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Coronary Disease

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.
March 23, 2016
Guidelines recommend that ICDs should not be implanted until after 90 days following revascularization in patients with an EF<35% and an MI.  Studies have shown that no clinical benefit or detriment was derived by implantation prior to 90 days.
March 22, 2016
This retrospective study evaluated the relationship between the timing betweenLHC and CABG and its effect on renal function in a cohort of 2371 patients at a single center.  Findings included:
March 14, 2016
The Hopkins group reviewed differential outcomes in close to 800 patients who had undergone bilateral IMA revascularization during CABG.  The compared configurations included:

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