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089 * innominate artery cannulation for proximal aortic surgery: outcomes and neurologic events in 263 patients
Conclusion: Innominate artery cannulation can be performed safely and poses a low risk of neurologic events in procedures requiring hypothermic circulatory arrest. This artery may be considered the optimal perfusion site for delivering ACP.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Preventza, O., Garcia, A., Tuluca, A., Henry, M., Bakaeen, F., Omer, S., Cornwell, L., Coselli, J. S. Tags: Part II: Cannulation issues in aortic surgery: Doing things right or doing the right things Source Type: research

Off-pump no-touch technique: 3-year results compared with the SYNTAX trial
CONCLUSIONS The results at the 3-year follow-up showed the safety and efficacy of OPCAB no-touch technique. The OPCAB no-touch technique may improve patients' outcome by minimizing the morbidity and the neurological complications. Prospective controlled trials are needed to confirm these results.
Source: Interactive CardioVascular and Thoracic Surgery - April 22, 2015 Category: Cardiovascular & Thoracic Surgery Authors: Arrigoni, S. C., Mecozzi, G., Grandjean, J. G., Hillege, J. L., Kappetein, A. P., Mariani, M. A. Tags: Cardiac - other, Coronary disease Adult Cardiac Source Type: research

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

Early and mid-term results of off-pump endarterectomy of the left anterior descending artery
CONCLUSIONS We conclude that off-pump endarterectomy of the LAD is a viable option for patients with diffuse LAD disease.
Source: Interactive CardioVascular and Thoracic Surgery - February 11, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Takahashi, M., Gohil, S., Tong, B., Lento, P., Filsoufi, F., Reddy, R. C. Tags: Adult Cardiac Source Type: research

Impact of occult renal impairment on early and late outcomes following coronary artery bypass grafting
CONCLUSIONS ORI was an independent risk factor for early and late death as well as cardiovascular events in patients undergoing CABG with normal SCr levels. A more accurate evaluation of renal function through a combination of SCr and estimated GFR is needed in patients with normal SCr levels.
Source: Interactive CardioVascular and Thoracic Surgery - September 24, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Marui, A., Okabayashi, H., Komiya, T., Tanaka, S., Furukawa, Y., Kita, T., Kimura, T., Sakata, R., the CREDO-Kyoto Investigators Tags: Coronary Source Type: research

110 * a biocompatible perfusion strategy is safe and is associated with excellent clinical outcomes and reduced blood transfusions in a contemporary series of patients undergoing coronary artery bypass grafting: a two-centre study
Conclusions: In a contemporary cohort of patients undergoing CABG, the use of the BPS is safe and effective. It is associated with excellent clinical outcomes and reduced allogeneic blood transfusions.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Shapira, O., Korach, A., Pinaud, F., Dabah, A., Bao, Y., Corbeau, J. J., de Brux, J. L., Baufreton, C. Tags: Cardiopulmonary bypass: Improving the outcome in marginal patients Source Type: research

227 * differences in clinical outcomes after contemporary coronary artery bypass grafting in the united states and europe: insights from the syntax randomized trial and registry
Conclusions: MACCE rates during three-year follow-up in the SYNTAX trial were significantly higher in the US as opposed to Europe. However, this appears to be entirely driven by increased rates of repeat PCI.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Head, S., Mohr, F., Mack, M. J., Serruys, P. W., Morice, M., Holmes, D. R., Feldman, T., Dawkins, K., Kappetein, A. P. Tags: Coronary artery bypass grafting II Source Type: research

297 * conventional thoracoabdominal aortic aneurysm repair after frozen elephant trunk operation
Conclusions: Conventional TAAA repair following frozen elephant trunk operation is a feasible and safe procedure, which is facilitated by the fact of a proximal anastomosis with the endovascular prosthesis in the distal part of the descending aorta and a convenient possibility to clamp the endograft in the middle part of the downstream aorta.
Source: Interactive CardioVascular and Thoracic Surgery - September 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Folkmann, S., Weiss, G., Pisarik, H., Moidl, R., Gorlitzer, M., Grabenwoger, M. Tags: Thoracoabdominal aortic surgery: Proven concepts and new strategies Source Type: research

