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Source: Interactive CardioVascular and Thoracic Surgery
Condition: Heart Attack
Procedure: Coronary Artery Bypass Graft

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Total 25 results found since Jan 2013.

The SYNTAX score is correlated with long-term outcomes of coronary artery bypass grafting for complex coronary artery lesions
CONCLUSIONS The SYNTAX score is correlated with long-term outcomes, in terms of MACCEs, after conventional CABG for complex coronary lesions and is prognostic of long-term outcomes of CABG for patients with complex lesions.
Source: Interactive CardioVascular and Thoracic Surgery - June 19, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Cho, Y., Shimura, S., Aki, A., Furuya, H., Okada, K., Ueda, T. Tags: Molecular biology, History Adult Cardiac Source Type: research

Longevity and admission to nursing home according to age after isolated coronary artery bypass surgery: a nationwide cohort study
CONCLUSIONS The majority of all patients selected for CABG surgery in Denmark between 1996–2012, including the elderly, were able to live independently at home without the need of home care for many years after CABG. The risk of nursing home admission was small and dependent on the patient's age, sex and preoperative comorbidities.
Source: Interactive CardioVascular and Thoracic Surgery - May 25, 2016 Category: Cardiovascular & Thoracic Surgery Authors: Thorsteinsson, K., Andreasen, J. J., Mortensen, R. N., Kragholm, K., Torp-Pedersen, C., Gislason, G., Kober, L., Fonager, K. Tags: Molecular biology Adult Cardiac Source Type: research

How revascularization on the beating heart with cardiopulmonary bypass compares to off-pump? A meta-analysis of observational studies
Off-pump coronary artery bypass surgery has been a controversial area of debate and the outcome profile of the technique has been thoroughly investigated. Scepticism regarding the reported outcomes and the conduct of the randomized trials comparing this technique with conventional on-pump coronary artery bypass surgery has been widely voiced, and the technique of off-pump surgery remains as an infrequently adopted approach to myocardial revascularization worldwide. Criticisms of the technique are related to lower rates of complete revascularization and its unknown long-term consequences, the significant detrimental effects...
Source: Interactive CardioVascular and Thoracic Surgery - December 26, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Sepehripour, A. H., Chaudhry, U. A., Suliman, A., Kidher, E., Sayani, N., Ashrafian, H., Harling, L., Athanasiou, T. Tags: Education, Molecular biology, Myocardial protection Adult Cardiac Source Type: research

How safe is it to train residents to perform off-pump coronary artery bypass surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, in [patients undergoing off-pump CABG] are [postoperative mortality and morbidity outcomes] acceptable when performed by [trainees]? Altogether more than 597 papers were found using the reported search, of which 8 represented the best evidence to answer the clinical question. Six retrospective cohort studies directly compared the performance of trainees and experienced surgeons in off-pump coronary artery bypass graft surgery. Of the remaining papers, one recorded the performance of trainees in on- and off-p...
Source: Interactive CardioVascular and Thoracic Surgery - April 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Smith, T. A., Asimakopoulos, G. Tags: Electrophysiology - arrhythmias, Molecular biology Adult Cardiac Source Type: research

Should we consider beating-heart on-pump coronary artery bypass grafting over conventional cardioplegic arrest to improve postoperative outcomes in selected patients?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether beating-heart on-pump coronary artery bypass grafting (BH-ONCAB) offered superior mortality and morbidity outcomes when compared with conventional on-pump coronary artery bypass grafting (C-ONCAB). Morbidity outcomes consisted of renal failure, stroke (transient or permanent), myocardial infarction, angina, congestive cardiac failure, reintervention and arrhythmias. Best evidence papers investigating BH-ONCAB versus C-ONCAB were considered. Where data were duplicated, the more credible evidence-based ...
Source: Interactive CardioVascular and Thoracic Surgery - March 19, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Al Jaaly, E., Chaudhry, U. A. R., Harling, L., Athanasiou, T. Tags: Molecular biology, Myocardial protection Adult Cardiac Source Type: research

Off-pump or on-pump beating heart: which technique offers better outcomes following coronary revascularization?
A best evidence topic was written according to a structured protocol. The question addressed was whether on-pump beating heart coronary artery bypass (BH-ONCAB) surgery has a different outcome profile in comparison to off-pump coronary artery bypass (OPCAB). A total of 205 papers were found by systematic search of which 7 provided the largest and most recent outcome analysis comparing BH-ONCAB with OPCAB, and represented the best evidence to answer the clinical question. The authors, date, journal, study type, population, main outcome measures and results were tabulated. Reported outcome measures included mortality, stroke...
Source: Interactive CardioVascular and Thoracic Surgery - March 19, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Sepehripour, A. H., Chaudhry, U. A. R., Harling, L., Athanasiou, T. Tags: Molecular biology, Myocardial protection Adult Cardiac Source Type: research

