keyword
https://read.qxmd.com/read/38446911/endarterectomy-may-be-an-effective-additional-treatment-for-three-diffuse-coronary-artery-disease-complicated-with-diabetes
#21
JOURNAL ARTICLE
Haiming Li, Chengxiong Gu, Bo Li
OBJECTIVE: In order to evaluate the clinical efficacy of coronary endarterectomy (CE) and coronary artery bypass grafting (CABG) in patients with diabetes complicated with three diffuse coronary artery stenosis. METHODS: A retrospective analysis was conducted on 460 patients with diabetes mellitus and diffuse three-vessel coronary artery disease who underwent CABG in our department from September 2015 to December 2021. The patients were divided into two groups according to whether they underwent CE: the simple CABG group (group A, n = 254) and the CABG combined CE group (group B, n = 206)...
March 6, 2024: Perfusion
https://read.qxmd.com/read/38441828/value-of-different-cto-scoring-systems-in-predicting-procedural-success-in-coronary-chronic-total-occlusion-intervention-in-egyptian-patients
#22
JOURNAL ARTICLE
Ahmed Mohammed Ali AlAshry, Muhammed Nagy Nagiub, Magdy Farouk Ahmed Ismael, Wesam Alghonaimy
BACKGROUND: Chronic total occlusion (CTO) lesions in coronary arteries pose a significant challenge for coronary interventionists, often leading to referrals for coronary artery bypass graft surgery (CABG). Successful percutaneous coronary intervention (PCI) for CTOs requires accurate assessment of procedural potential. This study, comprising 100 Egyptian patients aged 37-81, compares the predictive efficacy of various CTO scoring systems in PCI success determination. Patients with CTO in at least one coronary artery, planned for elective PCI based on objective evidence of ischemia, were included...
March 5, 2024: Egyptian Heart Journal: EHJ
https://read.qxmd.com/read/38438846/safe-and-promising-outcomes-of-in-hospital-preoperative-rehabilitation-for-coronary-artery-bypass-grafting-after-an-acute-coronary-syndrome
#23
JOURNAL ARTICLE
Ken Nakamura, Shusuke Arai, Kimihiro Kobayashi, Shingo Nakai, Ri Sho, Ai Ishizawa, Daisuke Watanabe, Shuto Hirooka, Eiichi Ohba, Masahiro Mizumoto, Yoshinori Kuroda, Cholsu Kim, Hideaki Uchino, Takao Shimanuki, Tetsuro Uchida
OBJECTIVE: In patients with stable hemodynamic status after an acute coronary syndrome (ACS), coronary artery bypass grafting (CABG) after preoperative investigations can provide outcomes comparable to those of emergency surgery. However, no established guidelines exist regarding the preparation period before surgery. We report the results of the use of an inpatient cardiac rehabilitation program followed by CABG after an ACS to improve post-operative outcomes and prognosis after discharge...
March 4, 2024: BMC Cardiovascular Disorders
https://read.qxmd.com/read/38436547/surgical-outcomes-and-healthcare-expenditures-among-patients-with-dementia-undergoing-major-surgery
#24
JOURNAL ARTICLE
Mujtaba Khalil, Selamawit Woldesenbet, Muhammad Musaab Munir, Erryk Katayama, Muhammad Muntazir Mehdi Khan, Abdullah Altaf, Zayed Rashid, Yutaka Endo, Mary Dillhoff, Susan Tsai, Timothy M Pawlik
BACKGROUND: We sought to define surgical outcomes among elderly patients with Alzheimer's disease and related dementias (ADRD) following major thoracic and gastrointestinal surgery. METHODS: A retrospective cohort study was used to identify patients who underwent coronary artery bypass grafting (CABG), abdominal aortic aneurysm (AAA) repair, pneumonectomy, pancreatectomy, and colectomy. Individuals were identified from the Medicare Standard Analytic Files and multivariable regression was utilized to assess the association of ADRD with textbook outcome (TO), expenditures, and discharge disposition...
