Coronary Artery Bypass: Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion.Coronary Artery Bypass, Off-Pump: Coronary artery bypass surgery on a beating HEART without a CARDIOPULMONARY BYPASS (diverting the flow of blood from the heart and lungs through an oxygenator).Coronary Artery Disease: Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause.Pneumothorax, Artificial: Injection of air or a more slowly absorbed gas such as nitrogen, into the PLEURAL CAVITY to collapse the lung.Coronary Vessels: The veins and arteries of the HEART.Cardiac Surgical Procedures: Surgery performed on the heart.Coronary Angiography: Radiography of the vascular system of the heart muscle after injection of a contrast medium.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Cardiopulmonary Bypass: Diversion of the flow of blood from the entrance of the right atrium directly to the aorta (or femoral artery) via an oxygenator thus bypassing both the heart and lungs.Treatment Outcome: Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series.Coronary Disease: An imbalance between myocardial functional requirements and the capacity of the CORONARY VESSELS to supply sufficient blood flow. It is a form of MYOCARDIAL ISCHEMIA (insufficient blood supply to the heart muscle) caused by a decreased capacity of the coronary vessels.Angioplasty, Balloon, Coronary: Dilation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.Coronary Circulation: The circulation of blood through the CORONARY VESSELS of the HEART.Coronary Stenosis: Narrowing or constriction of a coronary artery.Mammary Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles and mammary gland.Time Factors: Elements of limited time intervals, contributing to particular results or situations.Prospective Studies: Observation of a population for a sufficient number of persons over a sufficient number of years to generate incidence or mortality rates subsequent to the selection of the study group.Arteries: The vessels carrying blood away from the heart.Myocardial Infarction: NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION).Postoperative Period: The period following a surgical operation.Risk Factors: An aspect of personal behavior or lifestyle, environmental exposure, or inborn or inherited characteristic, which, on the basis of epidemiologic evidence, is known to be associated with a health-related condition considered important to prevent.Follow-Up Studies: Studies in which individuals or populations are followed to assess the outcome of exposures, procedures, or effects of a characteristic, e.g., occurrence of disease.Saphenous Vein: The vein which drains the foot and leg.Retrospective Studies: Studies used to test etiologic hypotheses in which inferences about an exposure to putative causal factors are derived from data relating to characteristics of persons under study or to events or experiences in their past. The essential feature is that some of the persons under study have the disease or outcome of interest and their characteristics are compared with those of unaffected persons.Thoracic Surgery: A surgical specialty concerned with diagnosis and treatment of disorders of the heart, lungs, and esophagus. Two major types of thoracic surgery are classified as pulmonary and cardiovascular.Internal Mammary-Coronary Artery Anastomosis: Direct myocardial revascularization in which the internal mammary artery is anastomosed to the right coronary artery, circumflex artery, or anterior descending coronary artery. The internal mammary artery is the most frequent choice, especially for a single graft, for coronary artery bypass surgery.Heart Arrest, Induced: A procedure to stop the contraction of MYOCARDIUM during HEART SURGERY. It is usually achieved with the use of chemicals (CARDIOPLEGIC SOLUTIONS) or cold temperature (such as chilled perfusate).Hospital Mortality: A vital statistic measuring or recording the rate of death from any cause in hospitalized populations.Risk Assessment: The qualitative or quantitative estimation of the likelihood of adverse effects that may result from exposure to specified health hazards or from the absence of beneficial influences. (Last, Dictionary of Epidemiology, 1988)Radial Artery: The direct continuation of the brachial trunk, originating at the bifurcation of the brachial artery opposite the neck of the radius. Its branches may be divided into three groups corresponding to the three regions in which the vessel is situated, the forearm, wrist, and hand.Sternum: A long, narrow, and flat bone commonly known as BREASTBONE occurring in the midsection of the anterior thoracic segment or chest region, which stabilizes the rib cage and serves as the point of origin for several muscles that move the arms, head, and neck.Myocardial Revascularization: The restoration of blood supply to the myocardium. (From Dorland, 28th ed)Myocardial Ischemia: A disorder of cardiac function caused by insufficient blood flow to the muscle tissue of the heart. The decreased blood flow may be due to narrowing of the coronary arteries (CORONARY ARTERY DISEASE), to obstruction by a thrombus (CORONARY THROMBOSIS), or less commonly, to diffuse narrowing of arterioles and other small vessels within the heart. Severe interruption of the blood supply to the myocardial tissue may result in necrosis of cardiac muscle (MYOCARDIAL INFARCTION).Graft Occlusion, Vascular: Obstruction of flow in biological or prosthetic vascular grafts.Vascular Patency: The degree to which BLOOD VESSELS are not blocked or obstructed.Coronary Aneurysm: Abnormal balloon- or sac-like dilatation in the wall of CORONARY VESSELS. Most coronary aneurysms are due to CORONARY ATHEROSCLEROSIS, and the rest are due to inflammatory diseases, such as KAWASAKI DISEASE.Preoperative Care: Care given during the period prior to undergoing surgery when psychological and physical preparations are made according to the special needs of the individual patient. This period spans the time between admission to the hospital to the time the surgery begins. (From Dictionary of Health Services Management, 2d ed)Intraoperative Care: Patient care procedures performed during the operation that are ancillary to the actual surgery. It includes monitoring, fluid therapy, medication, transfusion, anesthesia, radiography, and laboratory tests.Hemodynamics: The movement and the forces involved in the movement of the blood through the CARDIOVASCULAR SYSTEM.Stents: Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting.Postoperative Care: The period of care beginning when the patient is removed from surgery and aimed at meeting the patient's psychological and physical needs directly after surgery. (From Dictionary of Health Services Management, 2d ed)Electrocardiography: Recording of the moment-to-moment electromotive forces of the HEART as projected onto various sites on the body's surface, delineated as a scalar function of time. The recording is monitored by a tracing on slow moving chart paper or by observing it on a cardioscope, which is a CATHODE RAY TUBE DISPLAY.Postoperative Hemorrhage: Hemorrhage following any surgical procedure. It may be immediate or delayed and is not restricted to the surgical wound.Predictive Value of Tests: In screening and diagnostic tests, the probability that a person with a positive test is a true positive (i.e., has the disease), is referred to as the predictive value of a positive test; whereas, the predictive value of a negative test is the probability that the person with a negative test does not have the disease. Predictive value is related to the sensitivity and specificity of the test.Length of Stay: The period of confinement of a patient to a hospital or other health facility.Heart Diseases: Pathological conditions involving the HEART including its structural and functional abnormalities.Reoperation: A repeat operation for the same condition in the same patient due to disease progression or recurrence, or as followup to failed previous surgery.Coronary Vasospasm: Spasm of the large- or medium-sized coronary arteries.Thoracic Arteries: Arteries originating from the subclavian or axillary arteries and distributing to the anterior thoracic wall, mediastinal structures, diaphragm, pectoral muscles, mammary gland and the axillary aspect of the chest wall.Tissue and Organ Harvesting: The procedure of removing TISSUES, organs, or specimens from DONORS for reuse, such as TRANSPLANTATION.Extracorporeal Circulation: Diversion of blood flow through a circuit located outside the body but continuous with the bodily circulation.Angina Pectoris: The symptom of paroxysmal pain consequent to MYOCARDIAL ISCHEMIA usually of distinctive character, location and radiation. It is thought to be provoked by a transient stressful situation during which the oxygen requirements of the MYOCARDIUM exceed that supplied by the CORONARY CIRCULATION.Heart: The hollow, muscular organ that maintains the circulation of the blood.Cardiac Catheterization: Procedures in which placement of CARDIAC CATHETERS is performed for therapeutic or diagnostic procedures.Intraoperative Complications: Complications that affect patients during surgery. They may or may not be associated with the disease for which the surgery is done, or within the same surgical procedure.Pulmonary Artery: The short wide vessel arising from the conus arteriosus of the right ventricle and conveying unaerated blood to the lungs.Sternotomy: Making an incision in the STERNUM.Surgical Procedures, Minimally Invasive: Procedures that avoid use of open, invasive surgery in favor of closed or local surgery. These generally involve use of laparoscopic devices and remote-control manipulation of instruments with indirect observation of the surgical field through an endoscope or similar device.