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Author(s): Edward McNulty Added: 3 years ago
The debate over the optimal mode of revascularisation for unprotected left main (ULM) coronary artery disease intensified with the advent of drug-eluting stents (DES). Professional society guidelines addressing ULM disease have been revised at an increasing frequency,1,2 the significance of randomised comparisons has been variously interpreted, and observational comparisons have become a… View more

Vascular Disease and Surgery

Intervention
A19 - Perioperative Mechanical Circulatory Support for Improved Outcomes in High-risk Coronary Artery Bypass Grafting
Author(s): Nathan J Smith , Adhitya Ramamurthi , Mohammed Kamalia , et al Added: 4 years ago

Intervention
Author(s): Konstantinidis Nikolaos , Sianos Georgios Added: 3 years ago
Saphenous vein grafts (SVGs), despite their inherent inferiority to arterial conduits, still remain the type of grafts most commonly used during coronary artery bypass grafting (CABG).1 The natural and post-interventional biological behaviour of SVGs differ from that of native coronary vessels, increasing the risk of restenosis.2 SVG disease after CABG is a strong predictor of mortality.3 In a… View more

Vascular Disease and Surgery

Imaging & Diagnostics
MIDCAB, TECAB and Hybrid Coronary Revascularisation Surgery
Author(s): Karel M Van Praet , Markus Kofler , Timo Z Nazari Shafti , et al Added: 2 years ago

Intervention
Author(s): Stuart J Head , Ad JJC Bogers , A Pieter Kappetein Added: 3 years ago
Abstract In many patients, comparable results can be achieved either with coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). The comparison of PCI versus CABG is frequently reported in randomised trials, national registries, multicentre collaborations and single-centre experiences. However, the patients included in these analyses are either highly selected … View more

Vascular Disease and Surgery

MI/ACS
Risks of Stroke After Coronary Artery Bypass Graft - Recent Insights and Perspectives
Author(s): Tullio Palmerini , Carlo Savini , Marco Di Eusanio Added: 3 years ago
Neurological dysfunction following coronary artery bypass graft (CABG) surgery can manifest as stroke, encephalopathy including delirium and post-operative cognitive dysfunction. Stroke is one of the most devastating complications after CABG surgery, entailing permanent disability and a 3–6 fold increased risk of death with a case-fatality rate up to 20 %.1,2 It is also associated with… View more

Vascular Disease and Surgery

Prevention & Chronic Conditions
Left Main Coronary Artery Interventions
Author(s): Mirvat Alasnag , Lina Yaqoub , Ammar Saati , et al Added: 3 years ago
Historical Perspective and Early Experience Historically, coronary artery bypass grafting (CABG) surgery has been the gold standard treatment for left main coronary artery (LMCA) disease. However, with the developments and advancements in the interventional cardiology field, percutaneous coronary intervention (PCI) has become a safe alternative management option to CABG in select patients. Today… View more

Vascular Disease and Surgery

Intervention
Use of Intravascular Ultrasound Imaging in Percutaneous Coronary Intervention to Treat Left Main Coronary Artery Disease
Author(s): Giovanni Luigi De Maria , Adrian P Banning Added: 3 years ago
Detection of obstructive disease of the left main coronary artery (LMCA) is relatively unusual in the catheterisation laboratory, as it accounts for approximately 4 % of all coronary angiograms, with isolated LMCA disease observed in only 5–10 % of these cases.1 Intervention to the LMCA is, however, notable compared to the treatment of coronary stenosis elsewhere in the coronary tree. First,… View more

Vascular Disease and Surgery

Imaging & Diagnostics