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TCT: Easier Recovery with PCI vs CABG Validated in EXCEL Trial
(MedPage Today) -- But early quality of life advantage largely dissipates by 1 year (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - October 31, 2017 Category: Surgery Source Type: news

' Hybrid' Procedure on Par With CABG, PCI in Pilot Study'Hybrid' Procedure on Par With CABG, PCI in Pilot Study
The HREVS study compared minimally invasive bypass surgery plus PCI with standard CABG and PCI alone in patients with LAD disease; observers see the similar outcomes as a foundation for future studies.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 31, 2017 Category: Consumer Health News Tags: Cardiology News Source Type: news

EXCEL: PCI, CABG Offer Similar Quality of Life at 3 Years EXCEL: PCI, CABG Offer Similar Quality of Life at 3 Years
Less invasive PCI offered early benefits, as expected, and bypass surgery was unable to surpass PCI in patient-reported left main coronary artery outcomes over 3 years.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 31, 2017 Category: Consumer Health News Tags: Cardiology News Source Type: news

Afternoon open heart surgery 'leads to fewer complications'
Conclusion This study found evidence of an effect that's worth investigating further to see if there are real differences in heart muscle function and risk of complications from heart surgery at different times of the day. However, there were some limitations: It took place at a single hospital, with a relatively small number of people undergoing operations. The laboratory study found differences in gene activity that suggested the body clock may play a role in making the heart better able to tolerate loss of oxygen and subsequent re-oxygenation. However, there may be other explanations for these differences. For example, ...
Source: NHS News Feed - October 27, 2017 Category: Consumer Health News Tags: Heart/lungs Source Type: news

Study: Triple-Vessel CABG Strategy Matters in the Long Run
(MedPage Today) -- Better outcomes with additional RITA or RA grafting (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - October 11, 2017 Category: Surgery Source Type: news

What Matters in Medtech Now?
With a new administration comes a new direction. That begs the question—with changes at federal agencies and proposed tax reform, is the medtech industry seeing a shift in priorities? Any Adjustments for Value-Based Care? After years of championing value-based care, CMS now plans to pull back on its bundled payment experiments. It issued a proposed rule in August that would allow many hospitals to take part voluntarily in its Comprehensive Care for Joint Replacement (CJR) program, instead of being required to participate. That program was initially the first of its kind in making participation in the bundled payment ...
Source: MDDI - October 11, 2017 Category: Medical Devices Authors: Marie Thibault Tags: Medical Device Business Source Type: news

Gender Bias May Still Limit CABG Options in Women Gender Bias May Still Limit CABG Options in Women
A new study undercuts some preconceived notions regarding use of arterial grafts in women undergoing CABG, but some argue that outcomes data are still needed to change practice.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - October 5, 2017 Category: Consumer Health News Tags: Cardiology News Source Type: news

Mellon Medical raises nearly $7 million for suturing tech
Dutch suturing tech company Mellon Medical said today that it has raised €6 million (equivalent to about $6.6 million) to advance its Switch instrument. Mellon Medical officials boast that their Switch single use precision-suturing instrument enables surgeons to suture tubular and layered structures about twice as fast as conventional methods. Reduced clamp time for many cardiovascular procedures equals reduced complications risk, better patient outcomes and reduced costs, according to the company. “By collaborating with medical specialists, industrial designers and ergonomic experts in the development...
Source: Mass Device - October 2, 2017 Category: Medical Devices Authors: Chris Newmarker Tags: Business/Financial News News Well mellonmedical surgery Source Type: news

Women Get CABG Less Often, But Gender Bias Isn't Reason (CME/CE)
(MedPage Today) -- Delayed diagnosis of heart disease may explain surgical disparity (Source: MedPage Today Primary Care)
Source: MedPage Today Primary Care - September 28, 2017 Category: Primary Care Source Type: news

Delays in Diagnosis Hurt Women Who Have Heart Disease
Study found they were less likely to receive surgeries involving multiple artery grafts Source: HealthDay Related MedlinePlus Pages: Coronary Artery Bypass Surgery, Heart Disease in Women (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - September 28, 2017 Category: Consumer Health News Source Type: news

What is the Best Method for Left Main Revascularization? (CME/CE)
(MedPage Today) -- Biggest difference between PCI and CABG may be in repeat procedures (Source: MedPage Today Neurology)
Source: MedPage Today Neurology - September 13, 2017 Category: Neurology Source Type: news

