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Coronary Disease

October 9, 2014
This prospective observational study compares patients with coronary artery bypass grafting on aspirin and ticagrelor (n = 173) or on aspirin and clopidogrel (n = 232). Major bleeding complications occurred in 14.5% with ticagrelor and 13.8% with clopidogrel (p=0.89). 
September 15, 2014
This descriptive study presents the peri-operative and 1-year results of on-pump and off-pump surgery performed in patients enrolled in the Arterial Revascularization Trial (ART). Out of the 3102 patients randomised in the ART trial to undergo either single or bilateral mammary artery grafting, 41% had their surgery performed off-pump.
June 29, 2014
A great use for google glasses is demonstrated here. The glasses can be used to film the operative field and communicate with others online in real time.  Thus real time expert opinions from around the world would potentially be possible with their use. They are used here for the first time.
June 11, 2014
This video demonstrates an ITA harvest for CABG. It was designed specifically for cardiothoracic surgery residents, and includes a step-by-step approach to enhance safety and reproducibility.
June 1, 2014
This multi-centre registry study assessed peri-operative and long-term outcomes in patients who underwent isolated surgical aortic valve replacement (AVR) who had previous undergone coronary artery bypass graft surgery (CABG). The study included 113 patients who underwent AVR after previous CABG across seven centres between 2000-2013.
March 4, 2014
This is an amazing video that actually shows live evidence of clot in the vein after harvesting ! Why are we all not doing this routinely after all vein harvest ? You must have a quick look at this
February 28, 2014
Yates and coauthors evaluated the implementation of Heart Team discussions for patients with complex coronary artery disease, and determined whether the 2010 ESC/EACTS guideline recommendations changed clinical practice in this regards. Unfortunately, Heart Team discussions were infrequent pre- and post-guideline publication (9% vs 17%).
February 8, 2014
Di Giammarco and colleagues reported that intraoperative graft verification was significantly improved if a combination of transit-time flow measurement and epicardial echocardiography was used in comparison with transit-time flow measurement alone.
January 10, 2013
Left internal thoracic artery (ITA) grafting to the left anterior descending artery has long become the gold standard. There is a trend for bilateral ITA grafting, commonly to left-sided arteries. The video shows ITA skeletonization, with low harvesting time, and minimal chest and graft thermal trauma.
July 12, 2012
This video shows in detail skeletonization of the internal mammary artery using the Harmonic hook blade, with footage contrasting the pedicle technique and traditional skeletonization with the cautery tip as a dissector.

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