 12"],"award-info":[{"award-number":["# 2UM1 HL088925 12"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,3,28]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>In an effort to maintain the technical aspects of traditional prosthetic surgical aortic valve replacement (AVR) while reducing invasiveness and facilitate options for concomitant operations, transaxillary lateral mini-thoracotomy endoscopic robotic-assisted aortic valve replacement (RAVR) has been introduced. The present data highlight the contemporary international collaborative experience.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>All consecutive patients undergoing standardized RAVR across 10 international sites (1\/2020\u20137\/2024) were evaluated using a central database with 1\u2009year follow-up.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 300 patients were analysed with a median predicted risk of 1.6% with aortic stenosis in 85.7%, nearly half with bicuspid valves. Biological prostheses were implanted in 220 (73.3%) with a median valve size 23\u2009mm, 10% receiving aortic root enlargement, with 17% of all patients undergoing concomitant procedures. Median cross-clamp 120\u2009min with no conversions to sternotomy. Median length of stay was 5\u2009days, 4.3% with prolonged ventilation, 1.7% renal failure, 1.0% stroke and 8.3% required re-thoracotomy for evacuation of haemothorax. There were two 30-day operative mortalities (0.7%). The new permanent pacemaker rate for the full cohort was 2.6%. Of 163 patients with complete 1-year clinical and echocardiographic follow-up, mean aortic valve gradient was 10\u2009mmHg and all but 2 patients (1.2%) had trace to no prosthetic or paravalvular insufficiency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>RAVR is safe and effective, providing the reproducible benefits of surgical AVR while affording a less invasive approach that permits the opportunity for concomitant procedures. For low and intermediate risk patients with aortic valve disease, RAVR is a potential reproducible alternative for patients and heart teams.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf103","type":"journal-article","created":{"date-parts":[[2025,3,29]],"date-time":"2025-03-29T13:44:46Z","timestamp":1743255886000},"source":"Crossref","is-referenced-by-count":14,"title":["Longitudinal outcomes following international multicentre experience with robotic aortic valve replacement"],"prefix":"10.1093","volume":"67","author":[{"given":"Lawrence M","family":"Wei","sequence":"first","affiliation":[{"name":"Department of Cardiovascular and Thoracic Surgery, West Virginia University , Morgantown, WV,","place":["USA"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0526-8722","authenticated-orcid":false,"given":"Daniel","family":"Pereda","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, 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