OBJECTIVE To assess whether revascularisation that is considered to be clinically appropriate is also cost effective. DESIGN Prospective observational study comparing cost effectiveness of coronary artery bypass grafting, percutaneous coronary intervention, or medical management within groups of patients rated as appropriate for revascularisation. SETTING Three tertiary care centres in Lond...

While the standard revascularization for left main lesions traditionally has been surgical coronary artery bypass grafting, increasingly studies suggest that percutaneous coronary intervention (PCI) with drug-eluting stents (DES) may be an acceptable alternative to surgery for selected patients. In total, the current evidence suggests that rates of death, myocardial infarction, and stroke may b...

Abstract Retrosternal chest pain is the classical symptom of acute coronary syndrome (ACS). ACS sometimes presents with atypical symptoms and very rarely as headache only symptom. We present here a case where patient who had undergone artery bypass grafting presented on evaluation found to have complete occlusion right artery.

To the Editor: In their article on coronary-artery bypass grafting (CABG), Alexander and Smith (May 19 issue)1 state that “the usefulness of FFR [fractional flow reserve] in selecting patients with multivessel coronary artery disease for CABG or in identifying bypass graft targets in patients undergoing CABG has not been studied.” However, a prospective study by Botman et al.2 showed a relation...

This is one of two coronary revascularisation techniques currently used in the treatment of coronary artery disease, the other being percutaneous coronary intervention (PCI). The patient will already have had a clinical diagnosis of coronary heart disease (CHD), confirmed by coronary angiography to delineate the obstruction. If PCI is feasible, it may be performed at the time of coronary angiog...

Prosthetic grafts are required for coronary artery bypass grafting (CABG) when the availability of suitable autologous conduits is limited. The ideal cardiovascular bypass graft requires a broad range of characteristics including strength, viscoelasticity, biocompatibility, blood compatibility and biostability. Many alternative conduits have been developed and used in the past, but most of them...

Background and Objective: Coronary artery bypass grafting (CABG) is the most commonly performed cardiac surgery globally in United States, however, women have worse outcomes than men. We aim to examine possible drivers of this sex difference CABG outcomes.

OBJECTIVE To compare the severity of carotid artery disease in diabetic and non-diabetic patients undergoing coronary artery bypass grafting. METHODS From January to June 2008, 379 patients undergoing elective coronary artery bypass surgery were preoperatively evaluated for the presence of carotid stenoses by duplex scanning. Patients were divided into two groups, Group I, 156 (41.2%) diabeti...

OBJECTIVE There are several reports of the use of adenosine as a cardioprotective agent during cardiac surgery. Adenosine treatment might affect neutrophils and inflammatory mediators. The present prospective randomized study was designed to investigate the effect of adenosine pretreatment on myocardial recovery and inflammatory response in patients undergoing elective coronary artery bypass su...