Villafa ña-founded artificial vessel developer Medical 21 looks to raise $15m
St. Jude Medical founder Manny Villafaña’s newest medtech play, Medical 21, is looking to raise $15 million in an equity round of funding, according to an SEC filing posted recently. The company is developing an artificial blood vessel as an alternative to harvesting blood vessels for coronary artery bypass surgeries, and has already begun animal testing of the technology, according to a Twin Cities Business report. Bypass surgeries, which are performed over 500,000 times a year in the US, require surgeons to harvest blood vessels from a patient’s body to be stitched into the heart to repair the circulat...
Source: Mass Device - September 7, 2017 Category: Medical Devices Authors: Fink Densford Tags: Business/Financial News Cardiovascular medical21 Source Type: news

Routine LAA Closure at Heart Surgery: Support From LAACS Routine LAA Closure at Heart Surgery: Support From LAACS
Closing off the left-atrial appendage at CABG or valve surgery, widely done without much of an evidence base, seemed to protect against strokes, symptomatic or silent, in a small randomized trial.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - September 6, 2017 Category: Consumer Health News Tags: Cardiology News Source Type: news

Coronary artery bypass surgery effective in patients with type 1 diabetes
(Karolinska Institutet) Coronary artery bypass surgery (CABG) is the best method of treating artherosclerotic coronary arteries in diabetes patients with multivessel disease, even in the presence of type 1 diabetes, a new study from Karolinska Institutet reports, clearing up a question in the current recommendation. The study is published in Journal of the American College of Cardiology (JACC). (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - August 28, 2017 Category: International Medicine & Public Health Source Type: news

PodMed: A Medical News Roundup From Johns Hopkins (with audio)
(MedPage Today) -- This week's topics include outcomes for payment, on- or off-pump CABG, cannabis for pain or PTSD, and the cognitive impact of a PCSK-9 inhibitor (Source: MedPage Today Geriatrics)
Source: MedPage Today Geriatrics - August 19, 2017 Category: Geriatrics Source Type: news

ROOBY-FS Trial: Off-Pump CABG Inferior at 5 Years ROOBY-FS Trial: Off-Pump CABG Inferior at 5 Years
Calls to abandon off-pump bypass surgery may be premature, with several experts noting that select patients may still benefit.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 17, 2017 Category: Consumer Health News Tags: Cardiology News Source Type: news

Which Heart Bypass Surgery Works Best?
Study compares 'on-' and 'off-pump' proceduresSource: HealthDay Related MedlinePlus Pages: Coronary Artery Bypass Surgery (Source: MedlinePlus Health News)
Source: MedlinePlus Health News - August 17, 2017 Category: Consumer Health News Source Type: news

CMS proposes rolling back bundled payment programs
The Centers for Medicare & Medicaid Services this week proposed rolling back a trio of bundled payment pilot programs aimed at lowering healthcare costs and improving outcomes. The federal health insurer announced its 5-year “Comprehensive Care for Joint Replacement” program in July 2015, saying it would involve more than 800 hospitals in 75 geographic areas. The CJR program, which went into effect in January 2016, bundles payments for hip and knee replacements from hospital admission to 90 days after discharge. The payment covers “all related items and services paid under Medicare Part A an...
Source: Mass Device - August 17, 2017 Category: Medical Devices Authors: Brad Perriello Tags: Healthcare Reform Centers for Medicare and Medicaid Services (CMS) Reimbursement valuebasedhealthcare Source Type: news

CardioBrief: Off-Pump CABG Raises Long-Term Mortality Risk
(MedPage Today) -- Significant risk over on-pump grafting found at 5 years in ROOBY trial (Source: MedPage Today Cardiovascular)
Source: MedPage Today Cardiovascular - August 16, 2017 Category: Cardiology Source Type: news

FFR to Guide and to Assess Coronary Artery Bypass Grafting FFR to Guide and to Assess Coronary Artery Bypass Grafting
What role can fractional flow reserve play in risk stratification and determination of management strategy for patients before and after coronary artery bypass grafting?European Heart Journal (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - August 15, 2017 Category: Consumer Health News Tags: Cardiology Journal Article Source Type: news

MI Definition Affects Reported Rates After CABG, PCI MI Definition Affects Reported Rates After CABG, PCI
Postprocedure MI rates varied widely, depending on which definition was used, prompting some experts to say,"The time has come to adopt a unifying common definition."Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 10, 2017 Category: Consumer Health News Tags: Cardiology News Source Type: news

Levosimendan Disappoints Again in Low-LVEF CABG: LICORN Levosimendan Disappoints Again in Low-LVEF CABG: LICORN
The inotropic agent available in much of the world was safe but didn't cut the risk of low cardiac-output syndrome in a small randomized trial, consistent with earlier trials.Medscape Medical News (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 10, 2017 Category: Consumer Health News Tags: Cardiology News Source Type: news

