Endoaortic Versus Transthoracic Clamp for Minimally- invasive Mitral Valve Surgery: A Systematic Review and Meta-Analysis

Abstract

Minimally invasive surgery (MIS) is a rising trend in medicine, having been adopted into nearly every medical field. Rather than single approach, Minimally Invasive Mitral Valve Surgery (MIMVS) refers to a collection of techniques and operation-specific technologies such as modified perfusion and visualization techniques that are directed toward minimizing surgical access and trauma. The aortic occlusion has been extensively reviewed by two techniques in the literature; transthoracic clamp (TTC) and Endo-aortic balloon occlusion (EABO). Methods Nine electronic databases were screened for published observational studies comparing EndoAortic (EABO) versus Transthoracic (TTC) for aortic occlusion during MIMVS. Furthermore, the titles and abstracts of the studies resulted from the search were screened for the inclusion in the systematic review and the meta-analysis based on the