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Coronary Disease - Surgery

February 8, 2024
The benefits of early extubation in the operating room (OR) following cardiac surgery remain unproven. In this study, the authors evaluated perioperative outcomes after extubation in the OR versus extubation in the intensive care unit (ICU) in patients who underwent nonemergency isolated coronary artery bypass grafting (CABG).
December 7, 2023
In this study, the authors performed a propensity matched analysis of hospital costs for robotic-assisted CABG vs. conventional CABG. 1,173 patients were included in the analysis from 2018 until 2021. Decision regarding intervention modality was decided by the treating surgeon.
November 20, 2023
The elderly population is exponentially increasing worldwide, leading to a higher incidence of coronary artery disease. The growing number of elderly patients is closely related to a higher incidence of frailty.
September 28, 2023
Use of antiplatelet medication following coronary artery bypass grafting is common practice to reduce thrombotic events. However, antiplatelet resistance is of growing concern. The authors of this review conducted a systematic review and meta-analysis of eleven studies involving 3122 patients.
August 11, 2023
This article provides a systematic review of the choice of conduits for coronary artery bypass grafting and has been endorsed by both the STS and EACTS. The review reports on a variety of factors related to specific conduits, from patency and clinical outcomes to harvesting and target vessel selection.
April 21, 2023
ROMA-Women is an offshoot of the original ROMA CABG trial designed to address the lack of women in surgical studies, and therefore the lack of guideline-directed surgical care for women patients. Women make up less than one third of participants in cardiac trials, yet they make up roughly half of annual cardiac deaths in the US annually.
April 14, 2022
This 10-year follow-up of the ROBY study reports on the primary end points of all-cause death and the composite of death or revascularization among 2203 patients randomized to off-pump or on-pump CABG 2002-2007.  Death rates at 10 years were 34.2% for off-pump and 31.1% for on-pump.  The composite end point was reached at 4.6 years for off-pump and 5
December 25, 2021
The rising burden of CAD in low- and middle-income countries like Nigeria is a result of the epidemiological transition from communicable to non- communicable diseases. The system of care for acute coronary syndrome (ACS) is evolving and constrained by a lack of prehospital emergency services, prolonged intervention times, and low patient eligibility
December 10, 2021
On December 9, the  American Heart Association (AHA) and American College of Cardiology (ACC) jointly released a clinical practice guideline for coronary artery revascularization in patients with coronary artery disease.  The top ten take-home messages are:
November 15, 2021
Interesting in its candour mini-series of partial arterial revascularisation by left thoracotomy. The perioperative graft failure is delt in some detail.