Diabetes Does Not Impair Long-term CABG Patency Diabetes Does Not Impair Long-term CABG Patency
Diabetes does not influence the long-term patency of coronary artery bypass grafts, according to a retrospective study.Reuters Health Information (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - August 1, 2017 Category: Consumer Health News Tags: Diabetes & Endocrinology News Source Type: news

ECG Challenge: What Happened After CABG? ECG Challenge: What Happened After CABG?
An elderly man develops tachycardia and shortness of breath after bypass surgery. What does his ECG reveal?Medscape Cardiology (Source: Medscape Today Headlines)
Source: Medscape Today Headlines - July 11, 2017 Category: Consumer Health News Tags: Cardiology Clinical Case Source Type: news

Vascular graft dev Somahlution launches EU registry trial of DuraGraft
Vascular graft developer Somahlution said today it launched the DuraGraft European Registry clinical trial of its DuraGraft device, enrolling the 1st patient in the study. In the registry study, investigators will evaluate the Jupiter, Fla.-based company’s DuraGraft, a vascular graft treatment designed to reduce the burden of ischemia reperfusion injuries, during use in coronary artery bypass grafting procedures. The 1st patient was enrolled at Germany’s Helios Hospital Wuppertal, with enrollment also beginning at the Helios Heart Center Leipzig. The 1st patient was treated by Dr. Herbert Vetter, Somahluti...
Source: Mass Device - May 30, 2017 Category: Medical Devices Authors: Fink Densford Tags: Clinical Trials Stent Grafts Vascular somahlution Source Type: news

No-touch ’ heart bypass surgery reduces strokes
Four surgical methods of coronary artery bypass grafting with increasing degrees of aortic manipulation. Percentages pictured represent the relative decrease in risk of perioperative stroke using anOPCABG compared to the other techniques. [Image from the researchers]]A recent study from the University of Sydney and Sydney Heart and Lung Surgeons has shown that a new “no-touch” beating heart bypass surgery technique has reduced post-operative stroke by 78%. The procedure, known as an OPCABG, also reduced post-operative mortality by 50% compared to traditional coronary artery bypass grafting. It reduced renal fai...
Source: Mass Device - May 17, 2017 Category: Medical Devices Authors: Danielle Kirsh Tags: Cardiovascular CABG MedTech Sydney Heart and Lung Surgeons University of Sydney Source Type: news

Revascularization With PCI or CABG in the Post-SYNTAX Era Revascularization With PCI or CABG in the Post-SYNTAX Era
Drs Widmer, Joyce, and Holmes discuss how results of recent trials influence their treatment of coronary artery disease and their thoughts about the future.Mayo Clinic (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - April 24, 2017 Category: Cardiology Tags: Cardiology Commentary Source Type: news

Multiple Dosing Mitigates ASA Hyporesponsiveness After CABG
Multiple dosing more effective than ASA 81 or 325 mg once - daily for suppressing serum TXB2 formation (Source: The Doctors Lounge - Oncology)
Source: The Doctors Lounge - Oncology - March 22, 2017 Category: Cancer & Oncology Tags: Cardiology, Oncology, Pharmacy, Surgery, Journal, Source Type: news

Adequate-dose Statin Right Before CABG Linked to Improved Outcome Adequate-dose Statin Right Before CABG Linked to Improved Outcome
Statin treatment at adequate doses at least 24 hours prior to coronary artery bypass graft (CABG) surgery is associated with improved patient survival, new research indicates.Reuters Health Information (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - March 17, 2017 Category: Surgery Tags: Diabetes & Endocrinology News Source Type: news

Taking Statins on Day of Coronary Bypass Linked to Lower 30-Day Mortality (FREE)
By Amy Orciari Herman Edited by Andr é Sofair, MD, MPH Patients undergoing coronary artery bypass grafting (CABG) fare best when they take a statin on the day of surgery, rather than taking one earlier or not at all, according … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - March 16, 2017 Category: Primary Care Source Type: news

CABG vs. PCI in Patients With DM, Multivessel CAD, and CKD CABG vs. PCI in Patients With DM, Multivessel CAD, and CKD
What's the optimal method of coronary revascularization among patients with diabetes mellitus and multivessel CAD complicated by chronic kidney disease?European Heart Journal (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - February 20, 2017 Category: Surgery Tags: Cardiology Journal Article Source Type: news