March 4, 2024: World Journal of Surgery
https://read.qxmd.com/read/38436368/early-outcomes-of-transapical-mitral-valve-implantation-versus-surgical-replacement-in-matched-elderly-patients-at-intermediate-surgical-risk
#25
JOURNAL ARTICLE
Johannes A Ziegelmueller, Melchior Burri, Andreas Stein, Peter Tassani-Prell, Markus Krane, Rüdiger Lange, Hendrik Ruge
BACKGROUND: Data comparing transcatheter mitral valve implantation (TMVI) with surgical mitral valve replacement (SMVR) are lacking. AIMS: This study sought to compare the 30-day Valve Academic Research Consortium (VARC)-3 device success of TMVI with that of SMVR. METHODS: Matching protocol combined exact matching (sex, atrial fibrillation, previous surgical aortic valve replacement [SAVR] or coronary artery bypass grafting [CABG]), coarsened exact matching (age) and propensity score matching (body mass index, mitral valve pathology and concomitant tricuspid regurgitation)...
March 4, 2024: EuroIntervention
https://read.qxmd.com/read/38434403/prognostic-factors-of-surgical-management-for-heart-failure-patients-with-reduced-left-ventricular-ejection-fraction
#26
JOURNAL ARTICLE
Mahmoud Yousef Ibrahim Abuharb, Liu Kaiwen, Huang Zhuhui, Zhang Kui, Zheng Jubing, Song Yue, Li Yang, Liu Taoshuai, Dong Ran
OBJECTIVES: There are many available pharmaceutical and surgical management for Coronary artery disease (CAD) patients. However, coronary artery bypass grafting (CABG) is the preferred treatment modality for CAD patients with low ejection fraction (EF) in view of the more favorable outcomes. This study aimed to determine the associated factors of poor outcomes post-CABG for heart failure patients with reduced left ventricular ejection fraction who underwent on-pump and off-pump CABG. METHODS: A retrospective review of CAD patients who underwent isolated on-pump CABG (ONCAB) or off-pump CABG (OPCAB) in Beijing Anzhen Hospital Affiliated with Capital Medical University from January 2013 to March 2021...
March 15, 2024: Heliyon
https://read.qxmd.com/read/38432608/emergency-coronary-artery-bypass-surgery-after-chronic-total-occlusion-percutaneous-coronary-intervention-insights-from-the-progress-cto-registry
#27
JOURNAL ARTICLE
Deniz Mutlu, Athanasios Rempakos, Michaella Alexandrou, Ahmed Al-Ogaili, Sevket Gorgulu, James W Choi, Basem Elbarouni, Jaikirshan J Khatri, Farouc Jaffer, Robert Riley, A J Conrad Smith, Rhian Davies, Jarrod Frizzel, Mitul Patel, Michalis Koutouzis, Ioannis Tsiafoutis, Bavana V Rangan, Olga C Mastrodemos, Yader Sandoval, M Nicholas Burke, Emmanouil S Brilakis
BACKGROUND: Emergency coronary artery bypass surgery (eCABG) is a serious complication of chronic total occlusion (CTO) percutaneous coronary artery intervention (PCI). METHODS: We examined the incidence and outcomes eCABG among 14,512 CTO PCIs performed between 2012 and 2023 in a large multicenter registry. RESULTS: The incidence of eCABG was 0.12% (n = 17). Mean age was 68 ± 6 years and 69% of the patients were men...
March 2, 2024: International Journal of Cardiology
https://read.qxmd.com/read/38426431/difference-between-cardiopulmonary-bypass-time-and-aortic-cross-clamping-time-as-a-predictor-of-complications-after-coronary-artery-bypass-grafting
#28
JOURNAL ARTICLE
Fabiano Gonçalves Jucá, Fabiane Letícia de Freitas, Maxim Goncharov, Daniella de Lima Pes, Maria Eduarda Coimbra Jucá, Luis Roberto Palma Dallan, Luiz Augusto Ferreira Lisboa, Fábio B Jatene, Omar Asdrúbal Vilca Mejia
INTRODUCTION: Along with cardiopulmonary bypass time, aortic cross-clamping time is directly related to the risk of complications after heart surgery. The influence of the time difference between cardiopulmonary bypass and cross-clamping times (TDC-C) remains poorly understood. OBJECTIVE: To assess the impact of cardiopulmonary bypass time in relation to cross-clamping time on immediate results after coronary artery bypass grafting in the Registro Paulista de Cirurgia Cardiovascular (REPLICCAR) II...
