In this manuscript, the authors describe their findings of an extensive literature review of 12 mostly observational, retrospective studies evaluating the use of dual antiplatelet therapy (DAPT) in patients after CABG. They conclude that there is no clear consensus regarding the use DAPT in patients undergoing CABG.
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Coronary disease
May 10, 2015
April 30, 2015
Patients with LV dysfunction who underwent complete surgical revascularization were evaluated with angiograms, echo, and MR (evaluating late vascular enhancement with contrast). About 70% of dysfunctional segments segments demonstrated improved wall motion after revascularization, and this was unrelated to the degree of late vascular enhancement evi
April 29, 2015
This video demonstrates total arterial complete revascularization with bilateral internal mammary artery and mitral valve replacement in a 62-year-old male patient.
April 12, 2015
In this manuscript the authors describe their findings in a meta-analysis of 12 randomized placebo-controlled clinical trials involving 2,980 patients undergoing isolated CABG. They found that statin therapy, particularly atorvastatin, initiated before CABG, was associated with a 58% reduction in the risk of postoperative AF.
April 7, 2015
The authors prospectively performed coronary angiograms in their patients undergoing isolated CABG who demonstrated a rising cardiac troponin I profile in the first 12 hours following heart surgery - despite being asymptomatic. Among a total of 1693 patients from 2005-2011, 29 (1.7%) of patients had a rising CTnI.
April 2, 2015
Repair of this congenital defect in 34 pts was associated with no early mortality and substantial improvement in LV function (EF, shortening fraction, LVEDD). No postoperative circulatory support was required.
March 29, 2015
The authors of this article compared CABG and PCI with second generation drug eluting stents (DES-PCI) in patients with multivessel coronary artery disease. They used data from a large observational registry and applied propensity score matching to create groups with similar baseline characteristics.
March 28, 2015
Benedetto and co-authors analyzed propensity-matched groups of patients who underwent CABG or PCI (n= 1097 pairs) for multivessel disease, and found that outcomes were comparable at 1-year follow-up, while CABG did significantly better during follow-up to 5 years and Kaplan-Meier curves continued to diverge even further after 5 years.
March 16, 2015
In this manuscript the authors present a post-hoc study of the SYNTAX trial. They compare outcomes between those patients on optimal medical therapy (OMT) and non-optimal medical therapy following revascularization for complex coronary artery disease (CAD).
March 14, 2015
This is a very provocative British study that examined whether a more liberal (Hgb < 9 g/dL) versus a more restrictive (Hgb < 7.5 g/dL) transfusion threshold after cardiac surgery is associated with higher morbidity and costs.