The technique in this video combines recent positive trends in coronary artery bypass grafting including the use of skeletonized BIMA, no-touch saphenous vein, epiaortic scanning, intraoperative transit time flow measurement, and high-frequency ultrasound assessment.
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Coronary disease
December 19, 2023
December 18, 2023
This video demonstrates the short-term safety and efficacy of an emerging operative technique—transconal unroofing of an intraseptal anomalous left coronary artery with patch reconstruction of the right ventricular outflow tract—in a pediatric patient with impaired coronary perfusion.
December 14, 2023
The ISCHEMIA trial has caused heated discussion in the cardiovascular field, with its results being used to downgrade coronary artery bypass grafting (CABG) recommendations in recent guidelines. The authors of this paper performed a detailed re-analysis of the ISCHEMIA trial and critically examined its findings.
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 30, 2023
This Novo Nordisk funded, multicenter, double blind, randomized, placebo-controlled trial explored whether semaglutide (a glucagon-like peptide-1 receptor agonist) can reduce cardiovascular risk associated with overweight and obesity in the absence of diabetes.
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.
November 16, 2023
This video demonstrates the challenges of a successful surgical repair of a giant right coronary artery aneurysm measuring approximately 6 cm.
October 31, 2023
This video demonstrates the authors’ technique for radial artery harvesting using the harmonic scalpel, how methylene blue dye can help maintain vessel orientation, and a "squirt test" for intraoperative confirmation of ulnar collateral blood flow.
October 26, 2023
The authors performed a systematic review of the evidence supporting the use of different conduits for CABG. Their overall conclusion was that coronary artery bypass grafting strategy must be individualized. The radial artery (RA) graft has better patency rates and fewer adverse cardiac events compared with saphenous vein graft (SVG).
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.