{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:52:46Z","timestamp":1777737166390,"version":"3.51.4"},"reference-count":41,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2025,11,1]],"date-time":"2025-11-01T00:00:00Z","timestamp":1761955200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>Right anterior minithoracotomy (RAMT) and ministernotomy (MS) are established approaches for minimally invasive aortic valve replacement (MIAVR). There is no consensus about which technique offers better results.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>A literature search was conducted in MEDLINE, Scopus, and Cochrane Library, focusing on studies that compared RAMT and MS for MIAVR. RevMan 8.13.0 (The Cochrane Collaboration, London, UK) was used to calculate effect estimates reported as odds ratios (ORs) or mean differences (MDs) with 95% confidence intervals (CIs).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      We included 21 studies with 6,986 patients, of whom 45.8% underwent RAMT. RAMT was associated with a shorter hospital stay (MD = \u22120.8 days, 95% CI: \u22121.4 to \u22120.2,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.002) and reduced blood loss (MD = \u221222.3 mL, 95% CI: \u221232.8 to \u221211.8,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001), transfusion rates (OR = 0.7, 95% CI: 0.5 to 0.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.01), and incidence of acute kidney injury (AKI; OR = 0.7, 95% CI: 0.5 to 0.9,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.02). However, RAMT was also associated with a slightly longer cardiopulmonary bypass (CPB) time (MD = 9.0 min, 95% CI: 0.7 to 17.3,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.03, I\u00b2 = 97%) and incisional pain score (standardized MD = 0.5, 95% CI: 0.4 to 0.6,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). Mortality, stroke, and other complications were similar between the 2 techniques.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>RAMT offers advantages including shorter hospital stay and reduced blood loss, transfusion, and AKI rates but at the cost of slightly longer CPB time and greater incisional pain. These findings underscore the need for individualized patient selection based on surgical risk, anatomical considerations, and recovery priorities.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845251396471","type":"journal-article","created":{"date-parts":[[2025,12,2]],"date-time":"2025-12-02T08:37:43Z","timestamp":1764664663000},"page":"534-546","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Comparative Outcomes of Right Anterior Minithoracotomy and Ministernotomy for Aortic Valve Replacement: An Updated Meta-Analysis"],"prefix":"10.1177","volume":"20","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-3563-4211","authenticated-orcid":false,"given":"Kristine","family":"Santos","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Medisch Spectrum Twente, Enschede, Netherlands"},{"name":"New Vision University School of Medicine, Tbilisi, Georgia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Clara","family":"Campoverde F\u00e1rez","sequence":"additional","affiliation":[{"name":"Faculty of Medical Sciences, Universidad de Cuenca, Ecuador"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victoria","family":"Zecchin Ferrara","sequence":"additional","affiliation":[{"name":"University of Padova, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kensei","family":"Oya","sequence":"additional","affiliation":[{"name":"National Center for Global Health and Medicine, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel Angel","family":"Samaniego","sequence":"additional","affiliation":[{"name":"Universidad Aut\u00f3noma Metropolitana, Ciudad de M\u00e9xico, M\u00e9xico"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Melissa","family":"Chac\u00f3n Quir\u00f3s","sequence":"additional","affiliation":[{"name":"Universidad de Costa Rica, San Jos\u00e9, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Victor","family":"Lopez Barrios","sequence":"additional","affiliation":[{"name":"Centro Cardiovascular SM, San Jos\u00e9, Costa Rica"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomasz","family":"Plonek","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Medisch Spectrum Twente, Enschede, Netherlands"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,12,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1010-7940(03)00030-7"},{"key":"e_1_3_2_3_2","first-page":"709","article-title":"Full sternotomy and minimal access approaches for surgical aortic valve replacement: a multicentre propensity-matched study","volume":"57","author":"Paparella D","year":"2020","unstructured":"Paparella D, Malvindi PG, Santarpino G, et al. 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