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Morbidity But Not Mortality Is Decreased After Off-Pump Coronary Artery Bypass Surgery.
CONCLUSIONS: Off-pump CABG was associated with less morbidity, shorter length of stay, and similar mortality compared with on-pump procedures, suggesting that it can be a safe and effective alternative to standard on-pump CABG. However, the limited use of off-pump CABG in this multicenter analysis may restrict the generalizability of these results, and realistically defines the limited degree of acceptance of this technique in a real-world environment. PMID: 24200395 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - November 5, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Brewer R, Theurer PF, Cogan CM, Bell GF, Prager RL, Paone G, Membership of the Michigan Society of Thoracic and Cardiovascular Surgeons Tags: Ann Thorac Surg Source Type: research

Meta-Analysis of Staged Versus Combined Carotid Endarterectomy and Coronary Artery Bypass Grafting.
CONCLUSIONS: Our meta-analysis of observational studies suggests comparable outcomes in combined and staged approach for synchronous carotid and coronary artery disease. Hence, the 2 strategies can be used interchangeable in the clinical practice, with each having specific applications linked to specific clinical conditions. A randomized trial is warranted to answer this question definitively. PMID: 24090581 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - October 1, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Sharma V, Deo SV, Park SJ, Joyce LD Tags: Ann Thorac Surg Source Type: research

Long-Term Survival After Off-Pump Coronary Artery Bypass Surgery: A Swedish Nationwide Cohort Study.
CONCLUSIONS: Long-term survival was similar between off-pump and on-pump CABG in patients undergoing non-emergent primary isolated CABG in Sweden from 1998 to 2008. Off-pump CABG was performed infrequently and there was a continuous decline in the number of procedures during the study period. PMID: 24075498 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 25, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Dalén M, Ivert T, Holzmann MJ, Sartipy U Tags: Ann Thorac Surg Source Type: research

Transapical Aortic Valve Implantation in Patients With Previous Cardiac Surgery.
CONCLUSIONS: Transapical transcatheter aortic valve implantation has simplified surgical treatment of high-risk patients with previous cardiac surgery and severe aortic valve stenosis and is associated with minimal risk of stroke. Furthermore, current data suggest that the presence of previous cardiac surgery does not impair outcomes after transapical transcatheter aortic valve implantation, making this subset of patients particularly applicable for this evolving approach. PMID: 24075497 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 24, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Papadopoulos N, Ilioska P, Fichtlscherer S, Lehmann R, Beiras Fernandez A, Moritz A, Doss M, Zierer A Tags: Ann Thorac Surg Source Type: research

Preoperative Hematocrit Is a Powerful Predictor of Adverse Outcomes in Coronary Artery Bypass Graft Surgery: A Report From The Society of Thoracic Surgeons Adult Cardiac Surgery Database.
CONCLUSIONS: Preoperative HCT is a powerful independent predictor of perioperative mortality as well as renal failure and deep sternal wound infection in patients undergoing isolated primary CABG operations. These findings should prompt investigation of strategies to increase preoperative HCT. PMID: 24055236 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - September 19, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Williams ML, He X, Rankin JS, Slaughter MS, Gammie JS Tags: Ann Thorac Surg Source Type: research

Off-Pump and On-Pump Coronary Revascularization in Patients With Low Ejection Fraction: A Report From The Society of Thoracic Surgeons National Database.
CONCLUSIONS: In The Society of Thoracic Surgeons National Database, OPCAB is associated with significantly reduced adjusted risk of early morbidity and mortality for patients having coronary bypass grafting with an ejection fraction of less than 0.30. PMID: 23743061 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - June 4, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Keeling WB, Williams ML, Slaughter MS, Zhao Y, Puskas JD Tags: Ann Thorac Surg Source Type: research

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