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Heart Valve Prosthesis Implantation: Surgical insertion of synthetic material to repair injured or diseased heart valves.Coronary Restenosis: Recurrent narrowing or constriction of a coronary artery following surgical procedures performed to alleviate a prior obstruction.Intra-Aortic Balloon Pumping: Counterpulsation in which a pumping unit synchronized with the patient's electrocardiogram rapidly fills a balloon in the aorta with helium or carbon dioxide in early diastole and evacuates the balloon at the onset of systole. As the balloon inflates, it raises aortic diastolic pressure, and as it deflates, it lowers aortic systolic pressure. The result is a decrease in left ventricular work and increased myocardial and peripheral perfusion.Cardiac Output: The volume of BLOOD passing through the HEART per unit of time. It is usually expressed as liters (volume) per minute so as not to be confused with STROKE VOLUME (volume per beat).Perioperative Care: Interventions to provide care prior to, during, and immediately after surgery.Surgical Procedures, Elective: Surgery which could be postponed or not done at all without danger to the patient. Elective surgery includes procedures to correct non-life-threatening medical problems as well as to alleviate conditions causing psychological stress or other potential risk to patients, e.g., cosmetic or contraceptive surgery.Severity of Illness Index: Levels within a diagnostic group which are established by various measurement criteria applied to the seriousness of a patient's disorder.Logistic Models: Statistical models which describe the relationship between a qualitative dependent variable (that is, one which can take only certain discrete values, such as the presence or absence of a disease) and an independent variable. A common application is in epidemiology for estimating an individual's risk (probability of a disease) as a function of a given risk factor.Percutaneous Coronary Intervention: A family of percutaneous techniques that are used to manage CORONARY OCCLUSION, including standard balloon angioplasty (PERCUTANEOUS TRANSLUMINAL CORONARY ANGIOPLASTY), the placement of intracoronary STENTS, and atheroablative technologies (e.g., ATHERECTOMY; ENDARTERECTOMY; THROMBECTOMY; PERCUTANEOUS TRANSLUMINAL LASER ANGIOPLASTY). PTCA was the dominant form of PCI, before the widespread use of stenting.Chi-Square Distribution: A distribution in which a variable is distributed like the sum of the squares of any given independent random variable, each of which has a normal distribution with mean of zero and variance of one. The chi-square test is a statistical test based on comparison of a test statistic to a chi-square distribution. The oldest of these tests are used to detect whether two or more population distributions differ from one another.Mediastinitis: Inflammation of the mediastinum, the area between the pleural sacs.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Benchmarking: Method of measuring performance against established standards of best practice.Stroke Volume: The amount of BLOOD pumped out of the HEART per beat, not to be confused with cardiac output (volume/time). It is calculated as the difference between the end-diastolic volume and the end-systolic volume.Biological Markers: Measurable and quantifiable biological parameters (e.g., specific enzyme concentration, specific hormone concentration, specific gene phenotype distribution in a population, presence of biological substances) which serve as indices for health- and physiology-related assessments, such as disease risk, psychiatric disorders, environmental exposure and its effects, disease diagnosis, metabolic processes, substance abuse, pregnancy, cell line development, epidemiologic studies, etc.Preoperative Period: The period before a surgical operation.Myocardium: The muscle tissue of the HEART. It is composed of striated, involuntary muscle cells (MYOCYTES, CARDIAC) connected to form the contractile pump to generate blood flow.Coronary Occlusion: Complete blockage of blood flow through one of the CORONARY ARTERIES, usually from CORONARY ATHEROSCLEROSIS.Myocytes, Cardiac: Striated muscle cells found in the heart. They are derived from cardiac myoblasts (MYOBLASTS, CARDIAC).Intraoperative Period: The period during a surgical operation.Coronary Thrombosis: Coagulation of blood in any of the CORONARY VESSELS. The presence of a blood clot (THROMBUS) often leads to MYOCARDIAL INFARCTION.Ventricular Function, Left: The hemodynamic and electrophysiological action of the left HEART VENTRICLE. Its measurement is an important aspect of the clinical evaluation of patients with heart disease to determine the effects of the disease on cardiac performance.Heart Valves: Flaps of tissue that prevent regurgitation of BLOOD from the HEART VENTRICLES to the HEART ATRIA or from the PULMONARY ARTERIES or AORTA to the ventricles.Atrial Fibrillation: Abnormal cardiac rhythm that is characterized by rapid, uncoordinated firing of electrical impulses in the upper chambers of the heart (HEART ATRIA). In such case, blood cannot be effectively pumped into the lower chambers of the heart (HEART VENTRICLES). It is caused by abnormal impulse generation.Carotid Arteries: Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery.Echocardiography: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues. The standard approach is transthoracic.Coronary Vessel Anomalies: Malformations of CORONARY VESSELS, either arteries or veins. Included are anomalous origins of coronary arteries; ARTERIOVENOUS FISTULA; CORONARY ANEURYSM; MYOCARDIAL BRIDGING; and others.Surgical Wound Infection: Infection occurring at the site of a surgical incision.Perioperative Period: The time periods immediately before, during and following a surgical operation.Calcinosis: Pathologic deposition of calcium salts in tissues.Prognosis: A prediction of the probable outcome of a disease based on a individual's condition and the usual course of the disease as seen in similar situations.Gastric Bypass: Surgical procedure in which the STOMACH is transected high on the body. The resulting small proximal gastric pouch is joined to any parts of the SMALL INTESTINE by an end-to-side SURGICAL ANASTOMOSIS, depending on the amounts of intestinal surface being bypasses. This procedure is used frequently in the treatment of MORBID OBESITY by limiting the size of functional STOMACH, food intake, and food absorption.Platelet Aggregation Inhibitors: Drugs or agents which antagonize or impair any mechanism leading to blood platelet aggregation, whether during the phases of activation and shape change or following the dense-granule release reaction and stimulation of the prostaglandin-thromboxane system.Multivariate Analysis: A set of techniques used when variation in several variables has to be studied simultaneously. In statistics, multivariate analysis is interpreted as any analytic method that allows simultaneous study of two or more dependent variables.Cardiovascular Surgical Procedures: Surgery performed on the heart or blood vessels.Dogs: The domestic dog, Canis familiaris, comprising about 400 breeds, of the carnivore family CANIDAE. They are worldwide in distribution and live in association with people. (Walker's Mammals of the World, 5th ed, p1065)Femoral Artery: The main artery of the thigh, a continuation of the external iliac artery.Cardiotonic Agents: Agents that have a strengthening effect on the heart or that can increase cardiac output. They may be CARDIAC GLYCOSIDES; SYMPATHOMIMETICS; or other drugs. They are used after MYOCARDIAL INFARCT; CARDIAC SURGICAL PROCEDURES; in SHOCK; or in congestive heart failure (HEART FAILURE).Vasodilator Agents: Drugs used to cause dilation of the blood vessels.Arrhythmias, Cardiac: Any disturbances of the normal rhythmic beating of the heart or MYOCARDIAL CONTRACTION. Cardiac arrhythmias can be classified by the abnormalities in HEART RATE, disorders of electrical impulse generation, or impulse conduction.Gastroepiploic Artery: Abdominal artery that follows the curvature of the stomach. The right gastroepiploic artery is frequently used in CORONARY ARTERY BYPASS GRAFTING; MYOCARDIAL REVASCULARIZATION, and other vascular reconstruction.Angina, Unstable: Precordial pain at rest, which may precede a MYOCARDIAL INFARCTION.Troponin I: One of the three polypeptide chains that make up the TROPONIN complex. It inhibits F-actin-myosin interactions.Ventricular Dysfunction, Left: A condition in which the LEFT VENTRICLE of the heart was functionally impaired. This condition usually leads to HEART FAILURE; MYOCARDIAL INFARCTION; and other cardiovascular complications. Diagnosis is made by measuring the diminished ejection fraction and a depressed level of motility of the left ventricular wall.Patient Selection: Criteria and standards used for the determination of the appropriateness of the inclusion of patients with specific conditions in proposed treatment plans and the criteria used for the inclusion of subjects in various clinical trials and other research protocols.Blood Transfusion: The introduction of whole blood or blood component directly into the blood stream. (Dorland, 27th ed)Survival Rate: The proportion of survivors in a group, e.g., of patients, studied and followed over a period, or the proportion of persons in a specified group alive at the beginning of a time interval who survive to the end of the interval. It is often studied using life table methods.Heart Valve Diseases: Pathological conditions involving any of the various HEART VALVES and the associated structures (PAPILLARY MUSCLES and CHORDAE TENDINEAE).Creatine Kinase, MB Form: An isoenzyme of creatine kinase found in the CARDIAC MUSCLE.Heart Ventricles: The lower right and left chambers of the heart. The right ventricle pumps venous BLOOD into the LUNGS and the left ventricle pumps oxygenated blood into the systemic arterial circulation.Blood Pressure: PRESSURE of the BLOOD on the ARTERIES and other BLOOD VESSELS.Survival Analysis: A class of statistical procedures for estimating the survival function (function of time, starting with a population 100% well at a given time and providing the percentage of the population still well at later times). The survival analysis is then used for making inferences about the effects of treatments, prognostic factors, exposures, and other covariates on the function.Ultrasonography, Interventional: The use of ultrasound to guide minimally invasive surgical procedures such as needle ASPIRATION BIOPSY; DRAINAGE; etc. Its widest application is intravascular ultrasound imaging but it is useful also in urology and intra-abdominal conditions.Incidence: The number of new cases of a given disease during a given period in a specified population. It also is used for the rate at which new events occur in a defined population. It is differentiated from PREVALENCE, which refers to all cases, new or old, in the population at a given time.Cohort Studies: Studies in which subsets of a defined population are identified. These groups may or may not be exposed to factors hypothesized to influence the probability of the occurrence of a particular disease or other outcome. Cohorts are defined populations which, as a whole, are followed in an attempt to determine distinguishing subgroup characteristics.Exercise Test: Controlled physical activity which is performed in order to allow assessment of physiological functions, particularly cardiovascular and pulmonary, but also aerobic capacity. Maximal (most intense) exercise is usually required but submaximal exercise is also used.Cardiac Care Facilities: Institutions specializing in the care of patients with heart disorders.Cardiology Service, Hospital: The hospital department responsible for the administration and provision of diagnostic and therapeutic services for the cardiac patient.Blood Loss, Surgical: Loss of blood during a surgical procedure.Heart