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Annals of Cardiothoracic Surgery

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https://www.readbyqxmd.com/read/30505760/transit-time-flow-measurement-in-composite-arterial-revascularisation
#1
EDITORIAL
R John L Brereton
No abstract text is available yet for this article.
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505759/robotic-beating-heart-totally-endoscopic-coronary-artery-bypass
#2
EDITORIAL
Ludovic Melly, David Douglas, Jean-Luc Jansens
No abstract text is available yet for this article.
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505758/robotic-assisted-bilateral-internal-thoracic-artery-harvest
#3
EDITORIAL
Francis P Sutter, MaryAnn C Wertan
No abstract text is available yet for this article.
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505757/robotic-totally-endoscopic-coronary-artery-bypass-grafting-tecab-of-the-left-anterior-descending-and-right-coronary-artery-system-using-an-arterial-y-graft-technique
#4
EDITORIAL
Johannes Bonatti, Laszlo Göbölös, Jehad Ramahi, Thomas Bartel
No abstract text is available yet for this article.
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505756/harmonic-scalpel-harvest-of-bilateral-internal-thoracic-arteries
#5
EDITORIAL
Teresa M Kieser
No abstract text is available yet for this article.
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505755/how-i-deploy-arterial-grafts
#6
REVIEW
David P Taggart
There are currently around one million coronary artery bypass graft (CABG) procedures performed worldwide annually and despite two decades of evidence to support the use of a second arterial graft, if not total arterial grafting, the stark reality is that in contemporary practice 80% of all grafts used for CABG are saphenous vein grafts (SVG). The following description of how I deploy arterial grafts has been developed over more than two decades of clinical practice and largely self-taught by a process of "trial and error" and most importantly dictated by "ease of use" rather than personal robust angiographic data of long-term patency (although there is other such existing data in the literature for some of these techniques)...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505754/saphenous-vein-as-a-composite-graft-from-the-internal-thoracic-artery
#7
EDITORIAL
Ho Young Hwang, Ki-Bong Kim
The saphenous vein (SV) has been used as an aortocoronary bypass graft for coronary artery bypass grafting (CABG) for the past 50 years. However, CABG using the aortocoronary SV has shown disadvantages of lower long-term graft patency rates and subsequently worse clinical outcomes, compared with CABG using the internal thoracic artery (ITA). The advantages of CABG using the ITA prompted interest in total arterial revascularization, using the bilateral ITAs and other arterial conduits as composite graft configurations in patients exhibiting multi-vessel disease...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505753/no-touch-vein-grafts-and-the-destiny-of-venous-revascularization-in-coronary-artery-bypass-grafting-a-25-th-anniversary-perspective
#8
EDITORIAL
Ninos Samano, Michael Dashwood, Domingos Souza
Ischemic heart disease is currently the leading cause of death globally, with coronary artery bypass grafting among the most common operations performed worldwide. More extensive use of arterial grafts has been advocated because of their high long-term patency, long-term survival benefit, and freedom from reinterventions. Despite this, the saphenous vein is the most frequently used conduit in patients undergoing coronary artery bypass surgery since its introduction over 50 years ago. Consequently, the saphenous vein remains an indispensable conduit in coronary artery bypass grafting and maintaining its long-term patency is one of the most crucial challenges in cardiovascular surgery...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505752/bilateral-internal-thoracic-artery-grafting-in-situ-or-composite
#9
EDITORIAL
Hidetake Kawajiri, Juan B Grau, Jacqueline H Fortier, David Glineur
Bilateral internal thoracic artery (BITA) grafting is considered a superior choice for coronary artery bypass grafting (CABG). While the 10-year outcomes of BITA grafting from the recent Arterial Revascularization Trial (ART) are still pending, numerous observational studies have demonstrated the advantages of BITA grafting. These include better long-term graft patency and freedom from arteriosclerosis, in addition to higher survival rate compared to CABG using only the left internal thoracic artery (ITA). The different BITA configurations are in situ and composite-the choice of optimal grafting configuration is challenging...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505751/the-risk-of-mediastinitis-and-deep-sternal-wound-infections-with-single-and-bilateral-pedicled-and-skeletonized-internal-thoracic-arteries
