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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

262 * changes in cerebral oximetry and haemodynamics during off-pump coronary artery bypass: mechanism for perioperative stroke?
Conclusion: Cerebral oxygenation may be impaired during OPCAB with delayed recovery by closure despite normalisation of cardiac output. This prolonged desaturation was not artefactual or related to patient posture. We recommend the routine monitoring of cerebral oximetry during OPCAB to prevent brain injury.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Al-Badawi, T., Witts, S., Howell, L., Richards, R., Rozario, C., Hartley, M., Tang, A. 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

313 * effect of carotid revascularisation on cerebral autoregulation in combined cardiac surgery
Conclusion: Patients with uncorrected carotid stenosis have evidence of impaired autoregulation during CPB. In contrast, patients undergoing CEA prior to subsequent cardiac surgery have more preserved cerebral autoregulation.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Ono, M., Hori, D., Adachi, H., Hogue, C. Tags: Cardiac surgery in marginal patients 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

337 * direct aortic implantation of a self-expanding transcatheter aortic valve leads to favourable outcomes
Conclusion: DA TAVI with the CoreValve System led to favourable early outcomes in patients with prohibitive iliofemoral access.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Bruschi, G., Moat, N. Tags: Late Breakers I Source Type: research

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

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

126 * extra-anatomic revascularisation for distal occlusion of the left or right common carotid artery in acute type a aortic dissection with cerebral malperfusion
Conclusion: Extra-anatomic bypass for distal LCCA or RCCA occlusion presents a valuable bail-out technique to restore cerebral perfusion during AADA repair, potentially reducing the increased incidence of neurological complications in patients with cerebral malperfusion.
Source: Interactive CardioVascular and Thoracic Surgery - September 23, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Luehr, M., Etz, C. D., Lehmkuhl, L., Misfeld, M., Bakhtiary, F., Borger, M., Mohr, F. Tags: Complicated type A aortic dissection: Malperfusion and outcome 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

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

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

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