Defects, Congenital: Developmental abnormalities involving structures of the heart. These defects are present at birth but may be discovered later in life.Recurrence: The return of a sign, symptom, or disease after a remission.Cardiovascular Agents: Agents that affect the rate or intensity of cardiac contraction, blood vessel diameter, or blood volume.Thoracic Surgical Procedures: Surgery performed on the thoracic organs, most commonly the lungs and the heart.Renal Artery: A branch of the abdominal aorta which supplies the kidneys, adrenal glands and ureters.Kaplan-Meier Estimate: A nonparametric method of compiling LIFE TABLES or survival tables. It combines calculated probabilities of survival and estimates to allow for observations occurring beyond a measurement threshold, which are assumed to occur randomly. Time intervals are defined as ending each time an event occurs and are therefore unequal. (From Last, A Dictionary of Epidemiology, 1995)Vasodilation: The physiological widening of BLOOD VESSELS by relaxing the underlying VASCULAR SMOOTH MUSCLE.Anastomosis, Surgical: Surgical union or shunt between ducts, tubes or vessels. It may be end-to-end, end-to-side, side-to-end, or side-to-side.Aprotinin: A single-chain polypeptide derived from bovine tissues consisting of 58 amino-acid residues. It is an inhibitor of proteolytic enzymes including CHYMOTRYPSIN; KALLIKREIN; PLASMIN; and TRYPSIN. It is used in the treatment of HEMORRHAGE associated with raised plasma concentrations of plasmin. It is also used to reduce blood loss and transfusion requirements in patients at high risk of major blood loss during and following open heart surgery with EXTRACORPOREAL CIRCULATION. (Reynolds JEF(Ed): Martindale: The Extra Pharmacopoeia (electronic version). Micromedex, Inc, Englewood, CO, 1995)Death, Sudden, Cardiac: Unexpected rapid natural death due to cardiovascular collapse within one hour of initial symptoms. It is usually caused by the worsening of existing heart diseases. The sudden onset of symptoms, such as CHEST PAIN and CARDIAC ARRHYTHMIAS, particularly VENTRICULAR TACHYCARDIA, can lead to the loss of consciousness and cardiac arrest followed by biological death. (from Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine, 7th ed., 2005)Age Factors: Age as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or the effect of a circumstance. It is used with human or animal concepts but should be differentiated from AGING, a physiological process, and TIME FACTORS which refers only to the passage of time.Thoracotomy: Surgical incision into the chest wall.Registries: The systems and processes involved in the establishment, support, management, and operation of registers, e.g., disease registers.Endothelium, Vascular: Single pavement layer of cells which line the luminal surface of the entire vascular system and regulate the transport of macromolecules and blood components.Echocardiography, Transesophageal: Ultrasonic recording of the size, motion, and composition of the heart and surrounding tissues using a transducer placed in the esophagus.Proportional Hazards Models: Statistical models used in survival analysis that assert that the effect of the study factors on the hazard rate in the study population is multiplicative and does not change over time.Double-Blind Method: A method of studying a drug or procedure in which both the subjects and investigators are kept unaware of who is actually getting which specific treatment.Sensitivity and Specificity: Binary classification measures to assess test results. Sensitivity or recall rate is the proportion of true positives. Specificity is the probability of correctly determining the absence of a condition. (From Last, Dictionary of Epidemiology, 2d ed)Swine: Any of various animals that constitute the family Suidae and comprise stout-bodied, short-legged omnivorous mammals with thick skin, usually covered with coarse bristles, a rather long mobile snout, and small tail. Included are the genera Babyrousa, Phacochoerus (wart hogs), and Sus, the latter containing the domestic pig (see SUS SCROFA).Cardioplegic Solutions: Solutions which, upon administration, will temporarily arrest cardiac activity. They are used in the performance of heart surgery.Myocardial Contraction: Contractile activity of the MYOCARDIUM.Cerebral Arteries: The arterial blood vessels supplying the CEREBRUM.Feasibility Studies: Studies to determine the advantages or disadvantages, practicability, or capability of accomplishing a projected plan, study, or project.Cardiac Output, Low: A state of subnormal or depressed cardiac output at rest or during stress. It is a characteristic of CARDIOVASCULAR DISEASES, including congenital, valvular, rheumatic, hypertensive, coronary, and cardiomyopathic. The serious form of low cardiac output is characterized by marked reduction in STROKE VOLUME, and systemic vasoconstriction resulting in cold, pale, and sometimes cyanotic extremities.Pericardium: A conical fibro-serous sac surrounding the HEART and the roots of the great vessels (AORTA; VENAE CAVAE; PULMONARY ARTERY). Pericardium consists of two sacs: the outer fibrous pericardium and the inner serous pericardium. The latter consists of an outer parietal layer facing the fibrous pericardium, and an inner visceral layer (epicardium) resting next to the heart, and a pericardial cavity between these two layers.Analysis of Variance: A statistical technique that isolates and assesses the contributions of categorical independent variables to variation in the mean of a continuous dependent variable.Heart Failure: A heterogeneous condition in which the heart is unable to pump out sufficient blood to meet the metabolic need of the body. Heart failure can be caused by structural defects, functional abnormalities (VENTRICULAR DYSFUNCTION), or a sudden overload beyond its capacity. Chronic heart failure is more common than acute heart failure which results from sudden insult to cardiac function, such as MYOCARDIAL INFARCTION.Odds Ratio: The ratio of two odds. The exposure-odds ratio for case control data is the ratio of the odds in favor of exposure among cases to the odds in favor of exposure among noncases. The disease-odds ratio for a cohort or cross section is the ratio of the odds in favor of disease among the exposed to the odds in favor of disease among the unexposed. The prevalence-odds ratio refers to an odds ratio derived cross-sectionally from studies of prevalent cases.Carotid Artery Diseases: Pathological conditions involving the CAROTID ARTERIES, including the common, internal, and external carotid arteries. ATHEROSCLEROSIS and TRAUMA are relatively frequent causes of carotid artery pathology.Vascular Surgical Procedures: Operative procedures for the treatment of vascular disorders.Subclavian Artery: Artery arising from the brachiocephalic trunk on the right side and from the arch of the aorta on the left side. It distributes to the neck, thoracic wall, spinal cord, brain, meninges, and upper limb.Iliac Artery: Either of two large arteries originating from the abdominal aorta; they supply blood to the pelvis, abdominal wall and legs.Mesenteric Arteries: Arteries which arise from the abdominal aorta and distribute to most of the intestines.Antifibrinolytic Agents: Agents that prevent fibrinolysis or lysis of a blood clot or thrombus. Several endogenous antiplasmins are known. The drugs are used to control massive hemorrhage and in other coagulation disorders.Stroke: A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810)Coronary Care Units: The hospital unit in which patients with acute cardiac disorders receive intensive care.Diabetes Complications: Conditions or pathological processes associated with the disease of diabetes mellitus. Due to the impaired control of BLOOD GLUCOSE level in diabetic patients, pathological processes develop in numerous tissues and organs including the EYE, the KIDNEY, the BLOOD VESSELS, and the NERVE TISSUE.Aortic Valve: The valve between the left ventricle and the ascending aorta which prevents backflow into the left ventricle.Tomography, Emission-Computed, Single-Photon: A method of computed tomography that uses radionuclides which emit a single photon of a given energy. The camera is rotated 180 or 360 degrees around the patient to capture images at multiple positions along the arc. The computer is then used to reconstruct the transaxial, sagittal, and coronal images from the 3-dimensional distribution of radionuclides in the organ. The advantages of SPECT are that it can be used to observe biochemical and physiological processes as well as size and volume of the organ. The disadvantage is that, unlike positron-emission tomography where the positron-electron annihilation results in the emission of 2 photons at 180 degrees from each other, SPECT requires physical collimation to line up the photons, which results in the loss of many available photons and hence degrades the image.Statistics, Nonparametric: A class of statistical methods applicable to a large set of probability distributions used to test for correlation, location, independence, etc. In most nonparametric statistical tests, the original scores or observations are replaced by another variable containing less information. An important class of nonparametric tests employs the ordinal properties of the data. Another class of tests uses information about whether an observation is above or below some fixed value such as the median, and a third class is based on the frequency of the occurrence of runs in the data. