Om P. Yadava and David Taggart discuss contemporary issues in CABG at the 2018 Annual Conference of the Indian Association of Cardiovascular and Thoracic Surgeons.
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Coronary Disease
December 11, 2018
This video demonstrates a proximal anastomosis. The authors detail the procedure in a step-by-step fashion, using diagrams and surgical video to illustrate key technical elements.
November 30, 2018
Once again, analyses of studies that are ostensibly well-designed randomized controlled trials have limitations that do not answer the question at hand: are two-arterial CABGs better than one? This editorial comments on a publication regarding the EXCEL Study, which showed no differences at 3 years.
November 29, 2018
Bob Kiaii of the London Health Sciences Centre in Ontario, Canada, makes the case for a hybrid approach to coronary revascularization.
November 20, 2018
The authors present an operative video of a left ventricular aneurysm repair via a left thoracotomy approach in a patient who had undergone prior coronary bypass surgery and had patent bypass grafts.
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.