#10
EDITORIAL
Harold L Lazar
Bilateral internal thoracic artery (BITA) grafting may prolong survival in coronary artery bypass graft (CABG) patients, but its use has been curtailed due to concerns of deep sternal wound infections (DSWI) resulting in mediastinitis. This article examines the association of single internal thoracic artery (SITA) and BITA grafting and the role of harvesting techniques with the development of DSWI in CABG patients. The development of DSWI following BITA grafting is multifactorial and is independent of the harvesting technique...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505750/the-use-of-intraoperative-graft-assessment-in-guiding-graft-revision
#11
EDITORIAL
Teresa M Kieser, David P Taggart
Quality assurance (QA) in medicine is the practice of the prevention of errors and avoiding problems when delivering care in the form of medical therapy, both in terms of non-invasive and invasive procedures. It is rightly expected by patients. Up until the last 10 years, verification of intraoperative bypass graft patency was limited to a stable hemodynamic status, lack of electrocardiographic evidence of myocardial infarction and, if available, no new regional wall motion abnormalities on transesophageal echo...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505749/after-50-years-a-personal-reflection-on-the-development-of-internal-thoracic-artery-ita-grafting
#12
EDITORIAL
George E Green, John D Puskas
It has been 50 years since the first publications of evidence that internal thoracic artery (ITA) grafts successfully bypassed obstructions of coronary arteries in dogs and in humans. The evidence consisted of in vivo measurements of blood flow through the grafts and selective angiograms of the grafts months following operation. It may be of interest to recount how that success came about.
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505748/long-term-outcomes-of-radial-artery-grafting-in-patients-undergoing-coronary-artery-bypass-surgery
#13
EDITORIAL
James Tatoulis, Thomas A Schwann
Single arterial left internal thoracic artery (LITA) based coronary artery bypass surgery (LITA-SABG) has been the principal revascularization strategy for over 25 years across all patient demographics. In line with the current emphasis being placed on personalized medicine, which tailors individual, patient-specific therapy to optimize outcomes, coronary artery bypass grafting (CABG) techniques have also evolved to achieve enhanced results among specific groups of patients with coronary artery disease. Most notable has been the development of multi-arterial bypass grafting (MABG) techniques, using either the radial artery (RA) or the right internal thoracic artery (RITA) in conjunction with the LITA, as both techniques have been shown to enhance long term survival of CABG patients...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505747/dual-antiplatelet-therapy-versus-aspirin-monotherapy-in-diabetics-with-stable-ischemic-heart-disease-undergoing-coronary-artery-bypass-grafting
#14
Makoto Mori, Kayoko Shioda, Syed Usman Bin Mahmood, Abeel A Mangi, James J Yun, Arnar Geirsson
Background: Dual antiplatelet therapy (DAPT) in patients presenting with acute coronary syndrome (ACS) undergoing CABG is recommended to prevent recurrent ischemic events. The benefit of DAPT post-CABG in patients with stable ischemic heart disease (SIHD) is unknown. The aim of this study was to evaluate the utilization rate of DAPT and associated outcomes in patients with SIHD undergoing CABG via a secondary analysis of Bypass Angioplasty Revascularization Investigation 2 Diabetes (BARI 2D) trial data...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505746/short-term-clinical-outcomes-and-long-term-survival-of-minimally-invasive-direct-coronary-artery-bypass-grafting
#15
Shahzad G Raja, Sheena Garg, Melissa Rochon, Siobhan Daley, Fabio De Robertis, Toufan Bahrami
Background: Minimally invasive direct coronary artery bypass (MIDCAB) grafting is regarded as an alternative to conventional coronary artery bypass grafting (CABG) through full sternotomy, particularly for patients with isolated proximal left anterior descending (LAD) artery stenosis deemed unsuitable for percutaneous coronary intervention. However, the technically demanding nature of the procedure and lack of long-term published outcomes have precluded its universal adoption. We report the comparative short-term outcomes and long-term survival of MIDCAB and conventional CABG through full sternotomy for grafting of isolated LAD...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505745/sternotomy-closure-using-rigid-plate-fixation-a-paradigm-shift-from-wire-cerclage