March 1, 2024: Brazilian Journal of Cardiovascular Surgery
https://read.qxmd.com/read/38425727/south-african-flag-sign-to-a-giant-coronary-artery-aneurysm
#29
Rakavi Rathinasamy, Nirmal Ghati, Neeraj Parakh, Sanjeev Kumar, Akshay Kumar Bisoi, Sudheer Arava, Rajiv Narang, Balram Bhargava
BACKGROUND: Coronary arteritis leading to aneurysm is one of the unusual presentations of IgG4-related disease. Acute myocardial infarction as a complication of IgG4-related giant coronary artery aneurysm is even rarer. CASE SUMMARY: We describe the case of a 56-year-old gentleman who presented to our institute with Canadian Cardiovascular Society (CCS) class III angina. His symptoms were persistent even with high-dose antianginal medications. He had an acute coronary syndrome two weeks back for which he was treated conservatively in a peripheral health centre...
February 2024: European Heart Journal. Case Reports
https://read.qxmd.com/read/38421413/cardiac-interventions-on-total-knee-arthroplasty-a-national-inpatient-sample-based-analysis
#30
JOURNAL ARTICLE
Enzo C Mesarick, Varatharaj Mounasamy, Senthil Sambandam
BACKGROUND: Comorbid cardiovascular diseases have been associated with poor outcomes in total knee arthroplasty (TKA); however, our understanding of TKA with prior cardiac treatment procedures has largely been undocumented. In this study, we examined TKA patients who had undergone different cardiac interventions that addressed their condition. The purpose was to characterize and compare outcomes for a growing patient population not yet analyzed. MATERIALS AND METHODS: The 2016-2019 Nationwide Inpatient Sample database was queried for 558,256 patients who had TKA (ICD-10CM)...
February 29, 2024: Archives of Orthopaedic and Trauma Surgery
https://read.qxmd.com/read/38420549/a-comprehensive-deep-venous-thrombosis-prophylaxis-regimen-in-isolated-coronary-artery-bypass-grafting
#31
JOURNAL ARTICLE
John Eisenga, Jennie Hocking, Austin Kluis, J Michael DiMaio, Emily Shih, Justin Schaffer, David O Moore, William Ryan, Kelley Hutcheson
OBJECTIVES: Deep venous thrombosis (DVT) is a known surgical complication that can lead to pulmonary embolism with subsequent morbidity and mortality. The incidence of DVT following coronary artery bypass grafting is unclear. Prophylaxis regimens vary and some guidelines advocate against use of routine chemoprophylaxis in patients at low-moderate risk for venous thromboembolism. We utilized postoperative lower extremity venous ultrasound to determine the incidence of DVT following coronary artery bypass grafting in patients with low- to moderate-risk of venous thromboembolism receiving aggressive postoperative DVT prophylaxis...
February 2024: JTCVS open
https://read.qxmd.com/read/38412445/equipment-entrapment-loss-during-chronic-total-occlusion-percutaneous-coronary-intervention
#32
JOURNAL ARTICLE
Michaella Alexandrou, Athanasios Rempakos, Deniz Mutlu, Ahmed Al Ogaili, James W Choi, Paul Poommipanit, Khaldoon Alaswad, Mir Babar Basir, Rhian Davies, Farouc A Jaffer, Raj H Chandwaney, Lorenzo Azzalini, Nazif Aygul, Phil Dattilo, Brian K Jefferson, Sevket Gorgulu, Jaikirshan J Khatri, Oleg Krestyaninov, Jarrod Frizzell, Basem Elbarouni, Bavana V Rangan, Olga Mastrodemos, M Nicholas Burke, Yader Sandoval, Emmanouil S Brilakis
BACKGROUND: There is limited data on equipment loss or entrapment during chronic total occlusion (CTO) percutaneous coronary intervention (PCI). METHODS: We analyzed the baseline clinical and angiographic characteristics and outcomes of equipment loss/entrapment at 43 US and non-US centers between 2017 and 2023. RESULTS: Equipment loss/entrapment was reported in 40 (0.4%) of 10 719 cases during the study period. These included guidewire entrapment/fracture (n = 21), microcatheter entrapment/fracture (n = 11), stent loss (n = 8) and balloon entrapment/fracture/rupture (n = 5)...
