The authors studied the relationship of outcomes after non-cardiac surgery to blood transfusion among over 7,300 patients. Patients with significant bleeding were excluded. Patients were stratified according to the occurence of postoperative MI and the nadir hematocrit value (20-24%, 24-27%, 27-30%). The outcome was 30-day mortality. In the no-
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Coronary disease
February 18, 2016
January 30, 2016
Outcomes of CABG for patients in cardiogenic shock after acute MI were evaluated using data from the STS Database. The study group of nearly 5,500 patients comprised 1.5% of all CABG patients during the study period. Operative mortality was 18.7%. Mechanical circulatory support use was most common in patients with more risk factors or high clinica
January 23, 2016
In an analysis from the SYNTAX trial that randomized PCI vs CABG in patients with complex coronary disease, Milojevic et al found that patients had significantly higher rates of cardiac death after PCI, which was particularly caused by significantly higher rates of myocardial infarction-related death.
January 13, 2016
Comprehensive review article on the role of periperative statin therapy in patients undergoing coronary revascularization.
January 12, 2016
The authors of this paper aimed to study the frequency and predictors of internal mammary artery (IMA) failure in 1539 patients who underwent IMA revascularization of the left anterior descending (LAD) artery. IMA failure was defined as >75% stenosis at a follow-up of 12-18 months. They found that IMA failure occured in 8.6%.
January 12, 2016
Left ventricular pseudoaneurysm is a rare mechanical complication of ischemic heart disease. This video demonstrates a repair of a large left ventricular pseudoaneurysm with two layers of patches.
January 9, 2016
The authors performed a randomized control study of 178 patients with heart failure and systolic dyssynchrony who were accepted for CABG, randomizing the participants into two groups: CABG alone (n=87) and CABG + concomitant epicardial CRT (n=91). CRT was activated postoperatively.
December 26, 2015
Using CMS CABG data as a denominator, the investigators examined the penetration, completeness, and representativeness of the STS database with respect to the CMS database. The investigators found that, in 2012--the most recent year analyzed--center-level penetration was 90% and patient-level penetration was 94%.
December 24, 2015
With the successful linking of the STS Adult Cardiac Surgery Database and the Centers for Medicare and Medicaid (CMS) database, the authors studied the extent to which the STS database represents national activity in CABG. The number of centers represented increased from 45% in 2000 to 90% in 2012. The number of CABG patients represented increased
December 16, 2015
This video demonstrates a total and complete arterial revascularization using bilateral internal mammary arteries in a 65-year-old man with acute inferior wall myocardial infarction.