Cognitive Function After Transapical Aortic Valve Implantation: A Single-Centre Study with 3-Month Follow-Up
Cognitive function was only mildly impaired after TA-TAVI when compared with a marked, albeit transient, decline after surgical AVR. Focal embolic brain injury tended to occur more frequently after TA-TAVI, but this was not related to cognitive decline during 3-month follow-up.
Surgical Site Infections Following Transcatheter Apical Aortic Valve Implantation: Incidence and Management
While TA-TAVI is a minimally invasive technique, SSIs, which are associated with obesity, remain a concern. Debridement and rib resection followed by wound coverage with the greater omentum and/or the pectoralis major muscle were used successfully in these patients.
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.
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.
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.
Failure Mode Effects Analysis (EP Video)
Jim Reagor discusses failure mode effects analysis to enhance perfusion safety (20:13 minutes).
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).
Are Right Ventricular Risk Scores Useful?
The use of risk scores failed to predict the need of RV support after LVAD.
Low-Flow Antegrade Cerebral Perfusion Attenuates Early Renal and Intestinal Injury During Neonatal Aortic Arch Reconstruction
These results substantiate earlier suggestions that ACP provides more abdominal organ protection than DHCA in neonates undergoing aortic arch reconstruction.