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed, p1284; Corsini, Concise Encyclopedia of Psychology, 1987, p764-5)Blood Vessel Prosthesis Implantation: Surgical insertion of BLOOD VESSEL PROSTHESES to repair injured or diseased blood vessels.Acute Kidney Injury: Abrupt reduction in kidney function. Acute kidney injury encompasses the entire spectrum of the syndrome including acute kidney failure; ACUTE KIDNEY TUBULAR NECROSIS; and other less severe conditions.Anesthesia: A state characterized by loss of feeling or sensation. This depression of nerve function is usually the result of pharmacologic action and is induced to allow performance of surgery or other painful procedures.Angiography: Radiography of blood vessels after injection of a contrast medium.Aortic Diseases: Pathological processes involving any part of the AORTA.Mucocutaneous Lymph Node Syndrome: An acute, febrile, mucocutaneous condition accompanied by swelling of cervical lymph nodes in infants and young children. The principal symptoms are fever, congestion of the ocular conjunctivae, reddening of the lips and oral cavity, protuberance of tongue papillae, and edema or erythema of the extremities.Aspirin: The prototypical analgesic used in the treatment of mild to moderate pain. It has anti-inflammatory and antipyretic properties and acts as an inhibitor of cyclooxygenase which results in the inhibition of the biosynthesis of prostaglandins. Aspirin also inhibits platelet aggregation and is used in the prevention of arterial and venous thrombosis. (From Martindale, The Extra Pharmacopoeia, 30th ed, p5)Nitroglycerin: A volatile vasodilator which relieves ANGINA PECTORIS by stimulating GUANYLATE CYCLASE and lowering cytosolic calcium. It is also sometimes used for TOCOLYSIS and explosives.Hemostatics: Agents acting to arrest the flow of blood. Absorbable hemostatics arrest bleeding either by the formation of an artificial clot or by providing a mechanical matrix that facilitates clotting when applied directly to the bleeding surface. These agents function more at the capillary level and are not effective at stemming arterial or venous bleeding under any significant intravascular pressure.Drug-Eluting Stents: Stents that are covered with materials that are embedded with chemicals that are gradually released into the surrounding milieu.Blood Flow Velocity: A value equal to the total volume flow divided by the cross-sectional area of the vascular bed.Heart Rate: The number of times the HEART VENTRICLES contract per unit of time, usually per minute.Mitral Valve Insufficiency: Backflow of blood from the LEFT VENTRICLE into the LEFT ATRIUM due to imperfect closure of the MITRAL VALVE. This can lead to mitral valve regurgitation.Comorbidity: The presence of co-existing or additional diseases with reference to an initial diagnosis or with reference to the index condition that is the subject of study. Comorbidity may affect the ability of affected individuals to function and also their survival; it may be used as a prognostic indicator for length of hospital stay, cost factors, and outcome or survival.Epidemiologic Methods: Research techniques that focus on study designs and data gathering methods in human and animal populations.Case-Control Studies: Studies which start with the identification of persons with a disease of interest and a control (comparison, referent) group without the disease. The relationship of an attribute to the disease is examined by comparing diseased and non-diseased persons with regard to the frequency or levels of the attribute in each group.Sex Factors: Maleness or femaleness as a constituent element or influence contributing to the production of a result. It may be applicable to the cause or effect of a circumstance. It is used with human or animal concepts but should be differentiated from SEX CHARACTERISTICS, anatomical or physiological manifestations of sex, and from SEX DISTRIBUTION, the number of males and females in given circumstances.ROC Curve: A graphic means for assessing the ability of a screening test to discriminate between healthy and diseased persons; may also be used in other studies, e.g., distinguishing stimuli responses as to a faint stimuli or nonstimuli.Basilar Artery: The artery formed by the union of the right and left vertebral arteries; it runs from the lower to the upper border of the pons, where it bifurcates into the two posterior cerebral arteries.Constriction, Pathologic: The condition of an anatomical structure's being constricted beyond normal dimensions.Troponin T: One of the three polypeptide chains that make up the TROPONIN complex. It is a cardiac-specific protein that binds to TROPOMYOSIN. It is released from damaged or injured heart muscle cells (MYOCYTES, CARDIAC). Defects in the gene encoding troponin T result in FAMILIAL HYPERTROPHIC CARDIOMYOPATHY.Cardiac Pacing, Artificial: Regulation of the rate of contraction of the heart muscles by an artificial pacemaker.Dobutamine: A catecholamine derivative with specificity for BETA-1 ADRENERGIC RECEPTORS. It is commonly used as a cardiotonic agent after CARDIAC SURGERY and during DOBUTAMINE STRESS ECHOCARDIOGRAPHY.Reproducibility of Results: The statistical reproducibility of measurements (often in a clinical context), including the testing of instrumentation or techniques to obtain reproducible results. The concept includes reproducibility of physiological measurements, which may be used to develop rules to assess probability or prognosis, or response to a stimulus; reproducibility of occurrence of a condition; and reproducibility of experimental results.Arterial Occlusive Diseases: Pathological processes which result in the partial or complete obstruction of ARTERIES. They are characterized by greatly reduced or absence of blood flow through these vessels. They are also known as arterial insufficiency.Propensity Score: Conditional probability of exposure to a treatment given observed covariates.Myocardial Reperfusion Injury: Damage to the MYOCARDIUM resulting from MYOCARDIAL REPERFUSION (restoration of blood flow to ischemic areas of the HEART.) Reperfusion takes place when there is spontaneous thrombolysis, THROMBOLYTIC THERAPY, collateral flow from other coronary vascular beds, or reversal of vasospasm.Adrenergic beta-Antagonists: Drugs that bind to but do not activate beta-adrenergic receptors thereby blocking the actions of beta-adrenergic agonists. Adrenergic beta-antagonists are used for treatment of hypertension, cardiac arrhythmias, angina pectoris, glaucoma, migraine headaches, and anxiety.Mitral Valve: The valve between the left atrium and left ventricle of the heart.Chest Pain: Pressure, burning, or numbness in the chest.Heart Function Tests: Examinations used to diagnose and treat heart conditions.Erythrocyte Transfusion: The transfer of erythrocytes from a donor to a recipient or reinfusion to the donor.Pericardiectomy: Surgical excision (total or partial) of a portion of the pericardium. Pericardiotomy refers to incision of the pericardium.Randomized Controlled Trials as Topic: Works about clinical trials that involve at least one test treatment and one control treatment, concurrent enrollment and follow-up of the test- and control-treated groups, and in which the treatments to be administered are selected by a random process, such as the use of a random-numbers table.Magnetic Resonance Angiography: Non-invasive method of vascular imaging and determination of internal anatomy without injection of contrast media or radiation exposure. The technique is used especially in CEREBRAL ANGIOGRAPHY as well as for studies of other vascular structures.Ticlopidine: An effective inhibitor of platelet aggregation commonly used in the placement of STENTS in CORONARY ARTERIES.Epigastric Arteries: Inferior and external epigastric arteries arise from external iliac; superficial from femoral; superior from internal thoracic. They supply the abdominal muscles, diaphragm, iliac region, and groin. The inferior epigastric artery is used in coronary artery bypass grafting and myocardial revascularization.Vasoconstriction: The physiological narrowing of BLOOD VESSELS by contraction of the VASCULAR SMOOTH MUSCLE.Myocardial Perfusion Imaging: The creation and display of functional images showing where the blood is flowing into the MYOCARDIUM by following over time the distribution of tracers injected into the blood stream.Muscle, Smooth, Vascular: The nonstriated involuntary muscle tissue of blood vessels.Heparin Antagonists: Coagulant substances inhibiting the anticoagulant action of heparin.Evidence-Based Medicine: An approach of practicing medicine with the goal to improve and evaluate patient care. It requires the judicious integration of best research evidence with the patient's values to make decisions about medical care. This method is to help physicians make proper diagnosis, devise best testing plan, choose best treatment and methods of disease prevention, as well as develop guidelines for large groups of patients with the same disease. (from JAMA 296 (9), 2006)Sinus of Valsalva: The dilatation of the aortic wall behind each of the cusps of the aortic valve.
LHINC provides cardiac surgery in adult patients including coronary artery bypass surgery, both on pump and off pump surgery, ... Other facilities include regular, elective angioplasties, day care angiography, which is done via the artery in the wrist, the ... This institute was started to meet a long-felt need to provide cardiac and neurological interventional facilities, and ... aortic surgery, valve replacement and repair and endovascular aortic stent procedure. The unit did for the first time in Kerala ...
2002). "Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial". JAMA. 287 (11 ... In the early 1990s, surgeons began to perform off-pump coronary artery bypass, done without cardiopulmonary bypass. In these ... Cardiac surgery, or cardiovascular surgery, is surgery on the heart or great vessels performed by cardiac surgeons. It is often ... "What to Expect After Heart Surgery" (PDF). sts.org. Retrieved 8 July 2016. "What To Expect After Coronary Artery Bypass ...
Cardiac Surgery Cardiothoracic surgery Coronary artery bypass surgery Extracorporeal membrane oxygenation Heart-lung machine ... Surgeons are instead looking to off-pump cardiac procedures, wherein surgery is performed on beating hearts, as the next "big ... For most cardiac operations such as coronary artery bypass grafting, the cardiopulmonary bypass is performed using a heart-lung ... heparin-coated cardiopulmonary bypass systems combined with full and low dose systemic heparinization in coronary artery bypass ...
This technique is an off-pump coronary artery bypass surgery. The procedure is much less invasive than traditional bypass ... Minimally Invasive Cardiac Surgery, also known as MICS CABG (Minimally Invasive Cardiac Surgery/Coronary Artery Bypass Grafting ... Minimally Invasive Coronary Artery Bypass Grafting: An Alternative Approach to Perform Coronary Artery Bypass Grafting on the ... "Off-pump coronary artery bypass: techniques, pitfalls, and results". Seminars in Thoracic and Cardiovascular Surgery. 21 (3): ...
Cardiac surgeon Coronary artery bypass surgery (CABG) Minimally invasive direct coronary artery bypass surgery (MIDCAB) ... Off-pump coronary artery bypass or "beating heart" surgery is a form of coronary artery bypass graft (CABG) surgery performed ... When a cardiac surgeon chooses to perform the CABG procedure off-pump, also known as OPCAB (Off-pump Coronary Artery Bypass), ... Off-pump coronary artery bypass was developed partly to avoid the complications of cardiopulmonary bypass during cardiac ...
Cardiac vessels. CHD. Angioplasty. Bypass/Coronary artery bypass MIDCAB. Off-pump CAB. TECAB. Coronary stent. Bare-metal stent ... Totally Endoscopic Coronary Artery Bypass Surgery (TECAB) is an entirely endoscopic robotic surgery used to treat coronary ... It is an advanced form of Minimally Invasive Coronary Artery Bypass Surgery, which allows bypass surgery to be conducted off- ... 2000). "Closed chest totally endoscopic coronary artery bypass surgery: fantasy or reality?". Curr Cardiol Rep. 2 (6): 558-63. ...