#16
Keith B Allen, Kyle J Icke, Vinod H Thourani, Yoshifumi Naka, Kendra J Grubb, John Grehan, Nirav Patel, T Sloane Guy, Kevin Landolfo, Marc Gerdisch, Mark Bonnell
Background: Rigid plate fixation (RPF) is the cornerstone in managing fractures and osteotomies except for sternotomy, where most cardiac surgeons continue to use wire cerclage (WC). Results of a multicenter randomized trial evaluating sternal healing, sternal complications, patient reported outcome measures (PROMs), and costs after sternotomy closure with RPF or WC are summarized here. Methods: Twelve US centers randomized 236 patients to either RPF (n=116) or WC (n=120)...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505744/surgical-management-of-anomalous-coronary-arteries
#17
REVIEW
Chin Siang Ong, Duke E Cameron, Marshall L Jacobs
Anomalies in the coronary arterial circulation have been described since classical antiquity by Galen and through the Medical Renaissance by Vesalius, but their clinical significance and association with sudden cardiac death (SCD) has only been appreciated over the last 4 decades. Advances in cardiac surgery and cardiovascular intensive care have led to decreasing overall postoperative mortality and morbidity associated with cardiac surgery. The decision whether to surgically treat an anomaly of coronary artery origin and course, and the risk-to-benefit ratio of surgical treatment in preventing a potentially lethal complication of SCD, requires careful, deliberate consideration based on the best available evidence...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505743/lessons-learned-from-radial-artery-database-international-alliance-radial
#18
REVIEW
Mario F L Gaudino, Jeremy R Leonard, David P Taggart
Coronary artery bypass graft (CABG) surgery was first performed in the 1960s. As the surgery has evolved, there has been a growing interest in the use of multiple arterial grafts in CABG. Since the re-introduction of the radial artery (RA) to clinical use as a bypass conduit in the 1990s, there have been several randomized controlled trials (RCTs) which have compared saphenous vein graft (SVG) conduits to RA use in CABG. While most trials have shown improved patency of the RA, none of them have been able to demonstrate a survival benefit using the arterial conduit...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505742/graft-patency-after-open-versus-endoscopic-saphenous-vein-harvest-in-coronary-artery-bypass-grafting-surgery-a-systematic-review-and-meta-analysis
#19
Karishma Kodia, Sinal Patel, Matthew P Weber, Jessica G Y Luc, Jae Hwan Choi, Elizabeth J Maynes, Syed-Saif Abbas Rizvi, Dylan P Horan, H Todd Massey, John W Entwistle, Rohinton J Morris, Vakhtang Tchantchaleishvili
Background: Saphenous vein grafts (SVG) are a commonly used conduit for coronary artery bypass graft (CABG) surgery and can be harvested by either an open or endoscopic technique. Our goal was to evaluate long-term angiographic and clinical outcomes of open compared to endoscopic SVG harvest for CABG. Methods: Electronic search was performed to identify all studies in the English literature that compared open and endoscopic SVG harvesting for CABG with at least one year of follow-up...
September 2018: Annals of Cardiothoracic Surgery
https://www.readbyqxmd.com/read/30505741/network-meta-analysis-of-antiplatelet-therapy-following-coronary-artery-bypass-grafting-cabg-none-versus-one-versus-two-antiplatelet-agents
#20
Adam Chakos, Dean Jbara, Kamal Singh, Tristan D Yan, David H Tian
Background: Numerous agents have been trialed following coronary artery bypass grafting (CABG) to maintain long-term graft patency. While clear evidence exists for the use of aspirin in maintaining graft patency, the role of dual-antiplatelet therapy in CABG patients is not as well established. This network meta-analysis aimed to compare the short-term post-CABG graft patency outcomes for patients with none, one or two antiplatelet agents. Methods: Electronic databases were queried for randomized controlled trials comparing CABG graft patency rates at three months and beyond using various antiplatelet agents or placebo...
September 2018: Annals of Cardiothoracic Surgery
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