In a cohort of 11,922 diabetic patients undergoing CABG, the authors compare single versus bilateral internal thoracic artery grafting (BITA), complete versus incomplete revascularization, and on versus off-pump CABG. The authors conclude that BITA with complete revascularization maximizes long-term survival.
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Coronary Disease - Surgery
August 18, 2014
Bakaeen and colleagues have retrospectively reviewed the use of off-pump surgery among 2137841 primary isolated CABG operations in the Society of Thoracic Surgeons Database. They showed that off-pump procedures peaked in 2002 with 23% of CABG operations, after which it declined to 17% in 2012.
August 8, 2014
In this study the cost-effectiveness of CABG vs. DES-PCI was analysed from a U.S. Healthcare perspective. Using 5-year cost and quality-of-life data from the SYNTAX trial and lifetime extrapolations, the authors found that CABG was an economically attractive treatment option for most patients with 3-VD or left main CAD disease.
July 12, 2014
Volume-outcomes relationships for operative mortality were first identified more than a decade ago. This study updated the data using Medicare claims for more than 3 million patients. The inverse relationship between volume and outcomes was confirmed for all 8 procedures studied. The inverse ratio actually increased for 5 of 8 procedures despite o
Endoscopic Harvesting Device Type and Outcomes in Patients Undergoing Coronary Artery Bypass Surgery
July 12, 2014
This prospective multiinstitutional study evaluated outcomes of different devices used for endoscopic vein harvesting classified as open or closed tunnel devices. There was no difference in the incidence of early graft failure or late clinical outcomes. The poorer graft outcomes related to endoscopic vein harvesting are not attributable to device
June 20, 2014
This registry study which links Society of Thoracic Surgeons (STS) data with Medicare data examined the rates and predictors of readmission within 30-days of coronary artery surgery. The median readmission rate across 846 hospitals was 16.8%.
June 18, 2014
Coronary artery bypass grafting versus drug-eluting stents in patients with severe coronary artery disease and diabetes mellitus: a systematic review and meta-analysis Journal of Diabetes, 06/11/2014 Evidence Based Medicine Review Article
June 5, 2014
This large-scale study evaluated kidney function postoperatively and at 1 year after either on-pump or off-pump isolated first time CABG. Nearly 3000 pts were enrolled over a 2 year period. Outcomes were a >50% increase in creatinine within 30 days of operation (AKI) and >20% loss of GFR at 1 year. Off-pump bypass was associated with a lower
June 4, 2014
Coronary artery bypass grafting (CABG) has been considered the standard of care for patients with three-vessel disease (3VD), but long-term comparative results from randomized trials of CABG vs. percutaneous coronary intervention (PCI) using drug-eluting stents (DES) remain limited.