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.
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Coronary disease
September 13, 2018
This illustrated, instructional article details a reproducible, total-arterial surgical revascularization technique which does not require cardiopulmonary bypass or any manipulation of the ascending aorta.
September 6, 2018
Bob Kiaii of the London Health Sciences Centre in Ontario, Canada, presents a discussion on his long-term experience with a robotic-assisted coronary artery bypass grafting.
September 5, 2018
Modolo and colleagues provide detailed analysis and straightforward description of the SYNTAX II and SYNTAX III trials, including the impact for surgeons in contemporary practice.
August 31, 2018
A balanced editorial discussing the relevant RCT from Britain. The esteemed authors are correct to highlight the overall discouraging survival from out-of-hospital cardiac arrest WITHOUT NEUROLOGICAL DEFICIT. What does need to be done to improve a 3% acceptable 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.
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 10, 2018
Patient Care and General Interest
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.