Strategies for Multivessel Revascularization in Patients with Diabetes
For patients with diabetes and advanced coronary artery disease, CABG was superior to PCI in that it significantly reduced rates of death and myocardial infarction, with a higher rate of stroke.
Current Concepts on Coronary Revascularization in Diabetic Patients
Coronary artery bypass surgery outcomes may also further improve by wide implementation of arterial revascularization, reduction in perioperative stroke by avoiding clamping of the aorta, reduction in wound infection by minimally invasive techniques, and optimization of post-operative medical management.
Cardiac Surgery Versus Stenting: What is Better for the Patient?
For three-vessel disease, CABG is superior to PCI, with lower rates of major adverse cardiac events. PCI may be equivalent to CABG for three-vessel disease in the lowest disease complexity tercile (SYNTAX score <22; ∼20% of patients). This review focuses on the most recent evidence for myocardial revascularization in patients with multi-vessel and left main coronary artery disease.
Outcomes of Coronary Revascularization (Percutaneous or Bypass) in Patients with Diabetes Mellitus and Multivessel Coronary Disease
In conclusion, in this single-center nonrandomized observational study, coronary revascularization by PCI is associated with increased major adverse coronary and cerebral events at 1-year follow-up, predominantly driven by a high rate of target vessel revascularization. Thus, CABG should remain the revascularization procedure of choice for diabetic patients with MVD and high SSs.
A Roadmap for Bridging the Quality Chasm in Cardiac Surgery (EP Video)
Dr. Richard Prager presents a roadmap for bridging the disparity in quality outcomes (56:25 minutes).
Failure Mode Effects Analysis (EP Video)
Jim Reagor discusses failure mode effects analysis to enhance perfusion safety (20:13 minutes).
Systemic Inflammatory Response Syndrome after Extracorporeal Circulation: A Predictive Algorithm for the Patient at Risk
The results suggest a new theory regarding the development of perioperative SIRS.
Silent Brain Injury after Cardiac Surgery: A Review: Cognitive Dysfunction and Magnetic Resonance Imaging Diffusion-Weighted Imaging Findings
The appearance of cognitive dysfunction after cardiac surgery in the absence of focal neurologic signs, a poorly understood but potentially devastating complication, almost certainly results from procedure-related brain injury.
Right Ventricular Dysfunction Following Continuous Flow Left Ventricular Assist Device Placement in 51 Patients: Predicators and Outcomes
The adjustment of septal deviation through gradual increase of the LVAD flow can prevent the acute RV dysfunction following LVAD placement.
Non-Invasive Estimation of Jugular Venous Oxygen Saturation: A Comparison Between Near Infrared Spectroscopy and Transcutaneous Venous Oximetry
Placement of cerebral oximetry patches directly over the internal jugular vein (as opposed to on the forehead) appeared to approximate internal jugular venous saturation better...