"Cognitive outcomes three years after coronary artery bypass surgery: a comparison of on-pump coronary artery bypass graft ... Cardiac Surgery In The Adult Chapter 11D Organ Damage Pump Head - Cognitive Impairment After Bypass Surgery and rebuttal Pump ... "Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial". JAMA. 287 (11): 1405-12 ... "Assessment of neurocognitive impairment after off-pump and on-pump techniques for coronary artery bypass graft surgery: ...
... and coronary stenting. Cardiac surgeon Cardiac surgery Totally endoscopic coronary artery bypass surgery. ... MIDCAB is a form of off-pump coronary artery bypass surgery (OPCAB), performed "off-pump" - without the use of cardiopulmonary ... is a surgical treatment for coronary heart disease that is a less invasive method of coronary artery bypass surgery (CABG). ... who desire a minimally invasive approach to surgery may be eligible for hybrid bypass. A hybrid approach combines coronary ...
Patient had combined robotic mitral valve replacement and coronary artery bypass surgery. India's first Robotic Aortic Valve ... A surgeon with American Board Certification in General Surgery and Cardiac Surgery who is also UNOS (United Nations Organ ... Patient had aortic valve stenosis (shrunk) and regurgitation (leak) with reduced pumping of the heart. He underwent robotic ... His crude mortality rate is 1.4% for all comers in cardiac surgery as opposed to the above mentioned societies risk adjusted ...
... "off-pump bypass surgery" - coronary artery bypass surgery without the aforementioned cardiopulmonary bypass. In these ... One of the more commonly known cardiac surgery procedures is the coronary artery bypass graft (CABG), also known as "bypass ... 2002). "Cognitive outcome after off-pump and on-pump coronary artery bypass graft surgery: a randomized trial". JAMA. 287 (11 ... Minimally Invasive Cardiac Surgery, Aortic Surgery, Thoracic Surgery, Pediatric Cardiac Surgery or Cardiac ICU. Contemporary ...
2011). Simultaneous hybrid revascularization versus off-pump coronary artery bypass for multivessel coronary artery disease. ... HCR is one of several types of hybrid cardiac surgery; it is not to be confused with a MIDCAB (minimally invasive direct ... coronary bypass is a relatively new type of heart surgery that provides an alternative to traditional coronary artery bypass ... venous coronary artery bypass grafts in 366 adult patients (14% of the patients) with complex coronary artery disease. Their ...
Some of the cardiac surgeries they train for include the following: coronary artery bypass surgery (CABG) both on ... Subsequently, it is pumped back into the arterial (oxygenated) circulation, thereby bypassing the heart and lungs and ... The process of preparation, initiation, and separation of cardiopulmonary bypass is a critical time during cardiac surgery. ... opportunity to become familiar with anesthetic techniques for pediatric cardiac surgery and minimally invasive cardiac surgery ...
Different procedures are available depending on the level of necessity and include coronary artery bypass surgery, heart valve ... Patients with heart pumping problems will use a different medication combination than those who are experiencing problems with ... Other causes of cardiac tamponade may also require surgical intervention, although emergent treatment at the bedside may be ... percutaneous coronary intervention, or coronary artery bypass graft. A jugular venous distension is the most sensitive clinical ...
Cardiac vessels. CHD. Angioplasty. Bypass/Coronary artery bypass MIDCAB. Off-pump CAB. TECAB. Coronary stent. Bare-metal stent ... Examples include cardiac surgery (performed on the heart), gastrointestinal surgery (performed within the digestive tract and ... See also: Pediatric surgery and Pediatric plastic surgery. Vulnerable populations. Doctors perform surgery with the ... "surgery". In this context, the verb "operate" means to perform surgery. The adjective surgical means pertaining to surgery; e.g ...
Griffith's guidance, he developed a clinical and research niche in off-pump Coronary artery bypass surgery and robotic CABG, ... Center as the chief of Cardiac Surgery with a very aggressive plan to establish a program in robotic coronary bypass surgery ... of Arizona Medical Center most noted for his research in robot-assisted heart surgery and Coronary Artery Bypass Surgery. Dr. ... Robert Poston, M.D. nationally known for his work in the use of robotics for minimally invasive cardiac surgery, has joined the ...
... direct coronary artery bypass surgery, thoracoscopic mitral valve surgery and warm blood cardioplegia for myocardial protection ... off pump gastroepiploic artery bypass graft to the heart in the UK and was among the first to adopt minimally invasive, ... While at UCL he brought the national registries on adult and pediatric cardiac surgery, myocardial infarction, coronary ... the effect of cardiopulmonary bypass on gut blood flow and function, myocardial protection during surgery, surgery for patients ...
He specialises in coronary artery bypass grafting using only arterial grafts over a beating heart, redo bypass surgery, valve ... "off-pump" bypass surgery,redo bypass surgery and high-risk surgeries. He is particular about bringing the latest medical ... As of 2016, Dr.Panda has performed over 20,000 cardiac surgeries including over 1800 redo bypass surgeries and over 3000 high ... 10 Bypass grafts give man fresh lease of life-10 bypass grafts created to bypass clogged arteries through an eight hour long ...
... multiple-vessel coronary artery bypass surgery with the assistance of a surgical robot: 2006 First in U.S. to have performed ... heart transplants and heart pumps. The Heart Center's cardiologists and cardiac surgeons treat a full range of heart problems, ... The Heart Center is recognized for its expertise in robotic heart surgery, minimally invasive heart bypass and valve surgery, ... cardiac care and heart surgery, women's and children's health and organ transplants. It has one of the nation's largest kidney ...
Cardiac vessels. CHD. Angioplasty. Bypass/Coronary artery bypass MIDCAB. Off-pump CAB. TECAB. Coronary stent. Bare-metal stent ... Cardiac surgery. Two cardiac surgeons performing a cardiac surgery known as coronary artery bypass surgery. Note the use of a ... "off-pump bypass surgery" - coronary artery bypass surgery without the aforementioned cardiopulmonary bypass. In these ... One of the more commonly known cardiac surgery procedures is the coronary artery bypass graft (CABG), also known as "bypass ...
"A Study of Anginera In Patients Undergoing Coronary Artery Bypass Graft (CABG) Surgery". ClinicalTrials.gov. U.S. National ... link) Pulsatile VS Continuous flow pump schematic HeartMate XVE pulsatile pump schematic SynCardia TAH pulsatile pump ... and for patients recovering from cardiac surgery; some are for long-term use (months to years to perpetuity), typically for ... A phase 1 clinical trial is underway (as of August 2009), consisting of patients with coronary artery bypass grafting and ...
... incidence of postoperative vasoplegic syndrome different between off-pump and on-pump coronary artery bypass grafting surgery ... "BestBets: Is Methylene Blue of benefit in treating adult patients who develop vasoplegic syndrome during Cardiac Surgery". ... VPS occurs more frequently after on pump CABG surgery versus off pump CABG surgery. Hypothermia during surgery may also ... "Critical Care , Full text , Vasoplegic syndrome after cardiopulmonary bypass surgery - associated factors and clinical outcomes ...
"Percutaneous Balloon Coronary Angioplasty vs. Coronary Artery Bypass Grafting." Presented Oklahoma State Medical Association. ... While working under Webb, Loughridge perfected his skills, techniques, and knowledge of cardiac and thoracic surgery. In 1972 ... In the 1970s he worked for four years with engineers at a company which makes oil pumping equipment in an unsuccessful attempt ... "Early Coronary Artery Bypass after Non-intramural Myocardial Infarction." Presented at OSIM-ACP Annual Meeting, 1977. ...
... that time he served as surgical director for heart transplantation as well as Director of the Coronary artery bypass surgery ... www.bizjournals.com/stlouis/print-edition/2013/01/25/lee-pumps-up-cardiac-program-at-slu.html. ... He finished a fellowship at Cleveland Clinic in Adult Cardiac Surgery and Heart Transplantation in 2003. During his surgical ... combining surgery and catheter based approaches. He is vice chair of surgery at Saint Louis University and co-director of the ...
... besides problems with early forms of cardiopulmonary bypass that made cardiac surgery in early infancy less safe than the in ... The coronary arteries are also explanted from the anatomical aorta, which lies on the venous side and reattached to the ... that is the ventricles are connected to the wrong great artery (the right ventricle to the aorta, thus pumping blood from the ... Surgery for congential heart disease Long-term results of atrial correction for transposition of the great arteries: Comparison ...
Coronary artery bypass surgery Cardiac valve repair and/or replacement (aortic valve, mitral valve, tricuspid valve, pulmonic ... The CPB pump itself is often referred to as a heart-lung machine or "the pump". Cardiopulmonary bypass pumps are operated by ... Cardiopulmonary bypass is commonly used in coronary bypass heart surgery because of the difficulty of operating on the beating ... Cardiac Surgery in the Adult. New York: McGraw-Hill. pp. 317-38. Multimedia Manual of Cardiothoracic Surgery. Cardiopulmonary ...
Cardiac vessels. CHD. Angioplasty. Bypass/Coronary artery bypass MIDCAB. Off-pump CAB. TECAB. Coronary stent. Bare-metal stent ... Healthcare science - Medicine / Surgery / Cardiac procedures (ICD-9-CM V3 35-37+89.4+99.6, ICD-10-PCS 02) ... Cardiac stress test Bruce protocol. Electrophysiology study. Cardiac imaging. Angiocardiography. Echocardiography TTE. TEE. ... atrium to pulmonary artery Fontan procedure. left ventricle to aorta Rastelli procedure. right ventricle to pulmonary artery ...
