{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,7]],"date-time":"2026-10-07T16:28:50Z","timestamp":1791390530567,"version":"4.3.3"},"reference-count":13,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T00:00:00Z","timestamp":1730160000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"DOI":"10.13039\/100017540","name":"Division of Intramural Research","doi-asserted-by":"publisher","award":["F32HL165847"],"award-info":[{"award-number":["F32HL165847"]}],"id":[{"id":"10.13039\/100017540","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100007120","name":"Society of Thoracic Surgeons","doi-asserted-by":"publisher","award":["STS Robotic Cardiac Surgery Workshop 2022"],"award-info":[{"award-number":["STS Robotic Cardiac Surgery Workshop 2022"]}],"id":[{"id":"10.13039\/100007120","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations&amp;#65533;(Phila)"],"published-print":{"date-parts":[[2024,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>We created and validated a low-cost simulation model for robotic internal mammary artery (IMA) takedown.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>The simulation model utilized a calf fetus thorax cavity stented open internally and secured to a table. The simulation model was validated at a 2-day robotic cardiac surgery workshop. Each participant harvested one IMA using the da Vinci Xi robot (Intuitive Surgical, Sunnyvale, CA, USA). We compared participant self-reported confidence at robotic IMA harvest before and after using the simulator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Our novel thorax-securing strategy resulted in a stable structure and allowed access to both IMAs from the same 3 ports. The cost to set up the first simulation model was $176 and $133 for every subsequent model. Fifty participants used the simulation model: 42 cardiothoracic surgery attendings and 8 fellows or residents. The feedback form response rate was 78% (\n                      <jats:italic>n<\/jats:italic>\n                      = 39). On the Likert scale, participants rated realism of the calf model to simulate robotic IMA harvesting (0 =\n                      <jats:italic>not realistic<\/jats:italic>\n                      , 10 =\n                      <jats:italic>highly realistic<\/jats:italic>\n                      ) with a median of 8 out of 10 (interquartile range [IQR] 7 to 9). Participant confidence (0 =\n                      <jats:italic>not at all confident<\/jats:italic>\n                      , 10 =\n                      <jats:italic>very confident<\/jats:italic>\n                      ) in robotic IMA harvesting before and after using the simulator increased (\n                      <jats:italic>P<\/jats:italic>\n                      = 0.001) from a median of 5 (IQR 1 to 7) to 9 (IQR 7 to 10).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>This robotic IMA harvest simulation model is affordable, realistic, and improved participant confidence in robotic IMA harvest. It may provide a valuable training tool for surgeons learning robotic coronary bypass surgery and allows for training frequency necessary to pass basic learning curves.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845241286012","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T01:28:31Z","timestamp":1730251711000},"page":"633-639","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Development and Validation of a Low-Cost, High-Fidelity Simulation Model for Robotic Internal Mammary Artery Harvest Using the da Vinci Xi Robot"],"prefix":"10.1177","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3884-4191","authenticated-orcid":false,"given":"Syed Faaz","family":"Ashraf","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Laura","family":"Seese","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Irsa S.","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashok N.","family":"Babu","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Saint Thomas West Hospital, Nashville, TN, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1154-8018","authenticated-orcid":false,"given":"Husam H.","family":"Balkhy","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University of Chicago Medicine, IL, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bob B.","family":"Kiaii","sequence":"additional","affiliation":[{"name":"Department of Surgery, UC Davis Health, Sacramento, CA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"T. Sloane","family":"Guy","sequence":"additional","affiliation":[{"name":"Georgia Heart Institute at Northeast Georgia Medical Center, Gainesville, GA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David J.","family":"Kaczorowski","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Johannes","family":"Bonatti","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, University of Pittsburgh School of Medicine, PA, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,10,29]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivac108"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2021.10.049"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2021.827515"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-20-1535"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.09.071"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2015.12.059"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.02.033"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.11.005"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.02.016"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjon.2023.10.029"},{"key":"e_1_3_2_12_2","article-title":"Porcine model for internal mammary vessels harvesting: anatomy and technique","volume":"6","author":"Cajozzo M","year":"2018","unstructured":"Cajozzo M, D\u2019Arpa S, Roggio T, et al. Porcine model for internal mammary vessels harvesting: anatomy and technique. Plast Reconstr Surg Glob Open 2018; 6: e1664.","journal-title":"Plast Reconstr Surg Glob Open"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.15865"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.10.055"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845241286012","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15569845241286012","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845241286012","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:19:27Z","timestamp":1777461567000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15569845241286012"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,29]]},"references-count":13,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2024,11]]}},"alternative-id":["10.1177\/15569845241286012"],"URL":"https:\/\/doi.org\/10.1177\/15569845241286012","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,10,29]]}}}