Borracci and colleagues evaluated the incidence of acute kidney injury (AKI) in 418 patients during in-hospital care after cardiac surgery. The authors found AKI in 17.5 % of patients when considering the worst kidney function measurement in the postoperative period compared to 4.5 % of patients when only considering kidney function at discharge.
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Coronary Disease - Surgery
December 24, 2018
December 20, 2018
Filmed at the 2018 STS Annual Meeting in Fort Lauderdale, Florida, John Puskas, Michael Halkos, and Robert Kiaii discuss hybrid coronary revascularization.
December 11, 2018
Takagi and colleagues performed a meta-analysis of eight randomized controlled trials comparing on-pump and off-pump coronary artery bypass grafting (CABG). They evaluated only trials with follow-up periods of five years or longer, and they pooled hazard ratios rather than odds ratios, where possible.
November 30, 2018
The EXCEL is one of several prospective studies that examine the use of single versus bilateral internal thoracic artery (ITA) grafts for myocardial revascularization (in this case, compared with percutaneous coronary intervention) for left main disease.
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 30, 2018
Patient Care and General Interest
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 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 17, 2018
Patient Care and General Interest
A congenital heart surgeon in Boston, Massachusetts, was once a patient himself.
August 16, 2018
Alan J. Bryan of the Bristol Heart Institute in the UK argues that on-pump coronary bypass surgery is as good an option as off-pump surgery for patients with high surgical risk.