Comparing coronary artery bypass grafting with drug-eluting stenting in patients with diabetes mellitus and multivessel coronary artery disease: a meta-analysis
CONCLUSIONS Percutaneous coronary intervention with DES in patients with diabetes and multivessel CAD is safe, but has a high risk of long-term repeat revascularization. CABG should remain the standard procedure for diabetic patients with multivessel CAD.
Source: Interactive CardioVascular and Thoracic Surgery - February 15, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Li, X., Kong, M., Jiang, D., Dong, A. Tags: Adult Cardiac Source Type: research

Can the temporary use of right ventricular assist devices bridge patients with acute right ventricular failure after cardiac surgery to recovery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: Can the temporary use of right ventricular assist devices (RVADs) bridge patients to recovery who suffer acute right ventricular failure after cardiac surgery? More than 183 papers were found using the reported search, of which 13 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. Indications for surgical intervention included coronary artery bypas...
Source: Interactive CardioVascular and Thoracic Surgery - March 17, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Lang, S. A., O'Neill, B., Waterworth, P., Bilal, H. Tags: Adult Cardiac Source Type: research

Impact of coronary chronic total occlusions on long-term mortality in patients undergoing coronary artery bypass grafting
CONCLUSIONS Coronary CTOs are a common finding in patients referred for bypass surgery. The presence of a CTO is not independently associated with an adverse long-term outcome. While most CTOs are successfully bypassed, failure to revascularize a non-LAD CTO is not associated with adverse long-term outcome.
Source: Interactive CardioVascular and Thoracic Surgery - May 19, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Fefer, P., Gannot, S., Kochkina, K., Maor, E., Matetzky, S., Raanani, E., Guetta, V., Segev, A. Tags: Adult Cardiac Source Type: research

What is the optimal revascularization technique for isolated disease of the left anterior descending artery: minimally invasive direct coronary artery bypass or percutaneous coronary intervention?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, ‘What is the optimal revascularization technique for isolated disease of the left anterior descending artery (LAD) in terms of patient survival, morbidity such as myocardial infarction (MI) and need for repeat target vessel revascularization: minimally invasive direct coronary artery bypass graft (MIDCAB) or percutaneous coronary intervention (PCI)?’ Altogether 504 papers were found using the reported search, of which 13 represented the best evidence to answer the clinical question. Outcome param...
Source: Interactive CardioVascular and Thoracic Surgery - June 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Patel, A. J., Yates, M. T., Soppa, G. K. R. Tags: Adult Cardiac Source Type: research

Does off-pump coronary artery bypass graft surgery have a beneficial effect on long-term mortality and morbidity compared with on-pump coronary artery bypass graft surgery?
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was whether off-pump coronary artery bypass grafting (CABG) surgery offered superior long-term outcomes compared with on-pump CABG surgery. Best evidence papers were considered to be those that had a follow-up period of ≥5 years, had >50 patients in either cohort, did not utilize concomitant interventions nor comprised low-risk, high-risk or sub-population groups. Where potential duplicate data sets from the same institution were likely, the more credible and recently published study was included. Two hundr...
Source: Interactive CardioVascular and Thoracic Surgery - June 18, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Chaudhry, U. A. R., Rao, C., Harling, L., Athanasiou, T. Tags: Adult Cardiac 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

100 * the second best arterial graft to the left coronary system in off-pump bypass surgery: a propensity analysis of the radial artery with a proximal anastomosis to the ascending aorta versus the right internal thoracic artery
Conclusion: RA anastomosed to the aorta appears to have good long-term outcomes, similar to RITA as the second arterial graft. Furthermore, the choice of RA avoids sternal complications and shortens the operation time compared to the use of BITA.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Tsuneyoshi, H., Komiya, T., Shimamoto, T. Tags: What is the benefit of a radial conduit? Source Type: research

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