Coronary Disease - Surgery

JANS Article

Dual Antiplatelet Therapy after PCI in Patients at High Bleeding Risk

November 9, 2021 | Aristotle ProtopapasGold Commentor

A good-size Terumo-sponsored RCT that is set to impact on decisions to discontinue DAPT early after PCI with absorbable stent, a change that will somehow decrease the surgical risk of bleeding in the event of...

JANS Article

Spontaneous Myocardial Infarction After Left Main Revascularization: The EXCEL Trial

March 26, 2026 | Vincent SierSilver Contributor

In this pre-specified analysis of the EXCEL trial, 1,882 patients with left main disease underwent percutaneous coronary intervention (PCI) (n=952) or coronary artery bypass grafting (CABG) (n=930). At five years,...

JANS Article

Multiarterial vs Single-Arterial Coronary Surgery: Ten-Year Follow-Up of One Million Patients

September 19, 2024 | Joel DunningGold ContributorSilver Commentor

This study examined the long-term survival of patients undergoing multiarterial grafting (MAG) versus single-arterial grafting (SAG) in coronary artery bypass grafting (CABG). After analyzing data from more than one million...

JANS Article

Routine Extubation in the Operating Room After Isolated Coronary Artery Bypass

February 8, 2024 | Mateo Marin-Cuartas

The benefits of early extubation in the operating room (OR) following cardiac surgery remain unproven. In this study, the authors evaluated perioperative outcomes after extubation in the OR versus extubation...

JANS Article

Robotic-Assisted vs. Traditional Full-Sternotomy Coronary Artery Bypass Grafting Procedures: A Propensity-Matched Analysis of Hospital Costs

December 7, 2023 | Jason Trevis

In this study, the authors performed a propensity matched analysis of hospital costs for robotic-assisted CABG vs. conventional CABG. 1,173 patients were included in the analysis from 2018 until 2021....

JANS Article

Last Nail in the Coffin for PCI in Stable Angina?

March 5, 2018 | Aristotle ProtopapasGold Commentor

A few months after its publication, the ORBITA trial results do not seem to have filtered adequately to cardiac multidisciplinary teams worldwide.

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Video

Fractional Flow Reserve and Cardiac Surgery

March 1, 2018 | John Butler

Miles Behan of the Edinburgh Heart Centre in Scotland, UK, discusses fractional flow reserve (FFR) prior to cardiac surgery. He focuses on the role of FFR in guiding grafting decisions...

JANS Article

Prevention and Management of Sternal Wound Infections

March 1, 2018 | Arie BlitzBronze ContributorSilver Commentor

The authors present a thorough expert consensus review on the prevention—preoperative, intraoperative, and postoperative—and the postoperative management of sternal wound infections. The authors conclude with a guideline with class recommendations...

JANS Article

Does a Third Arterial Conduit to the Right Coronary Circulation Improve Survival?

March 1, 2018 | Arie BlitzBronze ContributorSilver Commentor

This single-center group retrospectively reviewed their experience (2004-2014) with at least two arterial conduits for triple-vessel coronary artery disease to assess the benefit of adding a third arterial conduit versus...

JANS Article

Current Trends in Bilateral Internal Mammary Artery Use for Coronary Revascularization: Extending Benefit to High-Risk Patients

February 28, 2018 | Arie BlitzBronze ContributorSilver Commentor

The Mayo Clinic team retrospectively reviewed their experience with isolated CABG for multivessel coronary artery disease over a 15-year period to assess usage of bilateral internal mammary arteries (BIMA) and...

JANS Article

Mortality After Coronary Artery Bypass Grafting Versus Percutaneous Coronary Intervention With Stenting for Coronary Artery Disease: A Pooled Analysis of Individual Patient Data

February 23, 2018 | Ruben Osnabrugge

In this patient level meta-analysis of 11 randomised trials, the authors compare PCI using stents with CABG. In total, almost 12,000 randomised patients were included. They found that at a...

JANS Article

Financial Impact of Acute Kidney Injury After Cardiac Operations in the United States

February 6, 2018 | Arie BlitzBronze ContributorSilver Commentor

The Nationwide Inpatient Sample was interrogated for all patients undergoing either CABG, valve replacement, or both from 2008 to 2011, and a total of 1,078,036 patients were included in the...

JANS Article

A Prospective Multi-Institutional Cohort Study of Mediastinal Infections After Cardiac Operations

February 6, 2018 | Arie BlitzBronze ContributorSilver Commentor

The authors participated in a multi-institutional prospective study to evaluate the frequency, risk factors, and outcomes of patients who suffer mediastinal infection after cardiac surgery. A total of 5,158 patients...

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