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Annals of Cardiothoracic Surgery

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https://www.readbyqxmd.com/read/30094223/multiple-arterial-minimally-invasive-coronary-surgery-ma-mics
#1
EDITORIAL
David R Hobson, Kevin W Lobdell, Joseph T McGinn
No abstract text is available yet for this article.
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094222/on-pump-total-arterial-revascularization
#2
EDITORIAL
Sajjad Raza, Salil V Deo, Joseph F Sabik
No abstract text is available yet for this article.
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094221/dual-inflow-total-arterial-anaortic-off-pump-coronary-artery-bypass-grafting-how-to-do-it
#3
REVIEW
Fabio Ramponi, Michael Seco, James B Edelman, Andrew G Sherrah, Paul G Bannon, R John L Brereton, Michael K Wilson, Michael P Vallely
Coronary surgery performed on an arrested heart, using one internal mammary artery and a saphenous vein carries two main potential drawbacks: the known failure rate of vein grafts and the relatively high rate of neurologic injury. To address these concerns, we describe a technique that achieves complete revascularization without manipulating the ascending aorta (anaortic, off-pump) and utilizing total arterial grafts. All patients undergo thorough preoperative investigation, including bilateral carotid, vertebral and subclavian artery Duplex ultrasounds...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094220/is-there-a-role-for-fractional-flow-reserve-in-coronary-artery-bypass-graft-cabg-planning
#4
EDITORIAL
Amir Ahmadi, Dylan Stanger, John Puskas, David Taggart, Y Chandrashekhar, Jagat Narula
The concept of significant lesions has substantially evolved over the last decade. With growing evidence for use of fractional flow reserve (FFR) as a determinant of lesion-specific ischemia and its superiority to angiography-guided revascularization and medical therapy, the field of percutaneous revascularization has shifted to rely exclusively on FFR instead of luminal stenosis alone in guiding revascularization. This transition to physiological assessment has not yet made it to the realm of surgical revascularization...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094219/what-the-surgeon-needs-to-know-about-percutaneous-coronary-intervention-treatment-of-chronic-total-occlusions
#5
EDITORIAL
Satoru Mitomo, Ozan M Demir, Antonio Colombo, Sunao Nakamura, Alaide Chieffo
Chronic total occlusion (CTO) accounts for 10-20% of lesions identified in coronary artery disease (CAD) patients. CTO percutaneous coronary intervention (PCI) is one of the most challenging of lesion subsets due to its technical difficulty, requiring specific operator expertise and equipment. There has been increased interest on CTO PCI evolving with the development of novel techniques and dedicated devices. Furthermore, in order to effectively and systematically utilize these techniques and devices, CTO PCI algorithms have been established...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094218/pivotal-contemporary-trials-of-percutaneous-coronary-intervention-vs-coronary-artery-bypass-grafting-a-surgical-perspective
#6
EDITORIAL
Janet M C Ngu, Louise Y Sun, Marc Ruel
Coronary artery bypass grafting (CABG) and percutaneous coronary intervention (PCI) are the two revascularization strategies for patients with coronary artery disease (CAD). While CABG continues to be the gold standard for revascularization, advancements in PCI technology have triggered numerous, often industry-funded investigations to challenge this role. This perspective will provide a summary of previous RCTs comparing CABG vs. PCI. The recently published NOBLE and EXCEL trials will be discussed in depth...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094217/percutaneous-coronary-intervention-in-left-main-disease-syntax-precombat-excel-and-noble-combined-cardiology-and-cardiac-surgery-perspective
#7
EDITORIAL
Duk-Woo Park, Jung-Min Ahn, Seung-Jung Park, David P Taggart
Although coronary-artery bypass grafting (CABG) is the standard choice of revascularization for significant left main coronary artery (LMCA) disease, percutaneous coronary intervention (PCI) for LMCA disease has been widely expanded with adoption of drug-eluting stents (DES). Several small- and moderate-sized trials of CABG and first-generation DES showed that PCI might be a good alternative for selected patients with LMCA disease. However, these early trials were relatively underpowered and comparative results of contemporary DES and CABG were clearly required...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094216/coronary-artery-bypass-grafting-fifty-years-of-quality-initiatives-since-favaloro
#8
EDITORIAL
John J Squiers, Michael J Mack
Coronary artery bypass grafting (CABG) remains one of the most commonly performed major surgical procedures worldwide and the most common procedure performed by cardiac surgeons. Rene Favaloro is widely credited with recognizing the true potential of CABG and subsequently popularizing the technique in a broad manner. Since the era of Favaloro in the late 1960s, the evolution of CABG can be understood through a series of quality initiatives that have defined which patients can benefit from the procedure and via which technique(s) they will derive the greatest benefit...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094215/coronary-artery-bypass-grafting-cabg-vs-percutaneous-coronary-intervention-pci-in-the-treatment-of-multivessel-coronary-disease-quo-vadis-a-review-of-the-evidences-on-coronary-artery-disease
#9
EDITORIAL
Cristiano Spadaccio, Umberto Benedetto
The optimal treatment of ischemic coronary artery disease (CAD) is still controversial. A number of randomized controlled trials (RCT) and several meta-analyses have been performed and are inspiring the current guidelines. However, a univocal consensus on the optimal therapeutic strategy for multivessel disease has still not been reached yet. We reviewed the current evidence on this topic, focusing on both RCT and meta-analyses. From both short and long-term studies, it emerges that in patients with multivessel disease, coronary artery bypass grafting (CABG) is associated with better survival, lower rates of major cardiovascular events (specifically myocardial infarction or stroke) and repeat revascularization as compared with percutaneous coronary intervention (PCI) with drug-eluting stents...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094214/hybrid-coronary-revascularization-for-the-treatment-of-multivessel-coronary-artery-disease
