This is a prospective, randomised, open-label, non-inferiority trial comparing CABG versus PCI in patients with unprotected left main stenosis. The study was carried out at 36 hospitals in Latvia, Estonia, Lithuania, Germany, Norway, Sweden, Finland, the UK, and Denmark.
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Percutaneous coronary angioplasty versus coronary artery bypass grafting in treatment of unprotected left main stenosis (NOBLE): a prospective, randomised, open-label, non-inferiority trial.
November 7, 2016
October 25, 2016
In this video, the authors show the resolution of two mechanical complications of myocardial infarction in the same patient.
Right internal thoracic artery versus radial artery as the second best arterial conduit: Insights from a meta-analysis of propensity-matched data on long-term survival
September 27, 2016
The authors conducted a meta-analysis of propensity-scored matched patients in published studies to assess outcomes of right internal mammary artery (RIMA) and radial artery (RA) as second conduits for CABG. Eight studies included nearly 3000 matched pairs.
Is Subvalvular Repair Worthwhile in Severe Ischemic Mitral Regurgitation? (from the Papillary Muscle Approximation trial)
September 27, 2016
The authors performed a subgroup analysis of the Papillary Muscle Approximation (PMA) trial, a randomized trial that, while showing superiority of PMA + restrictive annuloplasty (RA) over RA alone in terms of LV remodeling and MR recurrence, failed to show a survival advantage and was plagued by a relatively high incidence of reoperation.
Cost Analysis of Physician Assistant Home Visit Program to Reduce Readmissions After Cardiac Surgery
August 23, 2016
This retrospective study analyzed the relative cost-effectiveness of a physician assistant home care (PAHC) program in terms of readmission rates, length of stay, and health care cost. The study hospital switched from a conventional discharge treatment plan (control) in September 2010 to a PAHC program.
August 8, 2016
This is a retrospective study comparing outcomes of conventional 1:4 cardioplegia vs 4:1 Del Nido cardioplegia on adult patients undergoing CABG. 249 consecutive patients underwent coronary artery bypass using blood cardioplegia and 159 using del Nido Cardioplegia.
Are three arteries better than two? Impact of using the radial artery in addition to bilateral internal thoracic artery grafting on long-term survival
August 2, 2016
The impact of radial artery vs saphenous vein in patients undergoing bilateral IMA grafting was evaluated in 275 and 489 pts, respectively, using propensity score matching. Operative mortality and survival at 5, 10, and 15 years were similar. There was no influence of patient age, R vs L coronary system grafting, diabetes, or ventricular dysfunctio
July 6, 2016
What effect has the SYNTAX trial had on practice in Europe? Philippe Kolh reviews the trial and its guidelines.
Multiple arterial grafts improve survival with coronary artery bypass graft surgery versus conventional coronary artery bypass grafting compared with percutaneous coronary interventions
June 11, 2016
The authors compare single-institution retrospective data on outcomes of coronary bypass grafting or PCI for isolated CAD in over 12,000 pts. Overall survival was better for PCI patients (46% vs 34% at 15 yrs). However, survival for patients undergoing CABG with multiple arterial grafts was superior to most other interventions at 15 years and was s
May 2, 2016
This video demonstrates a technique for transmyocardial laser revascularization using a VATS approach.