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Radial-Artery or Saphenous-Vein Grafts in Coronary-Artery Bypass Surgery

Radial-Artery or Saphenous-Vein Grafts in Coronary-Artery Bypass Surgery

We performed a patient-level combined analysis of randomized, controlled trials to compare radial-artery grafts and saphenous-vein grafts for coronary-artery bypass grafting (CABG).

Goal-Directed Therapy in Cardiac Surgery: A Systematic Review and Meta-Analysis

Goal-Directed Therapy in Cardiac Surgery: A Systematic Review and Meta-Analysis

There is evidence that perioperative goal-directed haemodynamic therapy (GDT) may reduce surgical mortality and morbidity in non-cardiac surgical patients, the data are less clear after cardiac surgery. The objective of this review is to perform a meta-analysis on the effects of perioperative GDT on mortality, morbidity, and length of hospital stay in cardiac surgical patients.

Transcatheter Aortic Valve Implantation (TAVI) by Centers with and without an On-Site Cardiac Surgery Program: Preliminary Experience from the German TAVI Registry

Transcatheter Aortic Valve Implantation (TAVI) by Centers with and without an On-Site Cardiac Surgery Program: Preliminary Experience from the German TAVI Registry

This study analysed patient characteristics, decision-making processes, and outcomes of TAVI performed in hospitals with versus those without on-site cardiac surgery (CS).

The Dutch Hospital Standardized Mortality Ratio (HSMR) Method and Cardiac Surgery: Benchmarking in a National Cohort Using Hospital Administration Data Versus a Clinical Database

The Dutch Hospital Standardized Mortality Ratio (HSMR) Method and Cardiac Surgery: Benchmarking in a National Cohort Using Hospital Administration Data Versus a Clinical Database

The objective of this study is to compare the accuracy of data from hospital administration databases and a national clinical cardiac surgery database and to compare the performance of the Dutch hospital standardised mortality ratio (HSMR) method and the logistic European System for Cardiac Operative Risk Evaluation, for the purpose of benchmarking of mortality across hospitals.

The Feasibility and Safety of Off-Pump Coronary Bypass Surgery in Emergency Revascularization

The Feasibility and Safety of Off-Pump Coronary Bypass Surgery in Emergency Revascularization

The efficacy and safety of off-pump coronary artery bypass grafting (OPCAB) in emergency revascularization remains controversial despite its widespread use. The aim of our study was to examine the applicability and safety of OPCAB in patients who were indicated for emergency surgery.

Comparison of Immediate Extubation Versus Ultrafast Tracking Strategy in the Management of Off-Pump Coronary Artery Bypass Surgery

Comparison of Immediate Extubation Versus Ultrafast Tracking Strategy in the Management of Off-Pump Coronary Artery Bypass Surgery

Ultrafast tracking of anesthesia (UFTA) is practiced routinely, whereas immediate on-table extubation after off-pump coronary artery bypass (OPCAB) grafting surgery has many concerns. The purpose of our study was to evaluate the safety and feasibility of immediate extubation (IE) versus UFTA.

Off-Pump Coronary Artery Bypass Grafting with Mini-Sternotomy in the Treatment of Triple-Vessel Coronary Artery Disease

Off-Pump Coronary Artery Bypass Grafting with Mini-Sternotomy in the Treatment of Triple-Vessel Coronary Artery Disease

We have developed off-pump coronary artery bypass approach with lower distal mini-sternotomy (TM-OPCAB) for multivessel coronary revascularization. The aim of this retrospective study is to provide evidence for the feasibility and safety of this technique in the treatment of triple-vessel diseases.

Five-Year Outcomes with PCI Guided by Fractional Flow Reserve

Five-Year Outcomes with PCI Guided by Fractional Flow Reserve

We hypothesized that fractional flow reserve (FFR)-guided percutaneous coronary intervention (PCI) would be superior to medical therapy as initial treatment in patients with stable coronary artery disease.

Hybrid Extracorporeal Membrane Oxygenation

Hybrid Extracorporeal Membrane Oxygenation

Veno-venous (VV) and veno-arterial (VA) extracorporeal membrane oxygenation (ECMO) therapy is widely used in critically ill patients with refractory cardiogenic shock and cardiac arrest or suffering from severe respiratory failure. Besides traditional ECMO cannulation, changes in patients’ conditions or the occurrence of specific complications (i.e., cerebral hypoxia or left ventricular dilation) may require modifications in cannulation strategies or the combination of ECMO with additional invasive or minimally invasive procedures, to improve organ function and ECMO efficiency.

Early LVAD Implantation in a Patient with Left Ventricular Failure after Aortic Dissection with Left Main Stem Involvement

Early LVAD Implantation in a Patient with Left Ventricular Failure after Aortic Dissection with Left Main Stem Involvement

Coronary involvement in aortic dissection heralds a poor outcome. Involvement of the left main stem may lead to left ventricular (LV) failure requiring mechanical circulatory support.

VV Extracorporeal Life Support for the Third Millennium: Will We Need Anticoagulation?

VV Extracorporeal Life Support for the Third Millennium: Will We Need Anticoagulation?

