This study is the 5-year follow-up of a large randomized controlled trial of on-pump CABG vs. OPCAB performed by seasoned surgeons. A total of 4,752 patients were included in this trial.
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Coronary Disease
December 13, 2016
This video shows a minimally invasive approach to harvesting the inferior epigastric artery.
November 23, 2016
In this retrospective study of propensity-matched patients undergoing CABG, the authors queried whether prior PCI adversely affected outcomes. 9% of over 4500 pts undergoing first time CABG had prior PCI. There was no difference between the groups with regard to hospital mortality or 10-year survival.
November 22, 2016
The Johns Hopkins group reviewed their postoperative complications after heart surgery in 2,477 adult patients from 2011 and 2014 to determine the effect of the number of major complications on the primary outcome of death (as well as several secondary outcomes). The study found the following rates of mortality by the number of complications:
November 15, 2016
This editor hastes to submit to JANS this manuscript on the 5 year follow -up of the ART trial. It is guaranteed to be widely cited, probably hotly debated and certainly a disappointment to many of us!
November 7, 2016
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.
October 25, 2016
In this video, the authors show the resolution of two mechanical complications of myocardial infarction in the same patient.
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.
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.