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Coronary Disease

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.
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.
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.
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.
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.
April 23, 2016
An editorial discussion of the impressive 10-year benefits of CABG for ischemic cardiomyopathy as found in the STICH trial.
March 29, 2016
Joseph Sabik of the Cleveland Clinic, Cleveland, Ohio, considers whether the SYNTAX trial changed cardiology and cardiothoracic surgery practice in the United States.