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Coronary disease

April 2, 2014
Quality metrics based on administrative databases are sometimes unreliable. This study examined data from nearly 245,000 Medicare patients undergoing CABG to determine the reliability of 30-day readmission rates and whether that metric is an appropriate indicator of hospital quality.
March 29, 2014
Consensus guidelines on performing PCI without on-site surgery backup. The document outlines best practices and requirements for centers performing PCI without on-site surgery and evaluates the role of PCI without on-site surgery within the context of the US healthcare system.
March 17, 2014
Takagi H, et al. – A 12–year–ago landmark meta–analysis of bilateral versus single internal thoracic artery (bilateral ITA [BITA] versus single ITA [SITA]) coronary artery bypass grafting for long–term survival included 7 observational studies (only 3 of which reported adjusted hazard ratios [HRs]) enrolling approximately 16,000 patients.
March 4, 2014
This is an amazing video that actually shows live evidence of clot in the vein after harvesting ! Why are we all not doing this routinely after all vein harvest ? You must have a quick look at this
February 28, 2014
Yates and coauthors evaluated the implementation of Heart Team discussions for patients with complex coronary artery disease, and determined whether the 2010 ESC/EACTS guideline recommendations changed clinical practice in this regards. Unfortunately, Heart Team discussions were infrequent pre- and post-guideline publication (9% vs 17%).
February 8, 2014
Di Giammarco and colleagues reported that intraoperative graft verification was significantly improved if a combination of transit-time flow measurement and epicardial echocardiography was used in comparison with transit-time flow measurement alone.
February 6, 2014
Because the optimal management of CAD is unclear for many patients, the authors developed a decision support model for CABG and PCI with bare metal or drug eluting stents. Overall survival rates were similar for the different interventions.
January 10, 2013
Left internal thoracic artery (ITA) grafting to the left anterior descending artery has long become the gold standard. There is a trend for bilateral ITA grafting, commonly to left-sided arteries. The video shows ITA skeletonization, with low harvesting time, and minimal chest and graft thermal trauma.
July 12, 2012
This video shows in detail skeletonization of the internal mammary artery using the Harmonic hook blade, with footage contrasting the pedicle technique and traditional skeletonization with the cautery tip as a dissector.