A meta-analysis of minimally invasive coronary artery bypass versus percutaneous coronary intervention with stenting for isolated left anterior descending artery disease is indispensable

Takagi, Hisato; Tanabashi, Toshiyuki; Kawai, Norikazu; Umemoto, Takuya

doi:10.1016/j.jtcvs.2007.03.047

Cited by 11 publications

(7 citation statements)

References 5 publications

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“…75 Up to 30% of candidates for CABG have been shown to have cognitive impairment before surgery. 75 A few studies have reported a lower incidence of short-term cognitive decline after off-pump CABG than on-pump CABG, 883 but most studies have shown no difference in cognitive outcomes between them. 884 Studies with appropriate comparison groups have demonstrated that most patients do not suffer cognitive decline after CABG.…”

Section: Postoperative Cognitive Impairmentmentioning

confidence: 99%

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

et al. 2011

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Section: Postoperative Cognitive Impairmentmentioning

confidence: 99%

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

et al. 2011

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“…[32] A more recent report, however, suggested that mitral valve repair was not found to be necessary in conjunction with SVR. [33] Comprehensive serial (4- and 24-month follow-up) echo data in STICH patients will be able to correlate changes in structural and functional parameters with the extent of change in the severity of MR as well as be able to evaluate the mechanism and effects of volume reduction SVR surgery as well as of CABG on MR.…”

Section: Discussionmentioning

confidence: 99%

Core Lab Analysis of Baseline Echocardiographic Studies in the STICH Trial and Recommendation for Use of Echocardiography in Future Clinical Trials

Pellikka

Panza

et al. 2012

Journal of the American Society of Echocardiography

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Background The Surgical Treatment for Ischemic Heart Failure (STICH) randomized trial was designed to identify an optimal management strategy for patients with ischemic cardiomyopathy. Baseline echocardiographic (Echo) examination was required for all patients. Aims The primary aim of this report is to describe the baseline STICH Echo Core Lab data. The secondary aim is to provide recommendations regarding how Echo should be used in clinical practice and research based on the experience gained from Echo in STICH. Method Between September 2002 and January 2006, 2,136 patients with an ejection fraction (EF) ≤ 35% and coronary artery disease amenable to coronary artery bypass grafting were enrolled. Echo was acquired by 122 clinical enrolling sites and measurements were performed by the Echo Core Lab after a certification process for all clinical sites. Results Echo was available for analysis in 2,006 (93.9%) patients; 1734 (86.4%) were men and mean (SD) age was 60.9 (9.5) years. Mean left ventricular (LV) end-systolic volume index measureable in 72.8% was 84.0 (30.9) mL/m2, and EF was 28.9 (8.3) % with 18.5% of patients having EF >35%. Single plane measurement of LV and left atrial volume was similar to their volume by biplane measurement (r= 0.97 and 0.92, respectively). Mitral regurgitation severity by visual assessment was associated with a wide range of effective regurgitant orifice area (ERO), while ERO ≥ 0.2 cm2 indicated at least moderate mitral regurgitation by visual assessment. . Deceleration time (DT) of mitral inflow velocity had a weak correlation with EF (r=0.25), but was inversely related to estimated pulmonary artery systolic pressure (r = −0.49). Conclusion In STICH patients with ischemic cardiomyopathy, Core Lab analysis of baseline Echo demonstrated a wide spectrum of LV shape, function, and hemodynamics as well as feasibility and limitations of obtaining essential Echo measurements. It is critical that utilization of Echo parameters in clinical practice and research needs to balance the strengths and weaknesses of the technique.

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“…Although early studies reported a reduction in adverse neurologic outcomes with off-pump surgery, this was most likely related to biases in patient selection. Subsequent randomized trials that compared patients with conventional on-pump surgery with those having off-pump surgery, were unable to demonstrate lower rates of short- or long-term cognitive decline in the patients having off-pump surgery (van Dijk et al, 2007; Takagi, Tanabashi, Kawai, & Umemoto, 2007).…”

Section: Methodological Issuesmentioning

confidence: 99%

Neuropsychological outcomes after coronary artery bypass grafting

Selnes

Gottesman

2009

J Int Neuropsychol Soc

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Short- and long-term cognitive declines after cardiac surgery with cardiopulmonary bypass have been reported, but the frequency, severity, nature, and etiology of postoperative cognitive changes have been difficult to quantify. Current studies have corrected the principal methodological shortcoming of earlier studies by including control groups, and have shown that while early postoperative cognitive decline does occur in some patients, it is generally mild and reversible by 3 months after surgery. Late cognitive changes do occur, but comparison with patients undergoing off-pump surgery or those being treated medically suggests that these changes are not specific to CABG or more specifically to the use of cardiopulmonary bypass.

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A meta-analysis of minimally invasive coronary artery bypass versus percutaneous coronary intervention with stenting for isolated left anterior descending artery disease is indispensable

Abstract: BM, Peeler BB, et al. Central cannulation is safe in acute aortic dissection repair.

Cited by 11 publications

References 5 publications

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery

Core Lab Analysis of Baseline Echocardiographic Studies in the STICH Trial and Recommendation for Use of Echocardiography in Future Clinical Trials

Neuropsychological outcomes after coronary artery bypass grafting

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