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BioMed Research International
Volume 2015 (2015), Article ID 483025, 6 pages
Clinical Study

Recent Developments in Minimally Invasive Cardiac Surgery: Evolution or Revolution?

1Department of Medico-Surgical Sciences and Biotechnologies, Sapienza University of Rome, Corso della Repubblica 79, 04100 Latina, Italy
2Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological, and Geriatric Sciences, Policlinico Umberto I, Sapienza University of Rome, Viale del Policlinico 155, 00161 Rome, Italy
3Cardiothoracic Department, Lancashire Cardiac Centre, Blackpool Victoria Teaching Hospital, 38 Whinney Heys Road, Blackpool FY3 8NR, UK
4Department of Cardiac Surgery, Ospedale dell’Angelo, Mestre, Via Paccagnella 11, 30174 Venice, Italy

Received 12 March 2015; Accepted 16 June 2015

Academic Editor: Umberto Benedetto

Copyright © 2015 Antonino G. M. Marullo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Intraluminal aortic clamping has been achieved until now by means of a sophisticated device consisting of a three-lumen catheter named Endoclamp, which allows at the same time occlusion of the aorta, antegrade delivering of cardioplegia, and venting through the aortic root. This tool has shown important advantages allowing aortic occlusion and perfusate delivering without a direct contact with ascending aorta reducing meanwhile the risk of traumatic and/or iatrogenic injuries. Recently, a new device (Intraclude catheter) with the same characteristics and properties has been proposed and introduced in clinical practice. The aim of this paper is to investigate the differences between Endoclamp and Intraclude catheters and to analyze the advantages advocated by this new device for intraluminal aortic occlusion since it is noticeable as these new technological tools are gaining more and more attractiveness due to their appraised clinical efficacy.