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Condition: Renal Failure
Procedure: Coronary Artery Bypass Graft
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Total 272 results found since Jan 2013.
Bilateral internal mammary artery bypass grafting: long-term clinical benefits in a series of 1000 patients
Conclusions
Our longitudinal analysis presents encouraging data concerning operative risk of BIMA grafting and provides excellent long-term survival in appropriately selected patients.
Source: Heart - May 13, 2013 Category: Cardiology Authors: Popovic, B., Voillot, D., Maureira, P., Vanhuyse, F., Agrinier, N., Aliot, E., Folliguet, T., Villemot, J. P. Tags: Drugs: cardiovascular system, Interventional cardiology, Acute coronary syndromes, Epidemiology Cardiovascular surgery Source Type: research
Staged percutaneous coronary intervention and minimally invasive valve surgery: Results of a hybrid approach to concomitant coronary and valvular disease
We read with great interest the recent publication by Santana and colleagues, entitled “Staged Percutaneous Coronary Intervention and Minimally Invasive Valve Surgery: Results of a Hybrid Approach to Concomitant Coronary and Valvular Disease.” A total of 65 patients who underwent staged percutaneous coronary intervention and minimally invasive cardiac surgery (MICS) valve surgery were compared with 51 patients who underwent combined valve/coronary artery bypass grafting. The authors are to be congratulated for their excellent short-term results in the MICS group, particularly the lack of mortality. However, drawing co...
Source: The Journal of Thoracic and Cardiovascular Surgery - May 18, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Faisal H. Cheema, Harold G. Roberts Tags: Letters to the Editor Source Type: research
Abstract 2: The Changing Face of Cardiac Surgery: Frailty, Age, and Adverse Outcomes Create a Mandate for Shared Decision Making Concurrent Session I Session A: Oral Abstract Presentations on Less is More
CONCLUSIONS We have identified increasing rates of elderly and frail patients with high-risk profiles referred for cardiac surgery. These patients experience higher rates of mortality and prolonged institutional care. We suggest this vulnerable patient population may benefit from the institution of a formalized shared decision making process to effectively communicate risks, benefits and alternatives to the planned procedure.
Source: Circulation: Cardiovascular Quality and Outcomes - May 15, 2013 Category: Cardiology Authors: Gainer, R., Buth, K., David, J., Garson, R., Mufti, H., Hirsch, G. Tags: Concurrent Session I Session A: Oral Abstract Presentations on Less is More Source Type: research
Minimal extracorporeal circulation reduces the incidence of postoperative major adverse events after elective coronary artery bypass grafting in high-risk patients. A single-institutional prospective randomized study.
Abstract
Coronary artery bypass grafting (CABG) using minimal extracorporeal circulation (MECC) has been associated with an improved short-term clinical outcome compared to conventional extracorporeal circulation (CECC). The aim of this study was to evaluate the impact of MECC compared to CECC on postoperative major adverse events in high-risk patients undergoing elective coronary revascularization procedures. Two hundred patients undergoing elective CABG were randomized into two groups. In Group A (n=100), MECC was used while Group B (n=100) included patients who were operated on CECC. The incidence of postoperat...
Source: Perfusion - March 21, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Asteriou C, Antonitsis P, Argiriadou H, Deliopoulos A, Konstantinou D, Foroulis C, Papakonstantinou C, Anastasiadis K Tags: Perfusion Source Type: research
Association of gender with morbidity and mortality after isolated coronary artery bypass grafting. A propensity score matched analysis
Abstract: Introduction: There is conflicting evidence about the impact of gender on outcomes after coronary artery bypass grafting (CABG).Methods: We performed a multivariate logistic regression and propensity score matched analyses in 13,115 patients (75% men) who underwent CABG between January 1, 1995 and December 31, 2009. The primary outcome was in-hospital mortality. Secondary outcomes included post-operative respiratory failure, stroke, myocardial infarction, sternal and leg wound infections, atrial fibrillation (AF), renal failure, need for postoperative intra-aortic balloon pump (IABP) support, and length of hospit...
Source: International Journal of Cardiology - January 12, 2012 Category: Cardiology Authors: Mahboob Alam, Vei-Vei Lee, McArthur A. Elayda, Saima A. Shahzad, Eric Y. Yang, Vijay Nambi, Hani Jneid, Wei Pan, Stephanie Coulter, James M. Wilson, Kodangudi B. Ramanathan, Christie M. Ballantyne, Salim S. Virani Tags: Original Articles Source Type: research
Development of a predictive model for major adverse cardiac events in a coronary artery bypass and valve population
Conclusions:
Development of predictive models with composite end-points and mixed procedure population can yield robust statistical and clinical validity. As they more accurately reflect current cardiac surgical profile, models such as this, are an essential tool in quality improvement efforts.
