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Gastrointestinal complications after cardiac surgery: 10‐year experience of a single Australian centre
ConclusionsGI complications after cardiac surgery remain an uncommon but dreadful complication associated with high mortality. Our findings should prompt a high degree of clinical vigilance in order to make an early diagnosis especially in high risk patients. Further studies aiming to identify independent predictors for GI complications after cardiac surgery are warranted.
Source: ANZ Journal of Surgery - March 26, 2013 Category: Surgery Authors: Fabiano F. Viana, Yi Chen, Aubrey A. Almeida, Heather D. Baxter, Andrew D. Cochrane, Julian A. Smith Tags: Original Article Source Type: research

Minimally invasive direct coronary artery bypass versus off-pump coronary surgery through sternotomy.
CONCLUSIONS: MIDCAB can be performed safely in appropriately selected patients with outcomes comparable with OPCAB. The potential benefits include shorter hospital stay, reduced need for blood transfusion and faster recovery. PMID: 24112493 [PubMed - as supplied by publisher]
Source: Annals of the Royal College of Surgeons of England - October 1, 2013 Category: Surgery Authors: Birla R, Patel P, Aresu G, Asimakopoulos G Tags: Ann R Coll Surg Engl Source Type: research

A Propensity Score Matched Analysis of Asymptomatic Patients Undergoing Carotid Endarterectomy (CEA) vs Coronary Artery Bypass Graft (CABG) vs Combined CEA-CABG in the ACS-NSQIP
Carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) may be combined to treat concomitant coronary artery and carotid artery atherosclerotic disease. Previous reports on combined CEA/CABG have shown wide variation in adverse event rates for asymptomatic patients and have often been limited by small sample size or lack of granularity, or both. We aim to compare stroke and death after CEA/CABG with CEA or CABG alone in asymptomatic patients by using the American College of Surgeons (ACS) National Surgical Quality Improvement Program (NSQIP) database.
Source: Journal of Vascular Surgery - January 24, 2014 Category: Surgery Authors: Li Wang, Thomas Curran, John C. McCallum, Dominique Buck, Jeremy Darling, Mark Wyers, Raul J. Guzman, Allen Hamdan, Elliot Chaikof, Marc L. Schermerhorn Tags: Abstracts from the 2014 Society for Clinical Vascular Surgery Annual Symposium Source Type: research

Robotically assisted coronary artery bypass grafting: a systematic review and meta‐analysis
ConclusionsAlthough robotic‐assisted coronary bypass appears to be promising, the study designs were not adequate and may have a high risk of selection bias. There is a need for randomized trials to corroborate the findings and to determine the long‐term benefits of RACBS compared with traditional surgical approaches. Copyright © 2014 John Wiley & Sons, Ltd.
Source: The International Journal of Medical Robotics and Computer Assisted Surgery - September 1, 2014 Category: Surgery Authors: Anna M. Buehler, Cleusa Ferri, Uri A. P. Flato, Jefferson G. Fernandes Tags: Review Article Source Type: research

The Impact of Feedback of Surgical Outcome Data on Surgical Performance: A Systematic Review
Conclusions The available literature suggests that feedback can improve surgical performance and outcomes; however, given the heterogeneity and limited number of studies, in addition to their non-randomised nature, it is difficult to draw clear conclusions from the literature with regard to the efficacy of feedback and the specific nuances required to optimise the impact of feedback. There is a clear need for more rigorous studies to determine how feedback of outcome data may impact performance, and whether this low-cost intervention has potential to benefit surgical practice.
Source: World Journal of Surgery - December 2, 2014 Category: Surgery Source Type: research

Protective effects of corticosteroids in coronary artery bypass graft surgery alone or combined with valvular surgery: an updated and comprehensive meta-analysis and systematic review.
Abstract This systematic review with meta-analysis sought to determine the protective effects of corticosteroids on clinical outcomes following coronary artery bypass grafting (CABG). Medline, Embase, Elsevier and Sciences online database as well as Google scholar literature were used for selecting appropriate studies with randomized controlled design. The effect sizes measured were odds ratio (OR) for categorical variables and weighted mean difference with 95% confidence interval (CI) for calculating differences between mean values of duration of hospitalization in intervention and control groups. Values of P <...
Source: Hand Surgery - March 3, 2015 Category: Surgery Authors: Ali-Hassan-Sayegh S, Mirhosseini SJ, Haddad F, Karimi-Bondarabadi AA, Shahidzadeh A, Weymann A, Popov AF, Sabashnikov A Tags: Interact Cardiovasc Thorac Surg Source Type: research

Comparison of Early Outcomes and Restenosis Rate Between Carotid Endarterectomy and Carotid Artery Stenting Using Propensity Score Matching Analysis.
CONCLUSION: This PSM based observation reconfirmed previous trial results in both asymptomatic and symptomatic patients with carotid artery stenosis in routine clinical practice: CEA showed lower 30 day MACE and mid-term restenosis rates than CAS. PMID: 28893482 [PubMed - as supplied by publisher]
Source: PubMed: Eur J Vasc Endovasc ... - September 8, 2017 Category: Surgery Authors: Heo SH, Yoon KW, Woo SY, Park YJ, Kim YW, Kim KH, Chung CS, Bang OY, Kim DI Tags: Eur J Vasc Endovasc Surg Source Type: research

