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Standardizing definitions for hybrid coronary revascularization
The optimal revascularization strategy for patients with multivessel coronary artery disease remains controversial. Coronary artery bypass grafting (CABG) surgery is still considered the criterion standard, but percutaneous coronary intervention (PCI) has become the preferred strategy for most patients with coronary artery disease. Numerous studies have compared outcomes after CABG and multivessel PCI. In general, it is accepted that CABG surgery has the advantage of superior long-term freedom from repeat revascularization, as well as a survival benefit in certain high-risk groups, but that these benefits come at the expen...
Source: The Journal of Thoracic and Cardiovascular Surgery - November 25, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Ralf E. Harskamp, Johannes O. Bonatti, David X. Zhao, John D. Puskas, Robbert J. de Winter, John H. Alexander, Michael E. Halkos Tags: Editorial Source Type: research

Hemodynamic Pressure Waveform Analysis in Predicting Fluid Responsiveness
Objective: To assess the usefulness of central venous pressure (CVP), diastolic right ventricular pressure, and pulmonary capillary wedge pressure (PCWP) waveform analysis in predicting fluid responsiveness.Design: A prospective observational study.Setting: Tertiary care university hospital.Patients: Forty-four patients undergoing coronary artery bypass grafting.Interventions: Analysis of the a/v wave ratio of the PCWP, CVP, and right ventricular dP/dt to predict an increase in stroke volume>15% after the administration of 500mL of colloid.Measurements and Main Results: Forty-four patients were enrolled in this study and 7...
Source: Journal of Cardiothoracic and Vascular Anesthesia - August 1, 2013 Category: Anesthesiology Authors: Sébastien Roy, Pierre Couture, Baqir Qizilbash, Francis Toupin, Sylvie Levesque, Michel Carrier, Jean Lambert, André Y. Denault Tags: Original Articles Source Type: research

Five-year outcomes of surgical or percutaneous myocardial revascularization in diabetic patients
Abstract: Background: The study compares five-year clinical outcomes of CABG vs PCI in a real world population of diabetic patients with multivessel coronary disease since it is not clear whether to prefer surgical or percutaneous revascularization.Methods: Between July 2002 and December 2008, 2885 multivessel coronary diabetic patients underwent revascularization (1466 CABG and 1419 PCI) at hospitals in Emilia-Romagna Region, Italy and were followed for 1827±617days by record linkage of two clinical registries with the regional administrative database of hospital admissions and the mortality registry. Five-year incidence...
Source: International Journal of Cardiology - November 19, 2012 Category: Cardiology Authors: Giovanni Andrea Contini, Francesco Nicolini, Daniela Fortuna, Davide Pacini, Davide Gabbieri, Luigi Vignali, Marco Valgimigli, Antonio Manari, Claudio Zussa, Paolo Guastaroba, Rossana De Palma, Roberto Grilli, Tiziano Gherli Tags: Original Articles Source Type: research

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