February 23, 2024: Journal of Invasive Cardiology
https://read.qxmd.com/read/38410552/risk-factors-and-prediction-model-for-thrombocytopenia-following-coronary-artery-bypass-graft-surgery-in-elderly-chinese-population
#33
JOURNAL ARTICLE
Honglei Zhao, Wei Zhang, Yongmin Liu, Wenxing Peng
BACKGROUND: Thrombocytopenia, a common complication of coronary artery bypass graft (CABG) surgery, is particularly prevalent among elderly individuals. This study developed a risk prediction model utilizing preoperative and intraoperative variables to identify high-risk elderly patients prone to developing thrombocytopenia. METHODS: The patients were retrospectively recruited from Beijing Anzhen Hospital between February 2019 and December 2020. Postoperative thrombocytopenia was defined as a postoperative platelet (PLT) count <100×109 /L as measured within 7 days after surgery...
January 30, 2024: Journal of Thoracic Disease
https://read.qxmd.com/read/38406031/feasibility-and-safety-of-concomitant-laparoscopic-cholecystectomy-with-open-heart-surgery-a-systematic-review-and-our-early-clinical-experience
#34
REVIEW
Shresth Manglik, Camelia Pal, Urmila Basu, Lalit Kapoor, Pradeep Narayan, Sanjay K Dubey
Significant valvular or coronary artery disease may co-exist in patients presenting with symptomatic cholelithiasis. Isolated laparoscopic cholecystectomy in these cases is often associated with cardiac complications. Addressing the cardiac condition first may result in flaring up of cholecystitis during postoperative recovery and is associated with adverse outcomes. Open-heart surgery followed by laparoscopic cholecystectomy during a single operative setting is an option in these situations. The aim of our study is to review the published articles for this strategy and to share our initial experience with two such patients...
January 2024: Curēus
https://read.qxmd.com/read/38404717/how-long-after-coronary-artery-bypass-surgery-can-patients-have-elective-safer-non-cardiac-surgery
#35
JOURNAL ARTICLE
Li-Chin Sung, Chuen-Chau Chang, Chun-Chieh Yeh, Yih-Giun Cherng, Ta-Liang Chen, Chien-Chang Liao
OBJECTIVE: To evaluate the complications and mortality after noncardiac surgeries in patients who underwent previous coronary artery bypass grafting (CABG). METHODS: We used insurance data and identified patients aged ≥20 years undergoing noncardiac surgeries between 2010 and 2017 in Taiwan. Based on propensity-score matching, we selected an adequate number of patients with a previous history of CABG (within preoperative 24 months) and those who did not have a CABG history, and both groups had balanced baseline characteristics...
2024: Journal of Multidisciplinary Healthcare
https://read.qxmd.com/read/38404627/reoperative-cabg-in-a-patient-with-prior-concomitant-lung-transplantation-and-two-vessel-cabg
#36
Emily L Larson, Anson Y Lee, Jennifer S Lawton, Hamza Aziz
BACKGROUND: Lung transplants (LTx) are being offered to increasingly older patients, and as a result, more concomitant coronary artery disease is being encountered in LTx candidates. While concurrent coronary artery bypass grafting (CABG) and LTx have become more common, the long-term considerations of reoperative CABG in patients following CABG with concomitant LTx are not fully understood. CASE PRESENTATION: A 75-year-old man with a history of bilateral LTx and concomitant CABG X 2 15 years prior presented to the emergency room with tachycardia and chest discomfort radiating to the left upper extremity...