Preoperative atrial fibrillation and outcome in patients undergoing on-pump or off-pump coronary bypass surgery: lessons learned from the GOPCABE trial
CONCLUSIONS AF at admission is a significant risk factor for elderly patients undergoing coronary bypass grafting. However, this risk is not altered by performing bypass grafting off pump.
Source: Interactive CardioVascular and Thoracic Surgery - December 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Boning, A., Diegeler, A., Hilker, M., Zacher, M., Reents, W., Faerber, G., Doenst, T., for the GOPCABE investigators Tags: Molecular biology, Myocardial infarction, Myocardial protection, Transplantation - heart Adult Cardiac Source Type: research

Meta-analysis of three randomized controlled trials comparing coronary artery bypass grafting with percutaneous coronary intervention using drug-eluting stenting in patients with diabetes
CONCLUSIONS In patients with diabetes, PCI was associated with no difference in death and MI at 1 year. However, at 5 years, PCI was associated with a higher incidence of death and MI. PCI was associated with a higher incidence of RRV but a lower incidence of stroke.
Source: Interactive CardioVascular and Thoracic Surgery - November 22, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Fanari, Z., Weiss, S. A., Zhang, W., Sonnad, S. S., Weintraub, W. S. Tags: Molecular biology Adult Cardiac Source Type: research

260 * current evidence of coronary artery bypass grafting off-pump versus on-pump: a systematic review with meta-analysis of more than 16,500 patients investigated in 66 randomised controlled trials
Conclusion: The present systematic review emphasises that both strategies, off-pump and on-pump, are suitable alternatives for CABG. The choice for either procedure should be individualised for each single patient with regard to comorbidities, life expectancy, and the surgeon's experience.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Deppe, A. C., Choi, Y., Arbash, W., Kuhn, E. W., Scherner, M., Slottosch, I., Rahmanian, P., Liakopoulos, O. J., Wahlers, T. Tags: Developments in coronary artery bypass graft Source Type: research

264 * results of total arterial versus conventional versus hybrid myocardial revascularisation: a propensity match analysis of long-term follow-up
Conclusion: Total arterial revascularisation provides improved outcomes at mid-term follow-up compared with conventional or hybrid revascularisation. The latter technique is particularly associated with a significantly higher incidence of late myocardial infarction and repeat revascularisation.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Muneretto, C., Repossini, A., Di Bacco, L., Bisleri, G. Tags: Developments in coronary artery bypass graft Source Type: research

044 * open aortic arch replacement in high risk patients: the gold standard
Conclusion: Open TAR can be performed with low mortality and morbidity and excellent long-term results even in high-risk patients. Total endovascular repair may represent an option for patients not suitable for open surgery.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Iafrancesco, M., Ranasinghe, A., Dronavalli, V., Adam, D., Claridge, M., Riley, P., McCafferty, I., Mascaro, J. Tags: Part I: Aortic arch interventions: Debranching, rebranching, stenting and beyond Source Type: research

074-i * off-pump coronary artery bypass reduces early stroke in octogenarians: a meta-analysis of 18,000 patients
Conclusion: Coronary artery bypass in octogenarians can be performed with low early mortality. Number of grafts is lesser in the OPCABG cohort. While stroke rates are higher with conventional surgery, all other adverse events are comparable. Future randomised trials are needed to define the role of off-pump surgery in this high-risk cohort.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Altarabsheh, S. E., Deo, S., Rabab'h, A., Sharma, V., Lim, J. Y., Cho, Y. H., Park, S. J. Tags: Adult cardiac rapid response 1 Source Type: research

135 * coronary artery bypass surgery without cardioplegia: early results in 8515 patients
Conclusion: Isolated CABG with CPB using non-cardioplegic methods proved highly secure, with low mortality and morbidity.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Antunes, P. E., Oliveira, J., Prieto, D., Coutinho, G. F., Correia, P., Branco, C. F., Antunes, M. J. Tags: Technical aspects of coronary bypass graft surgery Source Type: research

138 * robotic versus conventional coronary artery bypass graft: a propensity score-based comparison of perioperative and long-term results
Conclusion: In order to achieve endoscopic revascularization with complete sternal stability, longer operative times are needed. Short- and long-term results of robotic coronary surgery are equivalent to conventional sternotomy CABG.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Kofler, M., Stastny, L., Schachner, T., Kilo, J., Grimm, M., Mueller, L., Bonatti, J., Bonaros, N. Tags: Technical aspects of coronary bypass graft surgery Source Type: research

Who might benefit from early aspirin after coronary artery surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether early administration of aspirin might optimize vein graft patency. More than 250 papers were found using the reported search, of which 4 new papers in addition to the previous 7 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. Early postoperative aspirin administered within 6 h following coronary artery bypass grafting (CABG) has been show...
Source: Interactive CardioVascular and Thoracic Surgery - August 14, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Gukop, P., Gutman, N., Bilkhu, R., Karapanagiotidis, G. T. Tags: Cardiac - physiology, Education, Congestive Heart Failure, Molecular biology Adult Cardiac Source Type: research