The STS Adult Cardiac Surgery database data that had been submitted to a regional quality initiative were compared to a hospital claims database to assess what effect, if any, would supplying missing data provided by the latter affect the reported STS 30-day mortality rates. The STS database currently counts as "alive" any patient that has unknown s
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Coronary Disease - Surgery
September 9, 2017
August 23, 2017
This CCF retrospective study compared outcomes for diabetic patients undergoing CABG who received either (1) bilateral internal thoracic artery (BITA) grafts or (2) single internal thoracic artery (SITA) plus radial artery (RA) grafts during CABG.
August 17, 2017
The 5-year outcomes of a Veterans Affairs trial of off-pump vs on-pump CABG are reported. Mortality in the off-pump group was 15.2% compared to 11.9% in the on-pump group (RR 1.28; p=0.02). Composite adverse events were more common in the off-pump group (31.0% vs 27.1%; RR 1.14; p=0.046). Repeat CABG was more common for the off-pump group (1.4% vs
August 17, 2017
The Cleveland Clinic group performed a randomized clinical trial comparing transfusion triggers of 24% vs. 28% from 2007-2014. The study included 722 patients who underwent either CABG or valve surgery. While the lower trigger group received fewer transfusions, adverse outcomes did not differ between the groups.
July 26, 2017
This collaborative position paper recommendations are provided on the management of peri-operative myocardial infarction in patients undergoing CABG.
These recommendations are based on thorough literature review and are illustrated in a practical flowchart.
July 12, 2017
Preoperative Inspiratory Muscle Training (IMT) with the Powerbreathe device was assessed with regard to whether A-a gradients and inspiratory muscle power would be improved after CABG. A group of 40 male patients were randomized to receiving (20) or not receiving (20) preop IMT.
July 11, 2017
This video shows a coronary artery bypass surgery with right coronary aneurysm exclusion on a previously healthy 58-year-old man.
July 5, 2017
In this excellent review article, the authors review the practice and evidence for fractional flow reserve (FFR) in patients undergoing CABG.
May 11, 2017
With the 50th birthday of CABG, the New England Journal of Medicine published this nice article on the history and development of CABG.
April 5, 2017
An international group of experts met at the 2017 STS Annual Meeting in Houston, Texas, to discuss the evolving practice of robotic and hybrid coronary revascularization.