Coronary Disease - Surgery

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 in the intensive care unit...

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

CABG Improves Outcomes in Patients With Ischemic Cardiomyopathy: 10-Year Follow-Up of the STICH Trial

September 14, 2019 | Edward Savage

This study reports ten year outcomes of the STICH trial. Comparing CABG to medical therapy groups, the authors note that CABG reduced all cause, cardiovascular, and heart failure hospitalizations. This...

JANS Article

Multiple Versus Single Arterial Coronary Bypass Graft Surgery for Multivessel Disease

September 2, 2019 | Edward Savage

The authors reviewed the New York State database. Patients with single arterial grafts were compared to those with multiple arterial grafts. Propensity matching was performed based on 38 baseline characteristics....

JANS Article

Effects of Intracoronary Nicorandil on Myocardial Microcirculation and Clinical Outcomes in Patients With Acute Myocardial Infarction: A Meta-Analysis of Randomized Controlled Trials

August 29, 2019 | Aristotle ProtopapasGold Commentor

An interesting meta-analysis discouraging perhaps the use of this KATP modulator, especially after surgical revascularization where optimization of serum potassium is generally sought.

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JANS Article

Myocardial Viability and Long-Term Outcomes in Ischemic Cardiomyopathy

August 22, 2019 | Aristotle ProtopapasGold Commentor

A robust RCT that denies association of nuclear CT-defined myocardial viability and long-term benefit from surgical coronary revascularisation. It is worth following the discussion this manuscript is certain to generate..

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JANS Article

Novel Machine Learning Approach to Identify Preoperative Risk Factors Associated With Super-Utilization of Medicare Expenditure Following Surgery

August 15, 2019 | Mark FergusonBronze Contributor

Using a machine learning algorithm, resource utilization among more than 1 million Medicare patients undergoing one of 6 operations including CABG and lung resection was analyzed. Super users comprised 4.8%...

JANS Article

Off-Pump Versus On-Pump Bypass Surgery for Left Main Coronary Artery Disease

August 9, 2019 | Arie BlitzBronze ContributorSilver Commentor

The authors in this study performed a post-hoc analysis of the coronary artery bypass grafting (CABG) cohort in the multicenter randomized EXCEL trial, comparing patients undergoing on-pump versus off-pump procedures...

JANS Article

Neil Armstrong Died After Heart Surgery. That May Have Been Avoidable.

July 26, 2019 | Joel DunningGold ContributorSilver Commentor

In this article Michael Mack explains his thoughts on the events leading to the death of Neil Armstrong. Neil Armstrong suffered a tamponade after his pacing wires were removed which...

JANS Article

Frailty in the Cardiac Surgical Patient: Comparison of Frailty Tools and Associated Outcomes

July 19, 2019 | Claire Vernon

Henry and colleagues evaluated frailty in patients undergoing cardiac surgery using two frailty indices, the simplified Study of Osteoporotic Fractures (SOF) and the complex Cardiovascular Health Study (CHS), comparing postsurgical...

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