{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,12,15]],"date-time":"2023-12-15T09:53:26Z","timestamp":1702634006776},"reference-count":9,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2021,5,1]],"date-time":"2021-05-01T00:00:00Z","timestamp":1619827200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["JA Clin Rep"],"published-print":{"date-parts":[[2021,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Background<\/jats:title>\n                <jats:p>Various attempts have been made to meet patient desires, especially among younger and otherwise healthy individuals, for cosmetically satisfying incision with atrial septal defect (ASD) repair. One of procedures was a robotic-assisted totally endoscopic ASD repair via only two ports under hyperkalemic arrest without aortic cross-clamping. This study investigated perioperative management and safety for robotic-assisted total endoscopic ASD repair surgery under hyperkalemic arrest.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We retrospectively reviewed perioperative management of thirty patients who underwent total endoscopic robot-assisted ASD repair under hyperkalemic arrest. All procedures were performed under general anesthesia using robotic-assisted total endoscopic for ASD repair via two or three ports under hyperkalemic arrest without aortic cross-clamping.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 30 patients (mean age 45 \u00b1 17 years, 8 male, 22 female) underwent successful ASD repair with the total endoscopic robotic-assisted procedures under hyperkalemic arrest.<\/jats:p>\n                <jats:p>Hyperkalemic arrest was achieved and maintained by intravenous administration of mean potassium dose of 91\u00b132 mEq (1.4\u00b10.6 mEq\/kg) with the lowest bladder temperature was 31.9\u00b11.4 \u00b0C during hyperkalemic arrest.<\/jats:p>\n                <jats:p>In all cases, serum potassium concentration was &lt;5.0 mEq\/L after weaning from cardiopulmonary bypass, although two cases who developed hyperkalemia &gt;6 mEq\/L after operation. At other time points, no patient exceeded 6 mEq\/L of serum potassium concentration. At admission to the intensive care unit, mean serum creatine phosphokinase-MB level was 32\u00b17mg\/dL. There were no cases of arrhythmia or other cardiac complications during recovery.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Perioperative management of robotic-assisted total endoscopic ASD repair under hyperkalemic arrest is safe and is not associated with fatal arrhythmia due to hyperkalemia.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s40981-021-00436-w","type":"journal-article","created":{"date-parts":[[2021,5,3]],"date-time":"2021-05-03T12:04:40Z","timestamp":1620043480000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Safety of perioperative period in robot-assisted atrial septal defect repair under hyperkalemic arrest"],"prefix":"10.1186","volume":"7","author":[{"given":"Kazuto","family":"Miyata","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Tarui","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sayaka","family":"Shigematsu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Norihiko","family":"Ishikawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Go","family":"Watanabe","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2021,5,1]]},"reference":[{"issue":"3","key":"436_CR1","first-page":"294","volume":"5","author":"M Argenziano","year":"2002","unstructured":"Argenziano M, Oz MC, DeRose JJ Jr, et al. Totally endoscopic atrial septal defect repair with robotic assistance. Heart Surg Forum. 2002;5(3):294\u2013300.","journal-title":"Heart Surg Forum"},{"issue":"15","key":"436_CR2","doi-asserted-by":"publisher","first-page":"1315","DOI":"10.1016\/j.jacc.2011.11.081","volume":"60","author":"DD Glower","year":"2012","unstructured":"Glower DD. Surgical approaches to mitral regurgitation. J Am Coll Cardiol. 