A co-author of the large trial comparing endoscopic versus open harvesting techniques explains the study’s context and its implications for practice.
What the Arterial Revascularization Trial Says About Surgeon Experience and CABG Success
Limited surgeon experience with bilateral ITA grafting was associated with poorer outcomes with the procedure. An expert explains why this argues for designating CABG a cardiac surgery subspecialty.
Vessels of Truth: Quest Continues for Definitive Data on Merits of Multiarterial CABG
The new RADIAL analysis boosts support for the radial artery over the saphenous vein as a second conduit, but resistance to multiarterial grafting lingers. Two newer trials may help shift practice.
Tricuspid Valve Reconstruction for Infective Endocarditis: Operative Highlights (Video)
Acute infective tricuspid valve endocarditis in an IV drug user allows for few management options. This intraoperative video profiles one option that yielded success in a 29-year-old patient.
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Should Dual Antiplatelet Therapy Be Given After Saphenous Vein Bypass Grafting?
The DACAB trial made headlines at AHA 2017, but it’s not likely to impact practice very much. Cardiac surgeon Faisal Bakaeen, MD, explains why.
‘Big Rescue’ Case Study: Unexpected Course of a Hemodynamically Unstable Knee Surgery Patient
In the context of pericardial tamponade or uncontrolled mediastinal bleeding, always suspect aortic pathology.
Graft Patency Doesn’t Explain Poorer Long-Term Survival in CABG Patients with Diabetes
Beyond showing that graft patency is unaffected by diabetes, a huge new observational study reinforces the choice of ITA grafts over vein grafts whenever possible.
Celebrate a Half-Century of CABG with a Blockbuster CME on CAD’s Past, Present and Future
More than 30 expert faculty gather in Cleveland Nov. 3 to explore the state of the art in CABG and PCI via “How I Do It Videos,” pro/con debates and more.
First CABG Guidelines on Arterial Conduits: What They Add to Practice Recommendations
The first guidelines specific to graft choice in CABG come 30 years after the seminal paper that established the internal thoracic artery as the gold standard. Here’s an overview of key new recommendations.