The authors analyzed an audited collaborative multicenter database in Australia of over 34,000 consecutive patients who underwent CABG from 2001 to 2012, and they compared outcomes in those undergoing total arterial revascularization (TAR) vs. those that did not.
ALERT!
This site is not optimized for Internet Explorer 8 (or older).
Please upgrade to a newer version of Internet Explorer or use an alternate browser such as Chrome or Firefox.
Coronary Disease - Surgery
July 21, 2015
July 16, 2015
The authors conducted a randomized prospective study comparing 3 methods of SVG harvesting in 156 patients. The 3 methods compared were as follows: Conventional (C)--stripped and distended veins; Intermediate (IM)--stripped but not distended veins; and, No Touch (NT)--neither stripped nor distended but harvested on a pedicle.
July 15, 2015
The University of Pennsylvania group, in a porcine model of ischemic mitral regurgitation (IMR), compared echocardiographic surface coaptation in two groups of pigs: Those undergoing MV repair with a flat semirigid annuloplasty ring vs. with a saddle-shaped rigid annuloplasty ring.
July 1, 2015
The authors retrospectively analyzed the STS datablase for utilization of bilateral mammary artery (BIMA) grafts in patients considered at low risk for BIMA use. This group of patients were compared to a propensity matched group of single mammary artery graft (SIMA) patients.
June 28, 2015
Retrospective cross-sectional cohort study using 5 years of Medicare benficiary data to determine whether post discharge mortality varies by time-to-readmission. Two of the three operations analyzed were lung resection (n=101,092) and coronary artery bypass grafting (CABG) (n=484,260).
June 17, 2015
Using propensity score matching techniques, outcomes and costs for robotic cardiac surgery were compared to open cardiac surgery using data from the Nationwide Inpatient Sample. Robotic surgery was more expensive ($39,030 vs $36,340) but was associated with a shorter length of stay (5 vs 6 days), lower mortality (1.0% vs 1.9%), and lower overall com
May 29, 2015
240 high risk patients undergoing cardiac surgery were randomized to remote ischemic preconditioning (3 5-min cycles of single upper extremity ischemia after anesthetic induction) or sham. Preconditioning reduced the incidence of acute kidney injury by one-third and the need for renal replacement therapy by two-thirds. These results were associated
May 10, 2015
In this manuscript, the authors describe their findings of an extensive literature review of 12 mostly observational, retrospective studies evaluating the use of dual antiplatelet therapy (DAPT) in patients after CABG. They conclude that there is no clear consensus regarding the use DAPT in patients undergoing CABG.
April 30, 2015
Patients with LV dysfunction who underwent complete surgical revascularization were evaluated with angiograms, echo, and MR (evaluating late vascular enhancement with contrast). About 70% of dysfunctional segments segments demonstrated improved wall motion after revascularization, and this was unrelated to the degree of late vascular enhancement evi
April 12, 2015
In this manuscript the authors describe their findings in a meta-analysis of 12 randomized placebo-controlled clinical trials involving 2,980 patients undergoing isolated CABG. They found that statin therapy, particularly atorvastatin, initiated before CABG, was associated with a 58% reduction in the risk of postoperative AF.