This sub-study of the Randomized On/Off Bypass (ROOBY) trial compared clinical outcomes and 1-year graft patency between CABG cases where residents vs. attending surgeons were the primary operator. Graft patency rates were similar between resident- vs. attending-completed distal anastomoses for on-pump (83.0% vs. 82.4%) and off-pump (77.2% vs.
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Cardiac
September 18, 2015
September 18, 2015
This study describes activity and outcomes for both standard aortic valve implantation and transcatheter aortic valve implantation (TAVI) in England and Wales in the TAVI era. The study demonstrates that both standard aortic valve implantation and TAVI acitivity have increased since TAVI was first performed in the United Kingdom.
September 17, 2015
In an interview filmed at the 2015 STS Annual Meeting, Joel Dunning and Joseph Coselli of the Baylor College of Medicine, Houston, TX, have an conversation regarding Dr. Coselli's distinguished career and his special insights into the surgical treatment type A aortic dissection.
September 17, 2015
Authors report on visceral malperfusion in a series of 121 patients with acute type A aortic dissection. They postulate that in case of severe visceral ischaemia, abdominal surgery should be performed first to avoid irreversible ischaemic damage caused by circulatory arrest required for aortic repair.
September 17, 2015
The paper evaluates de novo development of aortic insufficiency (AI) following implantation of continuous flow left ventricular assist (84 HeartMate II, 13 HeartWare, 2 VentrAssist). Preoperatively, 17 patients had mild AI, which did not change later.
September 17, 2015
Perhexilene modulates cardiac metabolism and is expected to provide myocardial protection during cardiac surgery in patients with left ventricular hypertrophy. The agent was tested in a randomized clinical trial and administered per os preoperatively. The primary endpoint was use of inotropics for low cardiac output.
September 17, 2015
The authors describe the tricks and traps of minimally invasive approach during VAD implantation, by associating mini anterior left thoracotomy in the fifth intercostal space with a mini anterior right thoracotomy in the second intercostal space, without the aid of CPB in paravertebral block regional analgesia combined with mild general anaesthesia.
September 17, 2015
Arthur Caplan of the Division of Medical Ethics at NYU Langone Medical center poses a difficult ethical question: how many hearts should one child receive? Dr. Caplan presents the case of a young patient who recently received a third heart transplant.
September 16, 2015
This video describes how to perform a minimally invasive aortic valve replacement via a right mini thoracotomy approach.
September 16, 2015
No guidelines for credentialling ECMO physicians exist, so the authors surveyed ECMO programs to determine what institutional credentialling mechanisms consist of. The survey response rate was 42%. 66% of institutions require credentialling, 57% of institutions had credentialling mechanisms, and yearly recertification was required in 16%.