Coronary Disease - Surgery

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, spontaneous myocardial infarction (MI) was...

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

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...

JANS Article

Timing of Coronary Artery Bypass Grafting After Acute Myocardial Infarction May Not Influence Mortality and Readmissions

June 15, 2021 | Aristotle ProtopapasGold Commentor

Fascinating confirmation of null hypotheses including bleeding complications and survival in a Pennsylvanian cohort study, despite the easily predictable previous PCI, hock, and IABP prevalence in the emergency group. The...

JANS Article

New-Onset Postoperative Atrial Fibrillation Impact on 5-Year Clinical Outcomes and Costs

May 27, 2021 | Aristotle ProtopapasGold Commentor

This month’s update on the economical and general aspects of the ROOBY-FS trial. The conclusion (on no impact of de novo post-CABG AF on the incidence of stroke nor the...

JANS Article

Overall and Cause-Specific Mortality in Randomized Clinical Trials Comparing Percutaneous Interventions With Coronary Bypass Surgery: A Meta-Analysis

October 26, 2020 | Aristotle ProtopapasGold Commentor

Within the limitations of a meta-analysis, a useful work advancing that PCI may have a hitherto masked or hidden mortality

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JANS Article

Implications of Alternative Definitions of Peri-Procedural Myocardial Infarction After Coronary Revascularization

October 12, 2020 | Aristotle ProtopapasGold Commentor

An analysis, from the cardiology viewpoint, of the MI nomenclature issues around the external validity of the EXCEL trial that undermined the EACTS support of the relevant 2018 guidelines

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JANS Article

Initial Invasive or Conservative Strategy for Stable Coronary Disease

April 3, 2020 | Wei-Guo Ma

In the ISCHEMIA Trial, 5179 patients with moderate or severe myocardial ischemia were randomized equally into two groups based on initial management strategy: initial invasive strategy (angiography and revascularization when...

JANS Article

Left-Digit Bias and CABG

February 20, 2020 | Mark FergusonBronze Contributor

This study of Medicare beneficiaries evaluated how often CABG was performed related to narrow intervals around a patient’s birthday. Those who were seen just prior to their 80th birthday (thus...

JANS Article

Percutaneous Coronary Angioplasty Versus Coronary Artery Bypass Grafting in Treatment of Unprotected Left Main Stenosis (NOBLE): A Prospective, Randomised, Open-Label, Non-Inferiority Trial

January 10, 2020 | Aristotle ProtopapasGold Commentor

‘CABG was significantly better than PCI (p=0·0066……..”

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