#10
EDITORIAL
Michael O Kayatta, Michael E Halkos, John D Puskas
Coronary artery disease (CAD) has typically been treated either medically, with percutaneous coronary intervention (PCI), or with coronary artery bypass grafting (CABG). As advances in stent technology and minimally invasive surgery have developed, a third option has emerged: hybrid coronary revascularization (HCR). In HCR, minimally invasive CABG and PCI are both employed to treat a single patient, often during the same hospital stay. Patients appropriate for this technique vary widely, from low-risk patients with low SYNTAX lesions outside the left anterior descending artery (LAD), to high-risk patients with multiple comorbidities who are felt by the heart team to benefit most by avoiding a sternotomy...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094213/the-radial-artery-is-protective-in-women-and-men-following-coronary-artery-bypass-grafting-a-substudy-of-the-radial-artery-patency-study
#11
Derrick Y Tam, Saswata Deb, Bao Nguyen, Dennis T Ko, Reena Karkhanis, Fuad Moussa, Jaclyn Fremes, Eric A Cohen, Sam Radhakrishnan, Stephen E Fremes
Background: Studies have demonstrated that female sex is an adverse risk factor in CABG. The primary aim of this study was to determine whether the radial artery (RA) was associated with reduced angiographic occlusion compared to the saphenous vein graft (SVG) stratified by sex in the multi-centered Radial Artery Patency Study (NCT00187356). Methods: Between 1996-2001, 529 patients less than 80 years, with graftable triple-vessel disease underwent isolated CABG across 11 centers with late angiographic and clinical follow-up...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094212/off-pump-coronary-artery-bypass-surgery-with-bilateral-internal-thoracic-arteries-the-leipzig-experience
#12
Piroze M Davierwala, Sergey Leontyev, Jens Garbade, Sven Lehmann, David Holzhey, Martin Misfeld, Michael A Borger
Background: Contrasting results of recent randomized controlled trials (RCTs) comparing off-pump and on-pump coronary artery bypass graft (CABG) surgery, as well as the lack of evidence for any survival benefit of bilateral internal thoracic artery (ITA) grafting over single ITA use, has intensified the debate about the role of the off-pump technique and bilateral ITA use in CABG surgery. We therefore investigated our 15-year experience in off-pump CABG with bilateral ITA grafting and evaluated temporal trends in preoperative characteristics and postoperative outcomes...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094211/syntax-ii-and-syntax-iii-trials-what-is-the-take-home-message-for-surgeons
#13
REVIEW
Rodrigo Modolo, Carlos Collet, Yoshinobu Onuma, Patrick W Serruys
Percutaneous coronary intervention (PCI) has evolved greatly in the last 40 years since its introduction by Andreas Gr√ľntzig in 1977. Since then, we've observed an evolution in balloons, the development of stents, changes in stent structure, development of drug eluting stents, improvements in strut design, thickness and even their polymeric coating. Most recently we saw the rise and "fall" of bioabsorbable scaffolds for PCI. Trials with the most diverse devices for PCI and diagnostic techniques have been conducted...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094210/incomplete-revascularization-what-the-surgeon-needs-to-know
#14
REVIEW
Dror B Leviner, Gianluca Torregrossa, John D Puskas
For many years, the concept of "complete revascularization" (CR) was considered an absolute truth in coronary surgery with improved long-term survival and a lower rate of reintervention. This was derived from early publications which showed a survival benefit for patients undergoing coronary artery bypass grafting (CABG) who received CR. Many advances in the field of coronary revascularization have been made in the years that passed since those publications, including more frequent use of percutaneous coronary intervention (PCI) in patients with multivessel disease (MVD)...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30094209/percutaneous-coronary-intervention-versus-coronary-bypass-surgery-for-unprotected-left-main-disease-a-meta-analysis-of-randomized-controlled-trials
#15
Mohamed Rahouma, Ahmed Abouarab, Antonino Di Franco, Jeremy R Leonard, Christopher Lau, Mohamed Kamel, Lucas B Ohmes, Leonard N Girardi, Mario Gaudino
Background: This meta-analysis of randomized controlled trials (RCTs) was aimed at comparing coronary artery bypass grafting (CABG) with percutaneous coronary intervention (PCI) for the treatment of unprotected left main coronary disease. Methods: All RCTs randomizing patients to any type of PCI with stents vs. CABG for left main disease (LMD) were included. Primary outcome was a composite of follow-up death/myocardial infarction/stroke/repeat revascularization...
July 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707513/tracheal-tumors
#16
Christopher Harris, Christopher Cao, Beth Croce, Christopher Cao
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707512/surgical-management-of-tracheoesophageal-fistula
#17
EDITORIAL
Asishana Osho, Uma Sachdeva, Cameron Wright, Ashok Muniappan
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707511/carinal-resections
#18
EDITORIAL
Leonidas Tapias, Michael Lanuti
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707510/tracheal-stenosis-resection-and-reconstruction
#19
EDITORIAL
Hugh G Auchincloss, Douglas J Mathisen
No abstract text is available yet for this article.
March 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/29707509/idiopathic-subglottic-stenosis-techniques-and-results
#20
REVIEW
Andrea L Axtell, Douglas J Mathisen
Idiopathic subglottic stenosis is a rare condition of unknown etiology characterized by circumferential stenosis in the subglottic larynx and upper trachea. Historically, patients were treated with dilation or ablation, however this approach has proven to be largely palliative and often leads to recurrence and the need for tracheostomy. A single-staged laryngotracheal resection and reconstruction is now the preferred definitive treatment for idiopathic subglottic stenosis and can be performed with excellent patient outcomes and rare subsequent progression of the disease...
March 2018: Annals of Cardiothoracic Surgery
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