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Procedure: Coronary Artery Bypass Graft
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Total 157 results found since Jan 2013.
Cardiac Outcomes
Alice Park reviews David Jones' counter intuitive new book on the history of cardiac surgery and coronary angioplasty in most recent issue of Harvard magazine. Jones, also a physician, is a professor of medical history at Harvard. His latest book explores the rise of interventional cardiology and cardiac surgery since the 60's and how much of the rationale for such a procedure-dominated treatment strategy is undergirded by some surprisingly shoddy data.
The first randomized clinical trial of bypass surgery’s efficacy, using data from a collaboration of Veterans Administration hospitals, was ...
Source: Buckeye Surgeon - March 13, 2013 Category: Surgeons Authors: Jeffrey Parks MD Source Type: blogs
Two Trials Explore On-Pump Versus Off-Pump Bypass Surgery
Two large trials presented at the American College of Cardiology meeting in San Francisco and published simultaneously in the New England Journal of Medicine provide important new information about the ongoing debate over whether CABG should be performed with or without cardiopulmonary bypass. The combined results suggest that both techniques can be effective, and that surgeons should choose the technique with which they are most familiar and comfortable. Previous 30-days results from CORONARY (CABG Off or On Pump Revascularization Study), which randomized 4,752 patients to on-pump or off-pump CABG, showed no significant ...
Source: CardioBrief - March 11, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery CABG cardiac surgery Coronary artery bypass surgery off-pump on-pump revascularization Source Type: blogs
How to predict success in CTO : The Japanese CTO score sheet !
Japanese are the pioneers in CTO reopening .(I understand they do less CABG surgeries for religious reasons ) CTO is the ultimate test for cardiologist patience . it may take hours to open up a CTO (or even to abandon it .) Here is a success prediction tool from Japan .
Source courtesy : JACC: Cardiovascular Interventions Volume 4, Issue 2, February 2011
Reference
http://www.sciencedirect.com/science/article/pii/S193687981000912X
Source: Dr.S.Venkatesan MD - February 28, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology -Interventional -PCI Cardiology-Coronary artery disese cath lab tips and tricks cto chronic total occlusion PCI PTCA Hardware Source Type: blogs
Are Most People With Complex Coronary Disease Getting The Best Treatment?
The relative value of PCI (stents) and bypass surgery for the treatment of people with blocked coronary arteries has been a topic of intense interest and debate for more than a generation now. Over time, the less invasive and more patient-friendly (and less scary) PCI has become the more popular procedure, but the surgeons (who perform bypass surgery) and cardiologists (who perform the less invasive PCI) have argued furiously about which procedure is safest and will deliver the most benefit in specific patient populations. In general, the most complex cases require the more thorough revascularization More…
Source: CardioBrief - February 22, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Coronary artery bypass surgery Heart disease Lancet multivessel disease PCI stents Source Type: blogs
“Inferior MI” by ECG . . . “Anterior MI” by echocardiography . How common is that ?
Surprises are hall-marks of medical science . The cardiologists do get it , in enough doses from echo labs on a regular basis ! . One such thing is the total ECG-ECHO myocardial territorial mismatch following a STEMI . Human myocardial segments are divided by cardiologists by 17 segments by echocardiogram . Long before echo came into vogue , electro-cardiologists divided the heart electrically into three zones to localise MI . (Anterior , inferior and the poorly defined entity lateral walls* ) .Inferior and posterior segments are almost used interchangeably. So , when we h...
Source: Dr.S.Venkatesan MD - January 14, 2013 Category: Cardiology Authors: drsvenkatesan Tags: Cardiology - Electrophysiology -Pacemaker cardiology -ECG Cardiology -unresolved questions cardiology-Anatomy Cardiology-Coronary artery disese Clinical cardiology echocardiography discrepancies in wall motion defects ecg echo correlation Source Type: blogs
CABG Highly Cost Effective In Diabetics With Multivessel Disease
In November the main results of the FREEDOM trial showed that diabetics with multivessel disease do better with CABG than PCI. Now the findings of the trial’s cost-effectiveness study, published online in Circulation, demonstrate that CABG is also highly cost-effective when compared with PCI. Elizabeth Magnuson and colleagues found that although CABG initially cost nearly $9,000 more than PCI ($34,467 versus $25,845), over the long term it was more cost effective. At five years, greater follow-up costs in the PCI group, in large part due to a greater number of repeat revascularization procedures, reduced the di...
Source: CardioBrief - January 2, 2013 Category: Cardiology Authors: Larry Husten Tags: Interventional Cardiology & Surgery Prevention, Epidemiology & Outcomes CABG Cardiovascular disease Coronary artery bypass surgery cost effectiveness diabetes Diabetes mellitus Drug-eluting stent multivessel disease PCI Percutaneous Source Type: blogs