2012;60(15):1315\u201322. https:\/\/doi.org\/10.1016\/j.jacc.2011.11.081.","journal-title":"J Am Coll Cardiol"},{"issue":"10","key":"436_CR3","doi-asserted-by":"publisher","first-page":"2271","DOI":"10.1253\/circj.CJ-15-0678","volume":"79","author":"N Ishikawa","year":"2015","unstructured":"Ishikawa N, Watanabe G, Tarui T, Kiuchi R, Ohtake H, Tomita S, et al. Two-port robotic cardiac surgery (TROCS) for atrial septal defect (ASD) using cross-arm technique - TROCS ASD Repair. Circ J. 2015;79(10):2271\u20133. https:\/\/doi.org\/10.1253\/circj.CJ-15-0678.","journal-title":"Circ J"},{"key":"436_CR4","doi-asserted-by":"publisher","unstructured":"Fujita T, Kobayashi J, Nakajima Hm, Toda K Systemic hyperkalemia and mild hypothermia for valve surgery in patients with patent internal mammary artery graft. Interact Cardiovasc Thorac Surg 2010;11:3-5, 1, DOI: https:\/\/doi.org\/10.1510\/icvts.2010.233262.","DOI":"10.1510\/icvts.2010.233262"},{"issue":"3","key":"436_CR5","doi-asserted-by":"publisher","first-page":"779","DOI":"10.1016\/S0003-4975(01)03456-7","volume":"73","author":"JG Byrne","year":"2002","unstructured":"Byrne JG, Karavas AN, Filsoufi F, Mihaljevic T, Aklog L, Adams DH, et al. Aortic valve surgery after previous coronary artery bypass grafting with functioning internal mammary artery grafts. Ann Thorac Surg. 2002;73(3):779\u201384. https:\/\/doi.org\/10.1016\/S0003-4975(01)03456-7.","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"436_CR6","doi-asserted-by":"publisher","first-page":"799","DOI":"10.1093\/icvts\/ivw384","volume":"24","author":"T Tarui","year":"2017","unstructured":"Tarui T, Watanabe G, Ishikawa N, Kiuchi R. Hyperkalemic arrest and the aortic no-touch technique in minimally invasive atrial septal defect closure in adults. Interact Cardiovasc Thorac Surg. 2017;24(5):799\u2013801. https:\/\/doi.org\/10.1093\/icvts\/ivw384.","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"2","key":"436_CR7","doi-asserted-by":"publisher","first-page":"S661","DOI":"10.1016\/S0003-4975(02)04688-X","volume":"75","author":"DJ Chambers","year":"2003","unstructured":"Chambers DJ. Mechanisms and alternative methods of achieving cardiac arrest. Ann Thorac Surg. 2003;75(2):S661\u2013S66. https:\/\/doi.org\/10.1016\/S0003-4975(02)04688-X.","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"436_CR8","doi-asserted-by":"publisher","first-page":"57","DOI":"10.1097\/CCM.0b013e3181fa4301","volume":"39","author":"N Nielsen","year":"2011","unstructured":"Nielsen N, Sunde K, Hovdenes J, Riker RR, Rubertsson S, Stammet P, et al. Adverse events and their relation to mortality in out-of-hospital cardiac arrest patients treated with therapeutic hypothermia. Crit Care Med. 2011;39(1):57\u201364. https:\/\/doi.org\/10.1097\/CCM.0b013e3181fa4301.","journal-title":"Crit Care Med"},{"issue":"2","key":"436_CR9","doi-asserted-by":"publisher","first-page":"91","DOI":"10.1136\/emermed-2012-201120","volume":"30","author":"G Xiao","year":"2013","unstructured":"Xiao G, Guo Q, Shu M, Xie X, Deng J, Zhu Y, et al. Safety profile and outcome of mild therapeutic hypothermia in patients following cardiac arrest: systematic review and meta-analysis. Emerg Med J. 2013;30(2):91\u2013100. https:\/\/doi.org\/10.1136\/emermed-2012-201120.","journal-title":"Emerg Med J"}],"container-title":["JA Clinical Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-021-00436-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s40981-021-00436-w\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s40981-021-00436-w.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,7,21]],"date-time":"2021-07-21T06:05:09Z","timestamp":1626847509000},"score":1,"resource":{"primary":{"URL":"https:\/\/jaclinicalreports.springeropen.com\/articles\/10.1186\/s40981-021-00436-w"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,5,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2021,12]]}},"alternative-id":["436"],"URL":"https:\/\/doi.org\/10.1186\/s40981-021-00436-w","relation":{},"ISSN":["2363-9024"],"issn-type":[{"value":"2363-9024","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,5,1]]},"assertion":[{"value":"10 January 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"30 March 2021","order":2,"name":"revised","label":"Revised","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"3 April 2021","order":3,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"1 May 2021","order":4,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"Not applicable","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"We had obtained the consent to publish from the patient.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"41"}}