PHC4 report: Heart surgery mortality, readmission rates continue to drop in Pa.
Mortality and readmission rates for Pennsylvania patients undergoing cardiac surgery are continuing to decline, according to a performance report of state hospitals and cardiac surgeons released Tuesday by the Pennsylvania Health Care Cost Containment Council. The report — which includes hospital- and surgeon-specific data — covers 29,578 patients who were discharged from a Pennsylvania general acute care hospital after undergoing coronary artery bypass graft (CABG) surgery and/or heart valve… (Source: bizjournals.com Health Care:Physician Practices headlines)
Source: bizjournals.com Health Care:Physician Practices headlines - January 31, 2017 Category: American Health Authors: John George Source Type: news

Carrie Fisher's Death Highlights The Reality Of Heart Disease In Women
Carrie Fisher died early Tuesday morning, four days after suffering a heart attack on a flight from London to Los Angeles. The actress and author, best known for her iconic role as Princess Leia in the “Star Wars” franchise, was 60 years old.  Experts say that Fisher’s death highlights an important reality about heart disease: It is the leading cause of death among men and women alike in the U.S. While heart disease encompasses many different conditions, a heart attack occurs when coronary arteries become blocked and oxygenated blood can’t reach the heart. About 735,000 Americans have hea...
Source: Science - The Huffington Post - December 28, 2016 Category: Science Source Type: news

Carrie Fisher's Death Highlights The Reality Of Heart Disease In Women
Carrie Fisher died early Tuesday morning, four days after suffering a heart attack on a flight from London to Los Angeles. The actress and author, best known for her iconic role as Princess Leia in the “Star Wars” franchise, was 60 years old.  Experts say that Fisher’s death highlights an important reality about heart disease: It is the leading cause of death among men and women alike in the U.S. While heart disease encompasses many different conditions, a heart attack occurs when coronary arteries become blocked and oxygenated blood can’t reach the heart. About 735,000 Americans have hea...
Source: Healthy Living - The Huffington Post - December 28, 2016 Category: Consumer Health News Source Type: news

New STS Guidelines Call for More Surgical AF Ablation New STS Guidelines Call for More Surgical AF Ablation
The society's new guidelines cover surgical ablation of atrial fib with valve surgery or CABG or both, and standalone; but a cath ablation expert questions need for most standalone surgical AF ablations.Heartwire from Medscape (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - December 23, 2016 Category: Consumer Health News Tags: Cardiology News Source Type: news

Pacemaker Implants Climb With Time, With Valve-Surgery Complexity Pacemaker Implants Climb With Time, With Valve-Surgery Complexity
The long-term risk of permanent pacemaker implantation also far outstrips that associated with CABG and has implications for transcatheter aortic-valve replacement.Heartwire from Medscape (Source: Medscape Medical News Headlines)
Source: Medscape Medical News Headlines - December 22, 2016 Category: Consumer Health News Tags: Cardiology News Source Type: news

Pacemaker Implants Climb With Time, Valve-Surgery Complexity Pacemaker Implants Climb With Time, Valve-Surgery Complexity
The long-term risk of permanent pacemaker implantation also far outstrips that associated with CABG and has implications for transcatheter aortic-valve replacement.Heartwire from Medscape (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - December 22, 2016 Category: Surgery Tags: Cardiology News Source Type: news

PodMed: A Medical News Roundup From Johns Hopkins (with audio)
(MedPage Today) -- This week's topics include a biomarker for Parkinson's disease, therapy for blood clots after casting or knee arthroscopy, avoiding sickle cell crises, and CABG versus stenting. (Source: MedPage Today Surgery)
Source: MedPage Today Surgery - December 10, 2016 Category: Surgery Source Type: news

Relevance of Coronary Bypass Surgery for Multivessel CAD Relevance of Coronary Bypass Surgery for Multivessel CAD
Given new and emerging technologies, will coronary artery bypass grafting remain the gold standard for the majority of patients with multivessel coronary artery disease?Circulation (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - December 6, 2016 Category: Surgery Tags: Cardiology Journal Article Source Type: news

Market structure, patient choice and hospital quality for elective patients
This research examines the change in the effect of market structure on hospital quality for elective procedures (hip and knee replacements, and coronary artery bypass grafts) following the 2006 loosening of restrictions on patient choice of hospital in England. It finds that the change in the effect of market structure due to the 2006 choice reforms was to reduce quality by increasing the probability of a post-operative emergency readmission for hip and knee replacement patients. There was no effect of the choice reform on hospital quality for coronary bypass patients. (Source: Current Awareness Service for Health (CASH))
Source: Current Awareness Service for Health (CASH) - November 28, 2016 Category: Consumer Health News Source Type: news

