Noncardioplegic myocardial preservation for coronary revascularization

Coronary revascularization for myocardial ischemia.

Myocardial revascularization at extremes – surgical revascularization in acute coronary syndrome

Methods At our Institute, 122 patients with ACS were surgically revascularized using extracorporeal circulation in the first 10 days after the coronarography by one surgical team in the 5 years period. Patients were stratified into two groups: 65 patients operated within 4 days (group 1), and 57 patients operated from 5-Th to 10-Th day after the clopidogrel discontinuation (group 2). Patients w...

Protecting the Myocardial Cell During Coronary Revascularization

Background—Using the ischemic myocardial cell as a paradigm, competitive coronary revascularization technologies will be analyzed for their potential in causing additional myocardial cell damage during the course of therapeutic procedures. Methods and Results—Percutaneous coronary intervention (PCI) using balloon and/or stent (bare metal or coated) approaches may be associated with myonecrosis ...

Redefining myocardial infarction following coronary revascularization: time for clarity?

Myocardial infarction (MI) after coronary revascularization is very common and, at this time, we still do not have a clear definition. The universal definition for MI was published in 2007 and was revised in 2012. However, it has a lot of shortcomings and has not been correlated with clinical outcomes or prognostic significance. This definition used a postprocedural biomarker for defining percu...

Anesthesia for Myocardial Revascularization

Providing anesthesia care for patients undergoing coronary artery bypass grafting (CABG) continues to be a challenging yet rewarding endeavor. Surgical, anesthetic, and technologic advances continue to drive changes in clinical routines at a rapid pace, even at a time when the numbers of cases have declined because of the growth of percutaneous coronary interventions (PCIs). Cardiac anesthesiol...