104 patients with class III or IV angina who were not candidates for revascularization were randomized to a sham procedure or to placement of a coronary sinus narrowing device. 35% of those in the device group improved their angina 2 classes, and 71% improved by 1 class, compared to 15% and 42% in the sham group. Quality of life improved more in th
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Coronary Disease
February 2, 2015
Propensity-score matched patients undergoing PCI or CABG in regional centers in Emilia-Romagna, Italy, 2002-2008 were evaluated for long-term outcomes.
Coronary Subclavian Steal Syndrome Detected During Coronary Bypass Surgery in a Hemodialysis Patient
January 28, 2015
Coronary subclavian steal syndrome is a concern in hemodialysis patients with an upper extremity arteriovenous fistula (AVF) who are undergoing ipsilateral IMA harvest for revascularization.
January 24, 2015
This systematic review and meta-analysis explores the literature to determine the relative advantages and disadvantages of using bilateral IMAs over single IMAs on outcomes after CABG in diabetic patients.
January 18, 2015
This is an interesting review of the current status of hybrid coronary revascularization (HCR). The authors discuss the merits and disadvantages of simultaneous versus staged procedures and describe the individual components of HCR. They also analyze the current evidence with regards to results and suggest indications for this type of therapy.
January 18, 2015
Anemic off-pump CABG (n=361) versus on-pump CABG (n=578) patients were compared. In anemic patients, off-pump CABG was associated with lower early morbitidy and mortality. 1 to 6 month follow-up mortality, however, was higher in the off-pump CABG cohort.
January 14, 2015
This multicenter study analyzes the utility of a "Top Gun" competition in promoting simulator use and improving technical skills among 1st-year CT Surgery residents. A coronary anastomosis simulation module was sent to most 1st-year residents in the U.S. Fifteen residents submitted baseline and final videos for evaluation.
January 6, 2015
In 2012 the American College of Cardiology Foundation and the Society of Thoracic Surgeons Collaboration on the Comparative Effectiveness of Revascularization Strategies (ASCERT) compared the 5 year effectiveness of CABG versus PCI.
December 28, 2014
This is a retrospective study looking at 2,768,007 Medicare beneficiaries in the US undergoing myocardial revascularization between 2008 and 2012. From a surgical point of view it is interesting to see that the proportion of CABG among all revascularization procedures declined from 24.8% in 2008 to 23.2% in 2012.
December 23, 2014
This retrospective analysis of patients admitted emergently for acute MI, heart failure, or cardiac arrest examined 30-day mortality for admissions during periods when cardiologists were attending national meetings vs admissions immediately surrounding the meeting dates. Mortality for each condition was lower during meeting dates than during non-mee