Nov 18 Cardiology News Nov 18 Cardiology News
Presentations from the recent AHA meeting on PCSK9 drugs, CABG, statins, TAVR, NSAIDs, and prevention of bleeding in AF patients undergoing PCI are reviewed in this week's podcast.theheart.org on Medscape (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - November 18, 2016 Category: Cardiology Tags: Cardiology News Source Type: news

EXCEL and NOBLE: Bias Confirmation for Left Main PCI or CABG? EXCEL and NOBLE: Bias Confirmation for Left Main PCI or CABG?
Both EXCEL and NOBLE evaluated PCI vs CABG for left main coronary disease, yet their results were different. Surgeon Mike Mack and interventional cardiologist Sanjit Jolly offer their interpretations.theheart.org on Medscape (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - November 14, 2016 Category: Cardiology Tags: Cardiology Commentary Source Type: news

Physician Teamwork During CABG Yields Better Outcomes Physician Teamwork During CABG Yields Better Outcomes
The new study"recognizes the complexity of medical care and tries to investigate the role of care coordination."Heartwire from Medscape (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - November 13, 2016 Category: Surgery Tags: Cardiology News Source Type: news

CABG Outcomes Best When Physicians Take'Team Sport' Approach (CME/CE)
(MedPage Today) -- Greater teamwork tied to fewer readmissions, deaths at 60 days (Source: MedPage Today Public Health)
Source: MedPage Today Public Health - November 8, 2016 Category: American Health Source Type: news

Your NEJM Group Today: Hepatic Encephalopathy, PCI vs. CABG in Left Main Coronary Artery Disease, Illinois Primary Care Opportunities (FREE)
By the Editors NEJM Group offers so many valuable resources for practicing clinicians. Here's what we chose for you today:NEJM Clinical Practice Center: Review: The … (Source: Physician's First Watch current issue)
Source: Physician's First Watch current issue - November 1, 2016 Category: Primary Care Source Type: news

EXCEL, NOBLE: Clarity, Confusion for Left Main PCI vs CABG EXCEL, NOBLE: Clarity, Confusion for Left Main PCI vs CABG
Many say guidelines will probably change: One trial found PCI noninferior to CABG, the other gave the edge to CABG; different drug-eluting stents and endpoints were used in the trials.Heartwire from Medscape (Source: Medscape Cardiology Headlines)
Source: Medscape Cardiology Headlines - November 1, 2016 Category: Cardiology Tags: Cardiology News Source Type: news

TCT 2016: Stents, stents, stents on Day 1
The annual Transcatheter Cardiovascular Therapeutics conference is under way in Washington, D.C., with late-breaking study results beginning yesterday. We’ll update this post throughout the day as new results come in, so be sure to check back for the latest news out of TCT 2016. Stents took center stage Day1, with a raft of studies covering the latest on the bioresorbable front. Stents equivalent to CABG Drug-eluting stents are as effect as coronary artery bypass grafts in treating patients with blocked left main coronary arteries, according to a study that compared Abbott‘s (NYSE:ABT) Xience DES...
Source: Mass Device - October 31, 2016 Category: Medical Equipment Authors: Brad Perriello Tags: Cardiovascular Stents TCT 2016 Transcatheter Cardiovascular Therapeutics symposium (TCT) Source Type: news

TCT: Trials Split on PCI vs CABG for Left Main Disease
(MedPage Today) -- NOBLE hands advantage to surgery, EXCEL finds noninferiority (Source: MedPage Today Geriatrics)
Source: MedPage Today Geriatrics - October 31, 2016 Category: Geriatrics Source Type: news

Results from the NOBLE trial presented at TCT 2016 and published in The Lancet
(Cardiovascular Research Foundation) Coronary artery bypass (CABG) surgery is the standard treatment for revascularization in patients with left main coronary artery (LMCA) disease, but use of percutaneous coronary intervention (PCI) for this indication is increasing. Findings from the Nordic-Baltic-British Left Main Revascularization Study (NOBLE) trial found that despite similar mortality, the five-year risk of major adverse events was higher after PCI compared to CABG for the treatment of unprotected LMCA disease. (Source: EurekAlert! - Medicine and Health)
Source: EurekAlert! - Medicine and Health - October 31, 2016 Category: Global & Universal Source Type: news

Ticagrelor Safe if Stopped at Least One Day Before CABG Ticagrelor Safe if Stopped at Least One Day Before CABG
Pretreating coronary artery bypass grafting (CABG) patients with ticagrelor is safe, if the antithrombotic is discontinued more than 24 hours before surgery, researchers suggest.Reuters Health Information (Source: Medscape General Surgery Headlines)
Source: Medscape General Surgery Headlines - September 27, 2016 Category: Surgery Tags: Cardiology News Source Type: news