An open-access large metanalysis on the utility and risks of antiplatelets after PCI. Of note, mortality was not a primary endpoint. The message is that long dual antiplatelet use is an exchange between avoidance of myocardial events and serious bleeding. The novel oral anticoagulants may enter the arena soon..
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Dual Antiplatelet Therapy After Percutaneous Coronary Intervention and Drug-Eluting Stents: A Systematic Review and Network Meta-Analysis
September 15, 2020
September 14, 2020
The authors present a 57-year-old woman with a left anterior descending to pulmonary artery fistula, causing progressive and daily ischemic chest pain associated with dyspnea and dizziness.
Is Myocardial Revascularization Really Necessary in Patients With ≥50% but <70% Coronary Stenosis Undergoing Valvular Surgery?
September 11, 2020
Del Forno et al. present a retrospective study of 77 patients with de-novo 50-70% coronary stenosis undergoing valvular surgery. In these patients, bypass grafting of these coronaries was intentionally omitted.
September 10, 2020
Filmed at the 2020 STS Annual Meeting in New Orleans, Louisiana, Niv Ad moderates a discussion on the importance of atrial fibrillation in decision-making in structural heart disease and coronary artery disease.
August 18, 2020
A review that may affect pharma strategy in the immediate future.
August 11, 2020
This is a video illustrating a case of minimally invasive mitral valve replacement in the setting of profound shock with VA-ECMO and impella CP support for ruptured papillary muscle after acute myocardial infarction.
Aortic Root Remodelling, Debranching of Arch, Ascending Aorta Replacement (Lupiae) and CABGX3 Prior TEVAR for Type B Aortic Dissection
August 5, 2020
The authors demonstrate a technique to manage the complex aortic pathology with coronary artery disease following percutaneous thoracic endovascular arterial repair in Ishimaru's zone 2, 3, and 4 in a complicated type B aortic dissection.
July 31, 2020
The authors analyzed dual antiplatelet use after coronary bypass grafting in patients from 2011 to 2017, and they identified an increase driven by patient demographics.
Minimally Invasive Direct Coronary Artery Bypass Grafting and Transcatheter Aortic Valve Implantation
June 30, 2020
This video demonstrates a minimally invasive direct coronary artery bypass grafting associated to transcatheter aortic valve implantation through a left anterior minithoracotomy in the fourth intercostal space.
Robotic-Assisted Transmyocardial Laser Revascularization Combined With Left Atrial Appendage Exclusion Using an Atrial Clip
June 16, 2020
This video demonstrates the technique of robotic-assisted transmyocardial laser revascularization combined with application of an atrial clip to provide left atrial appendage exclusion.