September 30, 2023: Global Cardiology Science & Practice
https://read.qxmd.com/read/38400727/anesthetic-management-of-a-jehovah-s-witness-patient-for-coronary-artery-bypass-grafting-with-antiphospholipid-antibody-syndrome-and-renal-transplant
#37
JOURNAL ARTICLE
Katherine Greco, Dirk Varelmann, Jonah Patel
Anesthesia for cardiac surgical patients with antiphospholipid antibody syndrome (APLS) presents challenges with monitoring anticoagulation during cardiopulmonary bypass. Additionally, this condition is associated with other autoimmune diseases and comorbidities that need to be considered in caring for these patients, and there is minimal evidence for specific strategies during cardiac surgery. Separately, Jehovah's Witness (JW) patients typically do not consent to receiving blood products, presenting an additional challenge for resuscitation during cardiac surgery and especially in the context of APLS...
February 24, 2024: Seminars in Cardiothoracic and Vascular Anesthesia
https://read.qxmd.com/read/38398028/influence-of-obesity-on-short-term-surgical-outcomes-in-hfref-patients-undergoing-cabg-a-retrospective-multicenter-study
#38
JOURNAL ARTICLE
Christian Jörg Rustenbach, Stefan Reichert, Christoph Salewski, Julia Schano, Rafal Berger, Attila Nemeth, Monika Zdanyte, Helene Häberle, Túlio Caldonazo, Ibrahim Saqer, Shekhar Saha, Philipp Schnackenburg, Ilija Djordjevic, Ihor Krasivskyi, Lina María Serna-Higuita, Torsten Doenst, Christian Hagl, Thorsten Wahlers, Christian Schlensak, Rodrigo Sandoval Boburg
Background : This retrospective multicenter study investigates the impact of obesity on short-term surgical outcomes in patients with heart failure and reduced ejection fraction (HFrEF) undergoing coronary artery bypass grafting (CABG). Given the rising global prevalence of obesity and its known cardiovascular implications, understanding its specific effects in high-risk groups like HFrEF patients is crucial. Methods : The study analyzed data from 574 patients undergoing CABG across four German university hospitals from 2017 to 2023...
February 13, 2024: Biomedicines
https://read.qxmd.com/read/38390163/four-case-reports-of-left-anterior-descending-restenosis-treated-via-the-internal-mammary-artery-a-literature-review
#39
Zongke Kou, Rui Mao, Yirong Gan, Yunlong Zhang, Bing Li, Xiaoqing Kou, Jing Xie, Liying Zhang, Tianxiang Liang, Dingxiong Xie, Yanzhen Wang
OBJECTIVE: To analyse four cases of intervention via the internal mammary artery-anterior descending branch and provide and summarise the clinical treatment experience. METHODS: The clinical data of four patients with distal restenosis of a left anterior descending artery (LAD) anastomosis after left internal mammary artery (LIMA)-LAD bypass surgery, who were admitted to the Gansu Institute of Cardiovascular Diseases between March 2013 and April 2022, were retrospectively analysed and reviewed together with the relevant literature...
February 29, 2024: Heliyon
https://read.qxmd.com/read/38388892/signs-and-symptoms-of-covid-%C3%A2-19-in-patients-with-a-history-of-coronary-artery-bypass-grafting-surgery
#40
JOURNAL ARTICLE
Yasaman Rezvani Emamzadehashemi, Khashayar Rezvani Emamzadehashemi, Atefeh Ghanbari Khanghah, Ezzat Paryad, Marzieh Jahani Sayad Noveiri
BACKGROUND: People who have coronary artery disease are more likely to develop signs and symptoms of COVID-19 due to their special circumstances. Coronary artery bypass grafting surgery (CABG)does not cure the disease but reduces the signs and symptoms, therefore, there is a possibility of severe complications of Covid-19 after it. MATERIALS AND METHODS: This study is a descriptive and cross-sectional study conducted from June to July 2020 on 200 patients who underwent CABG from February 2018 to February 2020...
February 22, 2024: BMC Infectious Diseases
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