Posts Tagged ‘CABG’

Stents or Bypass Surgery for Left Main Coronary Artery Disease

Posted by • December 8th, 2016

EXCEL (Evaluation of XIENCE versus Coronary Artery Bypass Surgery for Effectiveness of Left Main Revascularization) was an international, open-label, multicenter randomized trial that compared everolimus-eluting stents with coronary-artery bypass grafting (CABG) in patients with left main coronary artery disease. A new Original Article explains how at 3 years, PCI was noninferior to CABG with respect… Read More…

Coronary-Artery Bypass Grafting

Posted by • May 20th, 2016

Appropriate selection of patients for coronary-artery bypass grafting (CABG) is critical to ensure good outcomes. The evaluation of patients for CABG relies on a systematic assessment of the characteristics and coronary anatomy known to be associated with a survival benefit from CABG as compared with medical therapy or percutaneous coronary intervention (PCI). There is increasing… Read More…

Surgery in Patients with Ischemic Cardiomyopathy

Posted by • April 22nd, 2016

The original Surgical Treatment for Ischemic Heart Failure (STICH) trial by Velazquez et al. was designed to test the hypothesis that coronary-artery bypass grafting (CABG) plus guideline-directed medical therapy for coronary artery disease, heart failure, and left ventricular dysfunction would improve survival over that with medical therapy alone. The authors now report the results of… Read More…

CABG or PCI in Patients with Coronary Disease?

Posted by • March 16th, 2015

The great singer Whitney Houston posed a question over 25 years ago that many still ponder today.  “Where,” she asked, “do broken hearts go?” Of course, her classic song asks us to imagine a destination for the pain wrought by the dissolution of love.  Physicians, however, have more concrete possibilities in mind when asking where to… Read More…

Cold Steel or Caged Balloon? The ASCERT Study Adds to the Revascularization Rivalry

Posted by • April 18th, 2012

Mac versus PC, Republicans versus Democrats, chocolate versus vanilla … life is full of rivalries, and the world of medicine is no exception. Take cardiology and cardiac surgery, for example. Who’s better at mending a particular group of blood-starved hearts? The answer depends on the group of hearts – and perhaps on the group you ask…. Read More…

Cognitive Outcomes after CABG

Posted by • January 19th, 2012

For patients undergoing coronary-artery bypass grafting (CABG), adverse neurologic outcomes, including stroke and cognitive decline, are major concerns. Even mild cognitive deficits before surgery may be a marker for cerebrovascular disease and increased risk.  This latest article in our Current Concepts review series comes from Dr. Ola Selnes and others at Johns Hopkins. Patients referred for… Read More…

CABG for Patients with Heart Failure

Posted by • April 29th, 2011

In a study by Velazquez et al., patients with coronary artery disease and left ventricular dysfunction were assigned to either medical therapy alone or medical therapy plus CABG. At 5 years, there was no significant difference between the two study groups in the rate of death from any cause. The role of coronary-artery bypass grafting (CABG)… Read More…