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Single Versus Multiple Arterial Revascularization in Patients With Reduced Renal Function: Long-term Outcome Comparisons in 23,406 CABG Patients From Ontario, Canada
Objective: To compare the long-term outcomes of MAR versus SAR in patients with renal insufficiency. Summary of Background Data: Previous studies have been insufficiently powered to address whether MAR confers long-term benefit over SAR in patients with renal dysfunction who require CABG. Methods: We conducted retrospective cohort study in Ontario, Canada of patients who underwent isolated CABG (n = 23,406). The primary outcome was MACE, defined as the composite of stroke, myocardial infarction, and repeat revascularization. We compared patients by matching them on the propensity to have received SAR vers...
Source: Annals of Surgery - February 5, 2022 Category: Surgery Tags: ORIGINAL ARTICLES Source Type: research

Coronary Revascularization for Patients with Diabetes Mellitus: A Contemporary Systematic Review and Meta-Analysis
Conclusions: Previous literature regarding coronary revascularization in diabetic patients has consistently demonstrated superior outcomes for patients undergoing CABG over PCI. The development of 1st and 2nd generation DES have narrowed the gap between CABG and PCI, but CABG continues to be superior. Continued investigation with large randomized trials and retrospective studies including long term follow-up comparing CABG and 2nd generation DES is necessary to confirm the optimal intervention for diabetic patients.
Source: Annals of Surgery - June 1, 2022 Category: Surgery Tags: META-ANALYSES Source Type: research

Evaluating The Safety of Transcarotid Artery Revascularization (TCAR) under Local Anesthesia prior to Coronary Artery Bypass Grafting (CABG) Surgery
Controversy exists regarding the timing of intervention for patients with critical coronary artery disease awaiting coronary artery bypass and severe carotid artery stenosis. Transcarotid artery revascularization (TCAR) is a minimally invasive revascularization alternative through direct transcervical carotid access that minimizes the chance of arch manipulation and consequent antegrade embolic stroke rate. While the TCAR procedure can be performed under local anesthesia (monitored anesthesia care, MAC) vs general anesthesia, the hemodynamic benefits of local anesthesia in patients with severe CAD are significant.
Source: Annals of Vascular Surgery - December 5, 2022 Category: Surgery Authors: Yamini Vyas, Eyerusalem Workneh, Joshua L. Leibowitz, Rajabrata Sarkar, Mehrdad Ghoreishi, Shahab Toursavadkohi Tags: Clinical Research Source Type: research

Evaluating the Safety of Transcarotid Artery Revascularization under Local Anesthesia Prior to Coronary Artery Bypass Grafting Surgery
Controversy exists regarding the timing of intervention for patients with critical coronary artery disease (CAD) awaiting coronary artery bypass and severe carotid artery stenosis (CAS). Transcarotid artery revascularization (TCAR) is a minimally invasive revascularization alternative through direct transcervical carotid access that minimizes the chance of arch manipulation and consequent antegrade embolic stroke rate. While the TCAR procedure can be performed under local anesthesia (monitored anesthesia care [MAC]) versus general anesthesia, the hemodynamic benefits of local anesthesia in patients with severe CAD are significant.
Source: Annals of Vascular Surgery - December 5, 2022 Category: Surgery Authors: Yamini Vyas, Eyerusalem Workneh, Joshua L. Leibowitz, Rajabrata Sarkar, Mehrdad Ghoreishi, Shahab Toursavadkohi Tags: Clinical Research Source Type: research

Systematic Review and Meta-Analysis of the Treatment Strategies for Coronary Artery Bypass Graft Patients with Concomitant Carotid Artery Atherosclerotic Disease
Stroke is one of the devastating complications following coronary artery bypass graft (CABG). Underlying carotid artery atherosclerotic disease is reported to be an independent risk factor. The optimal treatment strategy for these patients remains under debate.
Source: Journal of Vascular Surgery - May 28, 2023 Category: Surgery Authors: Junji Tsukagoshi, Yujiro Yokoyama, Tomohiro Fujisaki, Hisato Takagi, Takuro Shirasu, Toshiki Kuno Source Type: research

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