Staged Carotid Artery Stenting and Coronary Artery Bypass Grafting Procedures: A Word of Caution
In their systematic review and meta-analysis (n=5 studies; 16,712 patients), Giannopoulos et al.1 compared synchronous carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) vs. staged carotid artery stenting (CAS) followed by CABG. They demonstrated that perioperative stroke (3% [447/15,727] vs. 3% [33/985], for CEA/CABG vs. CAS/CABG, respectively; odds ratio [OR]: 0.84; 95% confidence interval [CI]: 0.43-1.64; I2=39.1%) and transient ischemic attack (TIA) rates (1% [2/193] vs 4% [4/95] for CEA/CABG vs.
Source: Annals of Vascular Surgery - October 13, 2019 Category: Surgery Authors: Kosmas I. Paraskevas Tags: Correspondence Source Type: research

Concomitant carotid endarterectomy and cardiac surgery does not decrease postoperative stroke rates
We examined the Society of Thoracic Surgeons (STS) Adult Cardiac Surgery Database to evaluate the association of combined carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) with postoperative outcomes.
Source: Journal of Vascular Surgery - February 13, 2020 Category: Surgery Authors: Derek Klarin, Virendra I. Patel, Shuaiqi Zhang, Ying Xian, Andrzej Kosinski, Babatunde Yerokun, Vinay Badhwar, Vinod H. Thourani, Thoralf M. Sundt, David Shahian, Serguei Melnitchouk Source Type: research

Endovascular Repair Of Ascending Aortic Pseudoaneurysm Using Transfemoral Frame-Coiling Under Total Cerebral Protection.
We present a patient with a prior coronary artery bypass grafting who was referred for an incidental 3cm saccular ascending aortic pseudoaneurysm who was successfully treated with frame coiling under total cerebral embolic protection using the SENTINEL device.
Source: Annals of Vascular Surgery - May 27, 2020 Category: Surgery Authors: Jeanette H. Man, Mel J. Sharafuddin Tags: Case Report Source Type: research

Persistent Racial and Sex Disparities in Outcomes After Coronary Artery Bypass Surgery: A Retrospective Clinical Registry Review in the Drug-eluting Stent Era
Objective: The purpose of this study was to assess the temporal trends in 30-day mortality by race group for patients undergoing coronary artery bypass grafting (CABG) between 2011 and 2018 and to investigate the effect of race and sex on postoperative outcomes after CABG. Summary Background Data: Cardiovascular diseases remain a leading cause of death in the United States with studies demonstrating increased morbidity and mortality for black and female patients undergoing surgery. In the post drug-eluting stent era, studies of racial disparities CABG are outdated. Methods: We performed a retrospective analysis of ...
Source: Annals of Surgery - September 17, 2020 Category: Surgery Tags: PAPERS CHOSEN FOR PRESENTATION AT THE 2020 ANNUAL MEETING OF THE AMERICAN SURGICAL ASSOCIATION Source Type: research

Robot-assisted coronary artery bypass surgery: a systematic review and meta-analysis of comparative studies.
CONCLUSION: Although the findings from this review of comparative studies of RCAB appear promising and suggest that RCAB may offer some benefits to patients, in the absence of randomized controlled trials, these results should be interpreted cautiously. PMID: 33155975 [PubMed - in process]
Source: Canadian Journal of Surgery - November 1, 2020 Category: Surgery Authors: Hammal F, Nagase F, Menon D, Ali I, Nagendran J, Stafinski T Tags: Can J Surg Source Type: research

Carotid endarterectomy should be performed first rather than combined with coronary bypass
I read with interest the article addressing timing of carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG)1 since I had just been referred a patient from a cardiac surgeon with the need for both CEA and CABG. I was gratified to learn that in patients with stable angina, performing CEA first compared equally to combined CEA and CABG (CCAB) with regard to both stroke rate and myocardial infarction (MI). From a strictly scheduling standpoint, performing a staged procedure is easier on surgeons and staff.
Source: Journal of Vascular Surgery - November 19, 2020 Category: Surgery Authors: Joseph J. Piotrowski Tags: Letter to the Editor Source Type: research

Predictors of change in cardiovascular disease risk and events following gastric bypass: a 7-year prospective multicenter study
CONCLUSION: This study identified multiple presurgery factors that characterize patients who may have more cardiovascular benefit from RYGB, and patients who might require additional support to improve their cardiovascular health.PMID:33582036 | DOI:10.1016/j.soard.2020.12.013
Source: Surgery for Obesity and Related Diseases : official journal of the American Society for Bariatric Surgery - February 14, 2021 Category: Surgery Authors: Amanda S Hinerman Samar R El Khoudary Abdus S Wahed Anita P Courcoulas Emma J M Barinas-Mitchell Wendy C King Source Type: research

Carotid Subclavian Bypass for the Treatment of Coronary Subclavian Steal Syndrome
Braz J Cardiovasc Surg. 2021 Oct 21. doi: 10.21470/1678-9741-2020-0609. Online ahead of print.ABSTRACTCoronary subclavian steal syndrome is an uncommon cause of angina in patients with a previous coronary artery bypass graft procedure. The patient had chest pain with the exertion of the left upper limb, difference in blood pressure between the left and right arm, occlusion at the ostium of the left subclavian artery. He underwent carotid subclavian bypass surgery that was successful in relieving symptoms. On the other hand, the patient had an embolic stroke related to the procedure and further assessment may be necessary.P...
Source: Hand Surgery - October 21, 2021 Category: Surgery Authors: Lucas Yuji Sonoda Maria da Gra ça Lepre Hawerroth T úlio Torres Vargas Luciano Batista Silveira Santos Thomas Rezende Diniz Walter Alvarenga de Oliveira Maria Ambrosina Cardoso Maia Source Type: research

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