In this RCT, patients at increased risk for cardiac surgery requiring CPB were assigned to steroids at the time of anesthetic induction and again at the time of CPB induction or no steroids. Primary outcomes were 30-day mortality and major morbidity. Steriods had no effect on the primary outcomes. There was no evidence that stero
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Coronary disease
September 26, 2015
September 24, 2015
The investigators of this study compared survival of bare metal stent percutaneous coronary intervention (BMS-PCI) versus drug-eluting stent PCI (DES-PCI) versus single artery CABG (SA-CABG) versus multiarterial CABG (MA-CABG) in patients with multivessel coronary artery disease.
September 22, 2015
This video demonstrates a technique for performing a minimally invasive multi-vessel coronary bypass.
September 18, 2015
This sub-study of the Randomized On/Off Bypass (ROOBY) trial compared clinical outcomes and 1-year graft patency between CABG cases where residents vs. attending surgeons were the primary operator. Graft patency rates were similar between resident- vs. attending-completed distal anastomoses for on-pump (83.0% vs. 82.4%) and off-pump (77.2% vs.
September 4, 2015
This study from the Michigan Society of Thoracic and Cardiovascular Surgeons Quality Collaborative evaluated outcomes of CABG in 33 hospitals 2011-2013, assessing the association of blood transfusion (39.9% of pts) and the incidence of postoperative pneumonia (3.6% of pts). Blood transfusion was associated with an increased risk of pneumonia (OR 3.
August 22, 2015
Outcomes of robotic vs nonrobotic cardiac surgery were evaluated using 1:2 propensity score matching of patients in the Nationwide Inpatient Sample. Operations included valves/septae (10%), coronary arteries (47%), and other. Mean costs were 7.5% higher for robotic cases. Robotic procedures had shorter length of stay (5 vs 6 days), lower mortality
August 18, 2015
This paper is now one of the largest meta-analyses performed to compare off and on pump CABG. It demonstrates comparable outcomes between the two groups.
July 29, 2015
The University of Virginia group retrospectively analyzed all non-emergent cardiac cases performed at their center from 2008 to 2013, and separated the nonemergent cases into two groups: "Early start" cases had an incision time before 3 PM, and "late start" cases, after 3 PM.
July 21, 2015
The authors analyzed an audited collaborative multicenter database in Australia of over 34,000 consecutive patients who underwent CABG from 2001 to 2012, and they compared outcomes in those undergoing total arterial revascularization (TAR) vs. those that did not.
July 20, 2015
The authors of this paper investigated the outcomes of percutaneous coronary intervention (PCI) performed in centers with and without cardiac surgical support onsite in a large database in the United Kingdom between 2006 and 2012. They found in multivarate analysis that there was no difference at 30 days, 1 year or 5 years.