{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T15:52:48Z","timestamp":1777737168448,"version":"3.51.4"},"reference-count":24,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"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":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective:<\/jats:title>\n                    <jats:p>The Bentall procedure is a well-established surgical technique for managing aortic root disease involving the ascending aorta and aortic valve. The use of automated suturing technology may facilitate ergonomic, reliable suture placement, especially in minimally invasive approaches. Here we present the results of a study to evaluate the feasibility of using automated suturing technology for Bentall procedures in an ex vivo porcine model using a passive beating heart simulator.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      This study included 20 ex vivo porcine hearts, divided into an automated suturing cohort (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10) and a manual suturing cohort (\n                      <jats:italic toggle=\"yes\">n<\/jats:italic>\n                      = 10). A Bentall procedure was performed on each heart, with the subject automated suturing technology used in place of manual suturing in the first cohort. After the procedure, each heart was tested in a passive beating heart testing simulator under increasingly challenging hemodynamic conditions (80, 100, and 120 mm Hg); any fluid leakage at the proximal anastomosis was quantified. Data were analyzed using nonparametric statistical tests.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      Overall, leakage from the proximal anastomosis increased with higher pressure and longer duration in both groups (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &lt; 0.001). There was no statistically significant difference in leakage between the automated and manual suture cohorts (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      &gt; 0.05), indicating that the study technology appears to be feasible and effective for placing sutures in Bentall procedures. Correlation analysis indicated a moderate positive relationship between aortic pressure and leakage in both groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The subject automated suturing technology demonstrated comparable performance to manual suturing in ex vivo Bentall procedures, with no significantly different leakage across a range of increasing aortic pressures.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15569845251407558","type":"journal-article","created":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T05:39:43Z","timestamp":1770010783000},"page":"73-79","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Evaluating the Efficacy of Automated Suturing Technology for Bentall Procedures in a Passive Beating Heart Model"],"prefix":"10.1177","volume":"21","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9252-5944","authenticated-orcid":false,"given":"Viktoriia","family":"Tymoshenko","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Aldo J.","family":"Suria","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Vienna, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gianluca","family":"Dimonte","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sahra","family":"Tasdelen","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Vienna, Austria"},{"name":"Department of Cardiac Surgery, Medical University Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Poschner","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kyle C.","family":"Purrman","sequence":"additional","affiliation":[{"name":"LSI SOLUTIONS, Victor, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Siyavush","family":"Saidian","sequence":"additional","affiliation":[{"name":"LSI SOLUTIONS, Victor, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Andreas","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Medical University of Vienna, Austria"},{"name":"Department of Cardiac Surgery, Medical University Graz, Austria"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,1]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/thx.23.4.338"},{"key":"e_1_3_2_3_2","first-page":"116","article-title":"Is Bentall procedure still the gold standard for acute aortic dissection with aortic root involvement?","volume":"64","author":"Beckmann E","year":"2016","unstructured":"Beckmann E, Martens A, Alhadi FA, et al. Is Bentall procedure still the gold standard for acute aortic dissection with aortic root involvement? Thorac Cardiovasc Surg 2016; 64: 116\u2013123.","journal-title":"Thorac Cardiovasc Surg"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.3892\/mi.2023.68"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.0000141593.05085.87"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.07.033"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2009.03.046"},{"key":"e_1_3_2_8_2","first-page":"206","article-title":"Hemostatic modifications of the Bentall procedure: imbricated proximal suture and fibrin sealant reduce postoperative morbidity and mortality rates","volume":"39","author":"Della Corte A","year":"2012","unstructured":"Della Corte A, Baldascino F, La Marca F, et al. Hemostatic modifications of the Bentall procedure: imbricated proximal suture and fibrin sealant reduce postoperative morbidity and mortality rates. Tex Heart Inst J 2012; 39: 206\u2013210.","journal-title":"Tex Heart Inst J"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.5830\/CVJA-2017-008"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm13092648"},{"key":"e_1_3_2_11_2","article-title":"First experiences with automated annular suturing device in totally endoscopic aortic and mitral valve replacement","volume":"38","author":"El-Sayed Ahmad A","year":"2024","unstructured":"El-Sayed Ahmad A, Salamate S, Granov N, et al. First experiences with automated annular suturing device in totally endoscopic aortic and mitral valve replacement. Interdiscip Cardiovasc Thorac Surg 2024; 38: ivae112.","journal-title":"Interdiscip Cardiovasc Thorac Surg"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1177\/15569845231185819"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13239-020-00499-3"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10439-023-03399-4"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13239-025-00774-1"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medengphy.2015.01.013"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.14628"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.14797\/mdcj-12-1-4"},{"key":"e_1_3_2_19_2","doi-asserted-by":"publisher","DOI":"10.21037\/jtd-23-1757"},{"key":"e_1_3_2_20_2","doi-asserted-by":"publisher","DOI":"10.3389\/fcvm.2022.841472"},{"key":"e_1_3_2_21_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2021.01.030"},{"key":"e_1_3_2_22_2","doi-asserted-by":"publisher","DOI":"10.3390\/jcm12237210"},{"key":"e_1_3_2_23_2","doi-asserted-by":"publisher","DOI":"10.1177\/15569845241237537"},{"key":"e_1_3_2_24_2","first-page":"432","article-title":"A comparative anatomic and physiologic overview of the porcine heart","volume":"53","author":"Lelovas PP","year":"2014","unstructured":"Lelovas PP, Kostomitsopoulos NG, and Xanthos TT. A comparative anatomic and physiologic overview of the porcine heart. J Am Assoc Lab Anim Sci 2014; 53: 432\u2013438.","journal-title":"J Am Assoc Lab Anim Sci"},{"key":"e_1_3_2_25_2","volume-title":"AATS 105th Annual Meeting","author":"Hamiko M","unstructured":"Hamiko M, Silaschi M, Kruse J, et al. Totally endoscopic Bentall procedure: aortic valve and aortic root replacement via right anterior mini-thoracotomy in 3D visualization using automatic suturing devices. In: AATS 105th Annual Meeting, Seattle, WA, USA, 4 May 2025. Fairfax, VA: AATS."}],"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\/15569845251407558","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/15569845251407558","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/15569845251407558","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:18:53Z","timestamp":1777461533000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/15569845251407558"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":24,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1177\/15569845251407558"],"URL":"https:\/\/doi.org\/10.1177\/15569845251407558","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]}}}