INTRODUCTION AND OBJECTIVES Prognosis and in-hospital management of patients with acute coronary syndrome (ACS) and a history of coronary artery bypass graft (CABG) surgery are still debated. The objective of this study was to characterize ACS patients with a CABG and to compare their in-hospital and postdischarge outcomes with those of patients without a CABG. METHODS This ongoing prospectiv...

The author describes and evaluates two methods developed and used over a ten-year period at London's King's College Hospital Medical School to teach clinical ethics to medical students. One method included an eight-part course as part of the regular "Topic Teaching" lecture series; the other approach enlarged the scope of small discussion groups conducted by general practice physicians on the ...

OBJECTIVES Sternal wound complications following median sternotomy remain a challenge in cardiac surgery. Changes in both patient profile and type of operations have been observed in recent years. Therefore, we analysed current wound healing complications after median sternotomy at our centre. METHODS All adult patients undergoing a median sternotomy between January 2009 and April 2011 were i...

OBJECTIVE The aim of this study was to evaluate the potential of contrast media (CM) reduction in computed tomography angiography (CTA) of coronary artery bypass grafts (CABGs) when adapting CM volume to automatically selected tube voltages. MATERIAL AND METHODS Sixty consecutive patients (mean age, 71 ± 14.5 years) with a total of 176 CABGs (692 bypass segments) underwent contrast-enhanced p...

Abstract Background A large number of studies have shown that BIMA grafting is superior to single internal mammary artery in cardiac function protection and long-term survival after surgery. While, there still no consensus on how the best configuration use BIMA. This study aims compare intraoperative blood flow, early clinical results postoperative patency different configurations Methods There...

We analyse variations in cost or length of stay (LoS) for 66,587 patients from 10 European countries receiving a coronary artery bypass graft (CABG) procedure. In five of these countries, variations in cost are analysed using log-linear models. In the other five countries, negative binomial regression models are used to explore variations in LoS. We compare how well each country's diagnosis-rel...

PURPOSE Our objective is to clarify the technical points in using the symmetry aortic connector system (ACS) compared with hand-sewing from clinical and angiographic results of the patients who underwent off-pump coronary artery bypass grafting (CABG). METHODS Among 84 patients who underwent CABG from January 2002 to August 2003, 36 off-pump CABGs were performed using at least one saphenous v...

Percutaneous transluminal angioplasty (PTA) and stenting is commonly used to treat subclavian artery stenosis (SAS). In this study, the outcomes of 43 consecutive cases, performed at one institution from October 1997 to October 2005, were analyzed. Mean stenosis was 84.41% pre-intervention and 6.83% post-intervention. Five of the procedures were angioplasty alone; 38 were angioplasty with stent...

BACKGROUND Conventional Cardiopulmonary Bypass (cCPB) is a trigger of systemic inflammatory reactions, hemodilution, coagulopathy, and organ failure. Miniaturised Cardiopulmonary Bypass (mCPB) has the potential to reduce these deleterious effects. Here, we describe our standardised 'Hammersmith' mCPB technique, used in all types of adult cardiac operations including major aortic surgery. METH...