Clinical-outcome trials in cardiac surgery--have we primed the pump? [N Engl J Med. 2013] ... Effects of off-pump and on-pump coronary-artery bypass grafting at 1 year.. Lamy A1, Devereaux PJ, Prabhakaran D, Taggart DP, ... Off-pump or on-pump coronary-artery bypass grafting. [N Engl J Med. 2013] ... Off-pump or on-pump coronary-artery bypass grafting. [N Engl J Med. 2013] ...
One way to restore normal blood flow to the heart is through an operation called coronary artery bypass graft surgery (CABG) to ... Through diet, age, and genetics, arteries can become narrower than they should be because of plaque, a sticky substance that ... Sometimes, the surgery can be performed without stopping the heart and lungs. This is called beating heart surgery, or off-pump ... Coronary Artery Bypass Graft Surgery. Blood travels into the heart through arteries. Through diet, age, and genetics, arteries ...
Effect of Sodium Bicarbonate on Prevention of Acute Kidney Injury in High Risk Patients Undergoing Off-pump Coronary Artery ... A Study of THR-184 in Patients at Risk of Developing Cardiac Surgery Associated-Acute Kidney Injury (CSA-AKI) ... of Sodium Bicarbonate on Prevention of Acute Kidney Injury in High Risk Patients Undergoing Off-pump Coronary Artery Bypass ( ... of Sodium Bicarbonate on Prevention of Acute Kidney Injury in High Risk Patients Undergoing Off-pump Coronary Artery Bypass ( ...
"Off-Pump" Coronary Artery Bypass Surgery. "Beating Heart", off-pump coronary artery bypass Illustration permission for use ... Coronary artery bypass surgery was recommended.. Dr. John Conte performed the coronary bypass surgery. Of interest is the fact ... Case Study: Cardiac Surgery. Case Study 1:. Radial Artery Approach for Cardiac Catheterization followed by an " ... deficient blood flow to the left coronary artery). She was taken to the cardiac cath lab where a coronary stent was placed by ...
... off pump coronary artery bypass surgeries at INSTITUTE OF CARDIOVASCULAR MEDICINE. Department of cardiac surgery, Timisoara, ... OPCAB procedures at two separate hospitals during the XVI international congress of the Cardiovascular and thoracic surgery ...
Controversy exists regarding the perioperative renal effects of off-pump versus on-pump coronary artery bypass grafting. Large ... Division of Cardiac Surgery, University of Ottawa Heart Institute, Ottawa, Ontario, Canada.. ... Off-pump coronary artery bypass grafting does not preserve renal function better than on-pump coronary artery bypass grafting: ... Perioperative mortality was 1.5% with off-pump coronary artery bypass grafting and 1.7% with on-pump coronary artery bypass ...
... off-pump coronary artery bypass grafting) at the Center for Less Invasive and Robotic Heart Surgery in Buffalo, NY. Average ... Changing referral pattern in off-pump coronary artery bypass surgery: a strategy for improving surgical results. Heart Surg ... patients who had undergone off-pump coronary-artery bypass grafting at the Center for Less Invasive and Robotic Heart Surgery ... Robotically assisted video-enhanced-endoscopic coronary artery bypass graft surgery. Angiology 2001 Feb;52(2):99-102. [Medline] ...
... it with propofol starting at the induction of anesthesia until the end of sternotomy in patients undergoing coronary artery b ... 16324955 - Early neurocognitive function of patients after off-pump coronary artery bypass surgery.. 18849535 - Response to ... 25309695 - Infective left atrial dissecting flap after cardiac surgery.. 12475455 - A prospective randomized trial comparing ... Coronary Artery Bypass / methods*. Coronary Artery Disease / surgery*. Female. Fentanyl / administration & dosage. Hemodynamics ...
Off Pump Coronary Artery Bypass. (Michelle Downing, MD and Ahmed Zaky, MD, University of Alabama at Birmingham, Birmingham, AL ... Robotic Cardiac Surgery. (Sheela Pai Cole, MD, Stanford University, Stanford, CA). Chapter 15. Robotic Thoracic Surgery. (Ahmed ... Postoperative Care for the Adult Cardiac Surgery Patient. (Jose C. Humanez, MD, Vinod Singh, and Ahmed Zaky, Department of ... In the past decade, there has been a paradigm shift in the practice and staffing of cardiothoracic surgery from conventional, ...
This technique is an off-pump coronary artery bypass surgery. The procedure is much less invasive than traditional bypass ... Minimally Invasive Cardiac Surgery, also known as MICS CABG (Minimally Invasive Cardiac Surgery/Coronary Artery Bypass Grafting ... Minimally Invasive Coronary Artery Bypass Grafting: An Alternative Approach to Perform Coronary Artery Bypass Grafting on the ... "Off-pump coronary artery bypass: techniques, pitfalls, and results". Seminars in Thoracic and Cardiovascular Surgery. 21 (3): ...
Core concepts in cardiac surgery has been developed to make it an invaluable ... ... Core concepts in cardiac surgery. [David Taggart; Yasir Abu-Omar;] -- The development of new techniques and the refinement of ... established procedures make cardiac surgery a fast-moving field. ... pump versus on-pump coronary artery bypass grafting; 3 Current ... pump coronary artery bypass grafting; 3 Current status of minimally invasive, robotic and hybrid coronary artery bypass surgery ...
MEASUREMENTS AND MAIN RESULTS According to the variation of cardiac index after the fluid challenge (DeltaCI%), 2 groups of ... INTERVENTIONS Pulmonary artery catheter (PAC), LiDCO (LiDCO, London, UK), and transesophageal echocardiography (TEE) parameters ... of fluid responsiveness by LiDCO are highly sensitive for assessment of intravascular volume status during OPCAB surgery. In ... OBJECTIVE To verify the reliability of different markers of fluid-responsiveness during off-pump cardiac surgery (OPCAB). ...
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery, Ultrasound ... coronary artery disease include Ultrasound Based Assessment of Coronary Artery Flow and Coronary Flow Reserve Using the ... Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans, Intracoronary Acetylcholine Provocation ... A Suitable Model to Study Bypass Graft Patency, Ferric Chloride-induced Canine Carotid Artery Thrombosis: A Large Animal ...
... typically from coronary artery disease. Cardiac surgeons at Valley offer alternative methods for coronary artery bypass, ... including beating heart surgery, that provide significant patient benefit. ... Coronary artery bypass surgery is performed when heart arteries become blocked or narrowed, ... Off-pump coronary artery bypass surgery, or beating heart surgery: With beating heart surgery, we dont stop the heart or use a ...
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery, A Novel Technique ... Perfusion and Viability Using Cardiac Micro-computed Tomography, Cerenkov Luminescence Imaging (CLI) for Cancer Therapy ... A Pipeline for 3D Multimodality Image Integration and Computer-assisted Planning in Epilepsy Surgery, Fluorescence-mediated ... Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery. Laura Hocum Stone1, ...
The patients who score more than 12 EuroSCORE points cannot achieve good results because of their low cardiac output and ... Coronary artery bypass grafting (CABG) is an important therapeutic measure for CHD patients. ... Keywords: Coronary Artery Bypass, Hospitalization, Intra-Aortic Balloon Pumping, Risk Factors. Full Text Order reprints Export ... Department of Cardiac Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China (mainland) ...
Preventive Use of Intra-Aortic Balloon Pump in Patients Undergoing High-Risk Coronary Artery Bypass Grafting: A Retrospective ... Department of Cardiac Surgery, First Affiliated Hospital of Zhengzhou University, Zhengzhou, Henan, China (mainland)) ...
During cardiac displacement for off-pump coronary artery bypass(OPCAB) surgery, the presence of air underneath the displaced ... Transgastric Transoesophageal Echocardiographic Imaging During Cardiac Displacement for Off-pump Coronary Artery Bypass Surgery ... OPCAB surgery Fifteen elective OPCAB surgery patients who undergo grafting in the left circumflex artery territory due to three ... Coronary Artery Disease. Cardiovascular Diseases. Vascular Diseases. Coronary Disease. Arteriosclerosis. Arterial Occlusive ...
In a prospective study we have investigated 134 patients undergoing CABG between July 2016 and June 2017 in cardiac surgery ... Background: Coronary Artery Bypass Graft surgery (CABG) is one of the most common surgery procedures performed annually in ... dyslipidemia and severity of carotid artery stenosis. Our dependent variables were change in conscious level, CVA and seizure. ... of this study is to determine the prevalence and risk factors of the early neurologic complications emerged after CABG surgery ...
Coronary artery bypass grafting, on or off pump. *Robotically assisted coronary artery bypass grafting using the daVinci ... The Cardiac Surgery Recovery Unit (CSRU) is an intensive care unit specifically for cardiac surgery patients. The CSRU model of ... At University Hospital there are 4 dedicated cardiac operating rooms. Approximately 1400 surgeries are done annually. Cardiac ... Hybrid procedure (Robotically assisted bypass grafting with percutaneous coronary intervention stent insertion) ...
... treats patients needing surgery, such as open heart, valve repair, TAVR, ECMO, VAD, lobectomy. ... WellSpan Cardiothoracic Surgery located at 252 S. 4th St ., Lebanon, 17042, ... OPCAB (Off-pump coronary artery bypass). *Transcatheter aortic valve replacement (TAVR). *Ventricular-assist device (VAD) ... Cardiac arrhythmia surgery. *Cardiac valve surgery. *Extracorporeal membrane oxygenation (ECMO). *Mitral valve replacement & ...