Source: Journal of Cardiothoracic Surgery - July 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Christine HermanKaren ButhJean-François LégaréAdrian LevyRoger Baskett 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
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
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
Duration and magnitude of blood pressure below cerebral autoregulation threshold during cardiopulmonary bypass is associated with major morbidity and operative mortality
Conclusions: Blood pressure management during cardiopulmonary bypass using physiologic endpoints such as cerebral autoregulation monitoring might provide a method of optimizing organ perfusion and improving patient outcomes from cardiac surgery.
Source: The Journal of Thoracic and Cardiovascular Surgery - September 30, 2013 Category: Cardiovascular & Thoracic Surgery Authors: Masahiro Ono, Kenneth Brady, R. Blaine Easley, Charles Brown, Michael Kraut, Rebecca F. Gottesman, Charles W. Hogue Tags: Perioperative Management Source Type: research
Does remote ischaemic preconditioning with postconditioning improve clinical outcomes of patients undergoing cardiac surgery? Remote Ischaemic Preconditioning with Postconditioning Outcome Trial
Conclusion
Remote ischaemic preconditioning with RIPostC by transient upper limb ischaemia did not improve clinical outcome in patients who underwent cardiac surgery.
Clinical Trial Registration clinicaltrials.gov, NCT00997217.
Source: European Heart Journal - January 14, 2014 Category: Cardiology Authors: Hong, D. M., Lee, E.-H., Kim, H. J., Min, J. J., Chin, J.-H., Choi, D.-K., Bahk, J.-H., Sim, J.-Y., Choi, I.-C., Jeon, Y. Tags: Acute coronary syndromes Source Type: research
Increased Glycemic Variability in Patients with Elevated Preoperative HbA1C Predicts Adverse Outcomes Following Coronary Artery Bypass Grafting Surgery.
CONCLUSIONS: Postoperative glycemic variability is associated with MAEs after cardiac surgery. Glycemic variability is only measured when the patient leaves the intensive care unit, and there is no opportunity to intervene earlier. Preoperative HbA1C identifies risk for postoperative glycemic variability and may provide a more rational guide for targeting measures to reduce variability.
PMID: 24445629 [PubMed - in process]
Source: Anesthesia and Analgesia - January 24, 2014 Category: Anesthesiology Authors: Subramaniam B, Lerner A, Novack V, Khabbaz K, Paryente-Wiesmann M, Hess P, Talmor D Tags: Anesth Analg Source Type: research
Optimal Conduit for Diabetic Patients: Propensity Analysis of Radial and Right Internal Thoracic Arteries.
CONCLUSIONS: In diabetic patients undergoing multivessel revascularization with either RA or RITA grafts to the circumflex coronary, long-term survival is similar. However, RA patients experienced significantly fewer respiratory or sternal wound adverse events. The RA is the preferred conduit to extend to more diabetic patients the recognized survival benefit of a multiple arterial graft strategy.
PMID: 24878172 [PubMed - as supplied by publisher]
Source: The Annals of Thoracic Surgery - May 28, 2014 Category: Cardiovascular & Thoracic Surgery Authors: Hoffman DM, Dimitrova KR, Lucido DJ, Dincheva GR, Geller CM, Balaram SK, Ko W, Swistel DG, Tranbaugh RF Tags: Ann Thorac Surg Source Type: research
Evaluation of the Society of Thoracic Surgeons score system for isolated coronary bypass graft surgery in a Brazilian population
Conclusion: Society of Thoracic Surgeons scoring system presented a good calibration and discrimination in our population to predict postoperative mortality and the majority of the harmful events following coronary artery bypass graft surgery. Analysis of larger samples might be needed to further validate the use of the score system in Brazilian populations. Objetivo: Relatar a experiência com o "Society of Thoracic Surgeons scoring system" em uma amostra de pacientes da população brasileira submetida a cirurgia de revascularização miocárdica isolada. Métodos: Foram coletados dados de janeiro de 2010 até dezembro ...
Source: Revista Brasileira de Cirurgia Cardiovascular - June 3, 2014 Category: Cardiovascular & Thoracic Surgery Source Type: research
Remote Ischemic Preconditioning Reduces Cardiac Troponin I Release in Cardiac Surgery: A Meta-Analysis
Conclusions: Current evidence suggests that RIPC reduces cardiac troponin I release in patients undergoing cardiac surgery. The clinical significance of these observations merits further investigation.
Source: Journal of Cardiothoracic and Vascular Anesthesia - October 7, 2013 Category: Anesthesiology Authors: Lijing Yang, Guyan Wang, Yingjie Du, Bingyang Ji, Zhe Zheng Tags: Original Articles Source Type: research
