Takagi and colleagues performed a meta-analysis of eight randomized controlled trials comparing on-pump and off-pump coronary artery bypass grafting (CABG). They evaluated only trials with follow-up periods of five years or longer, and they pooled hazard ratios rather than odds ratios, where possible.
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Cardiac
December 11, 2018
December 11, 2018
This video demonstrates a proximal anastomosis. The authors detail the procedure in a step-by-step fashion, using diagrams and surgical video to illustrate key technical elements.
December 10, 2018
Basra and colleagues report that among patients with bioprosthetic aortic valves who had clinical or echocardiographic indications suggestive of leaflet thrombosis, one-third of patients had this diagnosis confirmed by four-dimensional computed tomography (4DCT).
December 7, 2018
Watkins and colleagues report their use of preoperative extracorporeal membrane oxygenation (ECMO) to evaluate and stabilize structural heart patients who were at extreme surgical risk.
December 6, 2018
Gilles Dreyfus and colleagues share a decade of mitral reconstruction for degenerative posterior leaflet pathology in Harefield and Monaco (38 per year was the formidable average). The supplementary video is of particular educational value for the mitral surgeon and the cardiologist/TOE (TEE) specialist.
December 5, 2018
Coyan and colleagues report outcomes following double valve surgery in a cohort of patients who underwent operation between 2011 and 2017.
December 5, 2018
Using remodeling aortic and mitral annuloplasty rings, a double valve repair was accomplished in a young patient with Marfan syndrome.
December 4, 2018
The author provides a very simplified introduction to cannulation, with animation and intraoperative footage.
November 30, 2018
The EXCEL is one of several prospective studies that examine the use of single versus bilateral internal thoracic artery (ITA) grafts for myocardial revascularization (in this case, compared with percutaneous coronary intervention) for left main disease.
November 30, 2018
Once again, analyses of studies that are ostensibly well-designed randomized controlled trials have limitations that do not answer the question at hand: are two-arterial CABGs better than one? This editorial comments on a publication regarding the EXCEL Study, which showed no differences at 3 years.