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Coronary Disease

November 15, 2018
An interesting randomized controlled trial asserting robustly that endoscopic harvesting of saphenous vein is: (1) better for leg dehiscence and (2) at least noninferior for MACE compared to the conventional open "full touch" method.
September 25, 2018
Meta-analysis of composite death/myocardial infarction/stroke/repeat revascularization outcome in 4700 patients across six randomized controlled trials is presented. Percutaneous coronary intervention was associated with a higher risk of the composite outcome in all SYNTAX score tertiles as well as increased risk of repeat revascularization.
September 19, 2018
This comphrensive review by Spadaccio and Benedetto try to address the unanswered question: to stent or not to stent? The conclusions underline that the higher cerebrovascular risks associated with surgery are still overcome by long term outcome.
August 10, 2018
The latest instalment in the gender discordance saga, this one proferred by business/management school academics. I am not convinced that the coarse gender comparison takes into account the size discrepancy in coronary arteries and other, well-known to medical practitioners, anatomico-physiological differences of human genders.
August 9, 2018
This is a further report from the extensive dataset of the STICH Trial. This examines the impact of immediate postoperative events (length of time of intubation) on short- and long-term outcomes. If the time  was >36 hours, there was significant correlation with increased mortality, both 30-day and one-year.
July 17, 2018
The use of ultrasonic energy in vessel harvesting for coronary artery bypass provides several advantages over the conventional diathermy during the preparation of the arterial graft, and harmonic shears may be beneficial in being faster, reducing bleeding, and allowing the surgeon to work closely to the vessel.
July 6, 2018
A detailed and somewhat disheartening analysis of stem cell therapy for cardiac failure.
June 15, 2018
Find it here: The 2018 ISMICS Annual Meeting in Vancouver, Canada.
May 23, 2018
Over 1200 patients with stable coronary artery disease and at least one angiographically-significant stenosis were randomized to percutaneous coronary intervention (PCI) plus medical therapy or medical therapy alone for lesions with fractional flow reserve (FFR) <0.8.  FFR-guided PCI was associated with a significantly reduced composite outcome (d

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