In this video, cardiothoracic surgeon Craig Smith explains why 25% of heart surgeries are now done this way. ... In off-pump cardiac artery bypass surgery (OPCAB), a doctor repairs the heart without having to stop it. ... What Is an Off-Pump Coronary Artery Bypass Surgery? (1:06) In off-pump cardiac artery bypass surgery (OPCAB), a doctor repairs ... Craig Smith - What Is an Off-Pump Coronary Artery Bypass Surgery? Dr. Craig Smith - What Is an Off-Pump Coronary Artery Bypass ...
Off-pump coronary artery bypass surgery. Kaiser LR, Kron IL, Spray TL, eds. Mastery of Cardiothoracic Surgery. 2nd ed. ... The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery. Ann Thorac ... Coronary Artery Bypass Grafting Q&A Which medications may be administered prior to coronary artery bypass grafting (CABG)?. ... Off-pump versus on-pump coronary artery bypass: meta-analysis of currently available randomized trials. Ann Thorac Surg. 2003 ...
Off-pump coronary artery bypass surgery. Kaiser LR, Kron IL, Spray TL, eds. Mastery of Cardiothoracic Surgery. 2nd ed. ... The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery. Ann Thorac ... Off-pump versus on-pump coronary artery bypass: meta-analysis of currently available randomized trials. Ann Thorac Surg. 2003 ... Comparison of coronary artery bypass surgery and percutaneous coronary intervention in patients with diabetes: a meta-analysis ...
... is a type of heart surgery used to bypass blockages in the coronary arteries. ... Coronary artery bypass surgery, commonly known as CABG, ... Cardiac stress testing (to evaluate the blood perfusion to the ... Home Health Treatment Tests and Therapies OffPump Coronary Artery Bypass Surgery Off-Pump Coronary Artery Bypass Surgery. ... Coronary Artery Disease Treatment Cardiovascular Surgery What is off-pump CABG?. Coronary artery bypass surgery, commonly known ...
CardiopulmonarySurgeonsAortic valve replaAtrialVascularDirect coronaryCardiothoracic surgeryProceduresEndoscopicVeinCarotidGraftsPercutaneousIntra-aortBeating-heartIncisionsPulmonary arteryCongenitalValveRevascularizationMyocardialClinicalMinimally invasive coronary arteryArterialUnderwent cardiac surgeryUndergo coronary arteryOcclusionTranscatheterAnastomosisComplicationDisabling anginaCardiologyCardiovascularBlockageAnomaliesVesselMETHODSAcute coronary
- OPCAB voids the use of Cardiopulmonary Bypass (CPB), which requires the heart to be stopped (arrested) with cardioplegia solution. (wikipedia.org)
- Off-pump coronary artery bypass was developed partly to avoid the complications of cardiopulmonary bypass during cardiac surgery. (wikipedia.org)
- The medical community believes cardiopulmonary bypass causes a post-operative cognitive decline known as postperfusion syndrome (informally called "pumphead"), but research has shown no long-term difference between on and off pump coronary artery bypass in patients of lower risk. (wikipedia.org)
- Our products are specifically engineered for safety and ease of use in cardiopulmonary bypass. (maquet.com)
- Other causes include cardiopulmonary bypass (CPB) (due to endothelial injury and secondary pulmonary vasoconstriction) (8), protamine reactions (9) and acute pulmonary embolism. (thefreelibrary.com)
- We review our 5-year experience regarding ECMO use on those who cannot be weaned from cardiopulmonary bypass after cardiac surgery. (ebscohost.com)
- Methods: From January 2002 to December 2006, 1764 patients underwent cardiac surgery with cardiopulmonary bypass in our division. (ebscohost.com)
- Cannulation techniques for cardiopulmonary bypass -- 3. (stanford.edu)
- The non-dexmedetomidine group appeared to have much greater surgical intensity, as evidenced by significantly greater cardiopulmonary bypass times, aortic cross-clamp times, and rates of intra-aortic balloon pump use. (ahajournals.org)
- Previous studies have documented a high frequency of endotoxemia associated with cardiopulmonary bypass (CPB). (biomedcentral.com)
- The purpose of the study was to examine the prevalence of endotoxemia during cardiopulmonary bypass supported aortocoronary bypass grafting surgery (ACB) using a new assay, the Endotoxin Activity Assay (EAA), and explore the association between endotoxemia and post-operative infection. (biomedcentral.com)
- the patient needs the function of the heart and lungs provided by an artificial method, hence the term cardiopulmonary bypass . (wikidoc.org)
- Since the 1990s, surgeons have begun to perform Off-pump coronary artery bypass surgery without the aforementioned cardiopulmonary bypass . (wikidoc.org)
- We investigated the effect of ROTEM based coagulation management in cardiopulmonary bypass surgery. (lww.com)
- A retrospective review was performed of 199 patients undergoing cardiopulmonary bypass surgery between January 2011 and October 2012. (lww.com)
- Setting: Cardiac surgery with cardiopulmonary bypass. (pptaglobal.org)
- It runs a progressive worsening course due to the interplay of different pathophysiologic mechanisms, with patient- associated factors and cardiopulmonary bypass as major reasons. (webmedcentral.com)
- The inflammatory response triggered by cardiac surgery with cardiopulmonary bypass (CPB) is a primary cause of postoperative atrial fibrillation (POAF). (springer.com)
- The complex inflammatory response to cardiac surgery using cardiopulmonary bypass (CPB) is one of the primary mechanisms in the pathogenesis of POAF. (springer.com)
- Cardiac surgery requiring the use of cardiopulmonary bypass is frequently complicated by coagulopathic bleeding that, largely due to the shortcomings of conventional coagulation tests, is difficult to manage. (asahq.org)
- Institution of a practical point-of-care-based transfusion algorithm in cardiac surgery with cardiopulmonary bypass was associated with a statistically and clinically significant reduction in blood component transfusion. (asahq.org)
- This approach provides patients some benefit in that cardiopulmonary bypass (use of a heart-lung machine ) may be avoided. (encyclopedia.com)
- Cardiopulmonary bypass- Use of the heart-lung machine to provide systemic circulation cardiac output and ventilation of the blood. (encyclopedia.com)
- The MIDCAB procedure includes procedures done both with and without cardiopulmonary bypass, the later being referred to as off-pump MIDCAB. (encyclopedia.com)
- Minimally invasive valve surgery still requires cardiopulmonary bypass, since this is a true open-heart procedure (i.e. this is not surgery that is done while the heart is beating). (encyclopedia.com)
- Objective: Selected patients appear to benefit from off-pump coronary artery bypass compared with conventional coronary artery bypass with cardiopulmonary bypass. (elsevier.com)
- In the alternating upper- and lower-extremity ischemia and the control group (groups B and C), the CKMB peak release appeared after cardiopulmonary pump (group A: 64 (ranged 38. (thefreedictionary.com)
- The study was negative with regard to the primary endpoint, which was a composite of postoperative mortality, perioperative myocardial infarction and left ventricular failure at weaning from cardiopulmonary bypass. (centerwatch.com)
- The secondary endpoint severe circulatory failure discriminated mild short-lasting heart failure at weaning from cardiopulmonary bypass from clinically significant heart failure requiring substantial circulatory support and leading to prolonged ICU stay or death. (centerwatch.com)
- Cardiopulmonary support is useful during percutaneous transluminal coronary angioplasty (PTCA) and stent procedures performed in the cardiac catheterization lab. (encyclopedia.com)
- Written by an international team of renowned cardiac surgeons, each topic is split into a review of the current literature and then important technical details. (worldcat.org)
- The other one or two arteries will be stented, when appropriate, allowing cardiologists and cardiothoracic surgeons to work together. (wikipedia.org)
- In traditional bypass surgery (on-pump surgery), the heart is stopped, and surgeons use a heart-lung machine to stabilize the patient. (valleyhealth.com)
- The Society of Thoracic Surgeons has given Valley's cardiac program a three-star rating - the highest designation of quality and clinical excellence - in coronary artery bypass surgery. (valleyhealth.com)
- For more than 40 years, the cardiac surgeons at Barnes-Jewish & Washington University Heart & Vascular Center have been pioneering many of those options, including the Maze procedure for atrial fibrillation , the endovascular treatment of aortic aneurysms, and the use of minimally invasive surgery to repair heart valves . (barnesjewish.org)
- Our cardiac surgeons offer a full spectrum of treatment options, using the most up-to-date surgical therapy available. (barnesjewish.org)
- Off-pump bypass developed in the late 1990s and a little bit after that, and has become important in a segment of the population, and in a segment of surgeons. (sharecare.com)
- The Society of Thoracic Surgeons 2008 cardiac surgery risk models: part 1--coronary artery bypass grafting surgery. (medscape.com)
- Surgeons perform this type of surgery to bypass blockages in the coronary arteries. (hopkinsmedicine.org)
- Our team of surgeons consists of thoroughly experienced, dedicated, and certified cardiac specialists so you can be sure to get the professional cure by qualified and caring professionals. (vejthani.com)
- The technique has a steep learning curve, but with adequate training and experience, the quality of the anastomoses has been shown to be similar to on-pump results in surgeons with comparable experience On February 18, 2012 Amano Atsushi performed a successful off-pump coronary artery bypass operation on Emperor Akihito. (wikipedia.org)
- Surgeons perform off-pump or beating heart surgery on select patients, including the elderly, those with multiple medical problems, and those with extensive calcification in the artery walls. (concordhospital.org)
- The department of cardiothoracic surgery is staffed by one of the region's most experienced team of heart surgeons. (ijn.com.my)