This review focuses on present day techniques for anticoagulation for ECLS and what future surface modifications may do to obviate the use of systemic anticoagulation entirely.

Implementation of a Mechanical CPR Device in a Physician Staffed HEMS – A Prospective Observational Study

Implementation of a Mechanical CPR Device in a Physician Staffed HEMS – A Prospective Observational Study

In this prospective, observational study we describe the incidence and characteristics of out of hospital cardiac arrest (OHCA) cases who received mechanical CPR, after the implementation of a mechanical CPR device.

Successful Pulmonary Embolectomy for Massive Pulmonary Embolism During Pregnancy: A Case Report

Successful Pulmonary Embolectomy for Massive Pulmonary Embolism During Pregnancy: A Case Report

We report here the case of a patient with massive pulmonary embolism (PE) at 28 weeks’ gestation, who underwent emergency pulmonary embolectomy via cardiopulmonary bypass.

Perioperative Changes in Platelet Count and Function in Patients Undergoing Cardiac Surgery

Perioperative Changes in Platelet Count and Function in Patients Undergoing Cardiac Surgery

In the present study, we aimed at investigating the changes in platelet count and function during and after surgery as well as determining the association of the platelet dysfunction with bleeding and transfusion requirements in these patients.

Perspectives on the 2014 ESC/EACTS Guidelines on Myocardial Revascularization : Fifty Years of Revascularization: Where Are We and Where Are We Heading?

Perspectives on the 2014 ESC/EACTS Guidelines on Myocardial Revascularization : Fifty Years of Revascularization: Where Are We and Where Are We Heading?

The joint European Society of Cardiology and European Association of Cardio-Thoracic Surgery (ESC/EACTS) guidelines on myocardial revascularization collect and summarize the evidence regarding decision-making, diagnostics, and therapeutics in various clinical scenarios of coronary artery disease, including elective, urgent, and emergency settings.

STS/SCA/AmSECT Clinical Practice Guidelines: Anticoagulation during Cardiopulmonary Bypass

STS/SCA/AmSECT Clinical Practice Guidelines: Anticoagulation during Cardiopulmonary Bypass

There is enormous practice variability relating to the use and dosing of heparin, monitoring heparin anticoagulation, reversal of anticoagulation, and the use of alternative anticoagulants.

Changing the Discussion about On-Pump Versus Off-Pump CABG

Changing the Discussion about On-Pump Versus Off-Pump CABG

The performance of coronary-artery bypass grafting (CABG) without the use of the heart–lung machine (pump) was introduced to avoid the damaging effects of cardiopulmonary bypass.

Coronary Artery Bypass Surgery in End-Stage Renal Disease Patients

Coronary Artery Bypass Surgery in End-Stage Renal Disease Patients

This review discusses the epidemiology, vascular pathology and current treatment options in patients with end-stage renal disease requiring coronary revascularization.

Mechanical or Biologic Prostheses for Aortic-Valve and Mitral-Valve Replacement

Mechanical or Biologic Prostheses for Aortic-Valve and Mitral-Valve Replacement

We compared long-term mortality and rates of reoperation, stroke, and bleeding between inverse-probability-weighted cohorts of patients who underwent primary aortic-valve replacement or mitral-valve replacement with a mechanical or biologic prosthesis in California in the period from 1996 through 2013.

Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery

Restrictive or Liberal Red-Cell Transfusion for Cardiac Surgery

The effect of a restrictive versus liberal red-cell transfusion strategy on clinical outcomes in patients undergoing cardiac surgery remains unclear.

CABG at 50 (or 107?) — The Complex Course of Therapeutic Innovation

CABG at 50 (or 107?) — The Complex Course of Therapeutic Innovation

The history of coronary-artery bypass grafting (CABG) demonstrates the subtleties of medical innovation well. Fifty years ago, on May 9, 1967, Cleveland Clinic surgeon René Favaloro performed his first CABG procedure.

Redefining Hypertension — Assessing the New Blood-Pressure Guidelines

Redefining Hypertension — Assessing the New Blood-Pressure Guidelines

The new Guideline for the Prevention, Detection, Evaluation, and Management of High Blood Pressure in Adults issued by the American College of Cardiology (ACC) and the American Heart Association (AHA) tries to accomplish this task by extending the Seventh Report of the Joint National Committee (JNC7) and the Expert Panel Report to include updated data from clinical trials and by accentuating previously underemphasized sections of the 2003 and 2013 reports.

Pump Image Clamp Blood Tall

Clinical Practice Guidelines– Anticoagulation During Cardiopulmonary Bypass

It is hoped that this guideline will serve as a resource and will stimulate investigators to conduct more research and expand upon the evidence base on the topic of anticoagulation for CPB.

Methylene Blue for Postcardiopulmonary Bypass Vasoplegic Syndrome: A Cohort Study

Methylene Blue for Postcardiopulmonary Bypass Vasoplegic Syndrome: A Cohort Study

We sought to determine whether Methylene blue (MB) improved blood pressure in postcardiopulmonary bypass (CPB) vasoplegic syndrome (VS) in a complex cardiac surgery population. Furthermore, to determine variables that predicted response to MB.