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.
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Coronary disease
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 18, 2017
Aortic arch atresia is a rare entity among adults and may coexist with other cardiovascular surgical diseases. Single-stage extra-anatomic ascending-to-descending aortic bypass graft surgery is a safe and less invasive technique for correction of this complex congenital disease with other concomitant surgical cardiovascular disorders.
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 7, 2017
Patient Care
A boy’s growth had fallen well behind that of his twin brother, leading doctors in Abu Dhabi, UAE, to discover and surgically treat a congenital heart condition.
July 5, 2017
In this excellent review article, the authors review the practice and evidence for fractional flow reserve (FFR) in patients undergoing CABG.
June 22, 2017
The Amsterdam Investigator-initiated Absorb Strategy All-comers Trial report safety concerns identified in early results for the bioresorbable scaffold drug eluting stent. The scaffold group experienced significantly higher rates of device thrombosis than the stent group (3.5% vs 0.9%; p<0.001).