Background: Lack of scientific data on the feasibility and safety of minimally invasive cardiac surgery (MICS) during the COVID-19 pandemic has made clinical decision making challenging. This survey aimed to appraise MICS activity in UK cardiac units and establish a consensus amongst front-line MICS surgeons regarding standard best MICS practise during the pandemic.
Methods: An online questionnaire was designed through the 'googleforms' platform. Responses were received from 24 out of 28 surgeons approached (85.7%), across 17 cardiac units.
Results: There was a strong consensus against a higher risk of conversion from minimally invasive to full sternotomy (92%; = 22) nor there is increased infection (79%; = 19) or bleeding (96%; = 23) with MICS compared to full sternotomy during the pandemic. The majority of respondents (67%; = 16) felt that it was safe to perform MICS during COVID-19, and that it should not be halted (71%; = 17). London cardiac units experienced a decrease in MICS (60%; = 6), whereas non-London units saw no reduction. All London MICS surgeons wore an FP3 mask compared to 62% ( = 8) of non-London MICS surgeons, 23% ( = 3) of which only wore a surgical mask. London MICS surgeons felt that routine double gloving should be done (60%; = 6) whereas non-London MICS surgeons held a strong consensus that it should not (92%; = 12).
Conclusion: Whilst more robust evidence on the effect of COVID-19 on MICS is awaited, this survey provides interesting insights for clinical decision-making regarding MICS and aids to facilitate the development of standardised MICS guidelines for an effective response during future pandemics.
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| http://dx.doi.org/10.1177/02676591211029452 | DOI Listing |
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