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Minimally invasive coronary artery bypass grafting using the skeletonized right gastroepiploic artery.
JTCVS Tech
December 2024
Department of Cardiovascular Surgery, Tokyo Bay Urayasu Ichikawa Medical Center, Urayasu, Chiba, Japan.
Article Synopsis
- The study evaluated the clinical outcomes of using the right gastroepiploic artery in minimally invasive coronary artery bypass grafting procedures.
- A total of 428 patients were analyzed, with the right gastroepiploic artery used in 18.2% of cases, leading to a high rate of successful revascularization (93.6% total, 98.7% complete).
- Postoperative results revealed no in-hospital deaths, a low incidence of new atrial fibrillation (9%), and a manageable median ICU stay of 2 days, indicating favorable outcomes with this surgical approach.
Impact of preoperative computed tomography scan on neurological outcomes in coronary artery bypass grafting patients: A propensity-score analysis.
Asian Cardiovasc Thorac Ann
November 2024
Cardiac Surgery Unit, Lancisi Cardiovascular Center, Polytechnic University of Marche, Ancona, Italy.
Introduction: Neurological complications pose significant risks in coronary artery bypass grafting (CABG). This study explores the potential benefits of preoperative chest computed tomography (CT) in optimizing outcomes and reducing neurological events in high-risk CABG patients.
Methods: From January 2017 to June 2023, a retrospective cohort study of CABG patients categorized groups based on preoperative chest CT use.
Accuracy of screw placement during vertebral body tethering using fluoroscopic guidance and anatomic landmarks.
Spine Deform
January 2025
Orthopaedics Department, Nemours Children's Health, Orlando, FL, USA.
Purpose: To determine the accuracy of screw placement using fluoroscopy and anatomic landmarks during vertebral body tethering (VBT) surgery.
Methods: Ten patients with 73 VBT screws were converted to posterior spinal fusion (PSF) after continued curve progression. The positions of each VBT screw were analyzed using intraoperative computed tomography (CT) scans performed for image guidance during VBT.
Aortic annular enlargement with Y-incision/rectangular patch.
Ann Cardiothorac Surg
May 2024
Department of Cardiac Surgery, University of Michigan, Ann Arbor, MI, USA.
The Y-incision/rectangular patch aortic annular enlargement (Y-incision AAE) is our go-to technique for aortic annular/root enlargement at the University of Michigan for its simplicity and effectiveness. A complete aortotomy is used for first-time surgical aortic valve replacements (SAVRs), and a partial aortotomy is frequently used in reoperative SAVR. The Y-incision is made through the left-non commissure, underneath the aortic annulus to the left and right fibrous trigones.
View Article and Find Full Text PDFAssessing the benefits of anaortic off-pump coronary artery bypass grafting.
Front Cardiovasc Med
May 2024
Cardiovascular and Thoracic Surgery Unit, Department of Surgery, Lampang Hospital, Lampang, Thailand.
Introduction: The procedure called the "aorta no-touch" (NT) or anaortic technique in off-pump coronary artery bypass grafting (OPCAB) is designed to reduce the perioperative risk of stroke. We have observed an increased frequency of anaortic OPCAB procedures at our institution. The main purpose of the present study is to investigate the effectiveness of anaortic OPCAB in reducing the perioperative risk of stroke.
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