- The multidisciplinary Aortic Program at Henry Ford brings together cardiac and vascular surgeons, cardiologists, interventional radiologists and imaging specialists to consider various treatment options for patients with complex aortic disease, such as aortic aneurysm or chronic dissection. (henryford.com)
- Our cardiac surgeons and structural heart experts offer both options. (henryford.com)
- The multidisciplinary Advanced Heart Failure Program at Henry Ford includes cardiac surgeons, cardiologists, nurse coordinators, social workers, psychologists, nutritionists and others to coordinate the patient's care. (henryford.com)
- Our cardiac surgeons are experienced in a wide range of techniques, and perform mitral valve repair in high-risk conditions such as coronary artery disease and heart failure. (henryford.com)
- Surgeons use chest wall arteries (known as internal mammary arteries) and segments of the patient's own veins to construct new pathways for blood and oxygen to reach the heart. (columbiasurgery.org)
- Surgeons at the University of Chicago take an uncommon approach to coronary artery bypass surgery, a common heart procedure performed to detour blood flow around blocked arteries. (uchospitals.edu)
- Rather than cutting the breastbone (sternum) to access the heart, our surgeons regularly perform minimally invasive bypass surgery through small incisions at the side of the chest. (uchospitals.edu)
- University of Chicago cardiac surgeons frequently perform bypass surgery on people considered high risk and on those who have been turned down for surgery at other hospitals. (uchospitals.edu)
- University of Chicago surgeons have performed beating-heart bypass surgery for several years, and frequently on patients considered high-risk for certain complications, such as stroke and organ failure. (uchospitals.edu)
- With this technique, our surgeons perform heart surgery through small incisions in the side of the chest using specialized surgical instruments. (memorialcare.org)
- MountainView Hospital's CVT program has been recognized by Consumer Reports ® for heart surgery success, the Society of Thoracic Surgeons for excellence in heart care. (mountainview-hospital.com)
- In addition to our surgeons, our cardiac team includes advanced nurse practitioners, physician's assistant, nurses, rehabilitation therapists, case managers and ancillary staff members who have dedicated their careers to the care and treatment of heart patients. (mountainview-hospital.com)
- Cardiac surgeons have completed specialty training in cardiology and surgery, with additional training focused on surgical treatment of heart disease. (norwalkhospital.org)
- Bypasses are performed by cardiac surgeons. (medicalxpress.com)
- Working together, cardiac and vascular surgeons repair weak spots and bulges along your aorta using the best available stent grafts. (henryford.com)
- If your doctor thinks you need heart surgery, we make every effort to get you in to meet with one of our surgeons as quickly as possible. (henryford.com)
- Bangalore, India -- ( SBWIRE ) -- 01/03/2018 -- Recently, minimally invasive cardiac surgery has started to gain popularity among surgeons and patients. (sbwire.com)
- Two cardiac surgeons performing a cardiac surgery known as coronary artery bypass surgery . (wikidoc.org)
- Dr. John W. Kirklin at the Mayo Clinic in Rochester, Minnesota started using a Gibbon type pump-oxygenator in a series of successful operations, and was soon followed by surgeons in various parts of the world. (wikidoc.org)
- Many cardiac surgeons and cardiac anaesthetists from all over the world come and learn the new techniques from him. (medicaltourismco.com)
- He trains cardiac surgeons from China in the art of off-pump bypass surgery. (medicaltourismco.com)
- Submit free quote request form for considering cardiothoracic and vascular surgery by Dr. Vivek Jawali and other world class cardiac surgeons. (medicaltourismco.com)
- Cardiothoracic surgeons from Temple University have performed heart surgery at Jeanes Hospital since 2006. (jeanes.com)
- The Temple surgeons working at the Jeanes Heart Center are supported by a complete team of cardiac anesthesiologists, RN first assistants, specially-trained operating room nurses and surgical technologists, perfusionists and critical care nurses. (jeanes.com)
- Cardiothoracic surgeons from Temple University Hospital perform heart surgery at Jeanes Hospital, ensuring that patients get the same high level of care they would receive at a downtown hospital. (jeanes.com)
- Da vinci robotic surgery in India is done by top cardiac surgeons in India who are highly trained to perform such surgeries. (indicure.com)
- This technology allows cardiac surgeons to perform complex heart surgeries with high level of precision for both motion control and the surgical incision. (indicure.com)
- Our expert cardiac surgeons can advise whether you are good candidate for robotic heart surgery or not, after evaluating your reports and examining you. (indicure.com)
- Minimally invasive heart surgery has been used as an alternative to traditional surgery for the following procedures: Coronary artery bypass Mitral valve repair Mitral valve replacement Aortic valve replacement Atrial septal defects Hybrid coronary revascularization A cannula with a pump and vacuum action is fed up through an artery in the groin to reduce the stress on the heart so that it may still function during the operation. (wikipedia.org)
- In 2004, he performed the world's first awake open heart surgery (Aortic valve replacement with triple bypass), with patient fully awake, without ventilator even when the heart was stopped. (medicaltourismco.com)
- Prospective evaluation of the utility of CHA2DS2-VASc score in the prediction of postoperative atrial fibrillation after off-pump coronary artery bypass surgery - An observational study. (medworm.com)
- One possible complication is atrial fibrillation , or irregular heartbeats, which occur in about 25% of all heart surgery patients. (columbiasurgery.org)
- Finally, in patients with heart rates below 60 beats/min or a cardiac index of less than 2.5 l/min/m 2 , atrial pacing was started and the haemodynamic consequences were monitored with the PA-TD and pulse contour methods. (wiley.com)
- The changes in cardiac output with atrial pacing were in the same direction and of the same magnitude in 15 of the 16 patients. (wiley.com)
- The experienced team at St. Mary's Cardiovascular & Thoracic Surgery has a tradition of excellence in cardiac, thoracic, vascular and esophageal surgery. (st-marys.org)
- Max Healthcare offers a comprehensive and advanced Cardiac Care Program encompassing all areas of Cardiology, Vascular Medicine and medical tourism support services. (medretreat.com)
- Cardiac function was assessed using LVEF (%) (Teicholz), thermodilution cardiac index (CI) (ml·m -2 ), and systemic vascular resistance (SVR) (dynes·sec·cm -5 ). (signavitae.com)
- Heart surgery procedures at Henry Ford Heart & Vascular Institute range from traditional open heart surgery to minimally invasive cardiac surgery procedures. (henryford.com)
- Performing more than 500 cardiac surgeries each year, our MemorialCare Heart & Vascular Institute at Long Beach Medical Center has specialized care teams and three dedicated operating rooms exclusively for the needs of cardiac patients. (memorialcare.org)
- Because the internal mammary artery is a delicate structure, any undue stretching, clamping, or misplaced clips results in permanent vascular injury and therefore unsatisfactory short- and long-term results. (ctsnet.org)
- Thought you might appreciate this item(s) I saw at Innovations:Technology and Techniques in Cardiothoracic and Vascular Surgery. (lww.com)
- Cardiac and Vascular Anesthesia: The Requisites in Anesthesiology. (asahq.org)
- are to be congratulated in largely achieving their stated goal of "providing succinct yet comprehensive and clinically oriented coverage of cardiac and vascular anesthesia" in this new addition to the Requisites in Anesthesiology series. (asahq.org)
- The focus of his clinic research is vascular complications around the time of surgery. (phri.ca)
- Perioperative vascular complications around the time of surgery. (phri.ca)
- Being the first of its kind, this book is geared to meet and adapt to the rapidly expanding changes in the field of cardiothoracic surgery and anesthesia. (novapublishers.com)
- Chikwe J, Beddow E, Glenville B. Cardiothoracic Surgery . (medscape.com)
- Learn more about the cardiothoracic surgery medical team . (jeanes.com)
- In addition, Dr. Patel operated at the Ann Arbor Veterans Hospital, where he was Chief of Cardiothoracic Surgery from 2004 to 2009. (umcvc.org)
- With this change, the role of the anesthesiologists has evolved beyond the simple provision of anesthetics to a more proactive role where the anesthesiologist provides guidance to other members of the cardiac team as well as reacting to potentially catastrophic complications that may occur during these procedures. (novapublishers.com)
- The development of new techniques and the refinement of established procedures make cardiac surgery a fast-moving field. (worldcat.org)
- Extensively illustrated with full-colour photographs and artwork to facilitate understanding of complex procedures, Core concepts in cardiac surgery is also available on a companion website, to allow the authors to update the text regularly to reflect developments in the discipline. (worldcat.org)
- Minimally invasive heart surgery is a safe and broadly applicable technique for performing a wide range of complex heart procedures, including single or multiple heart valve procedures, bypass surgery, and congenital heart repairs. (wikipedia.org)
- Healthgrades has awarded Valley Five-Star Designations in Coronary Bypass Surgery and Pacemaker Procedures. (valleyhealth.com)
- We perform approximately 1,200 major cardiac procedures with 1,800 total cardiac procedures. (barnesjewish.org)
- The cardiac surgery group has pioneered the development of many procedures in the field. (barnesjewish.org)
- Treatment options include open heart surgery, endovascular procedures, as well as debranching procedures for selected high-risk patients. (henryford.com)
- For "on-pump" procedures, circulation is maintained by a heart-lung machine. (columbiasurgery.org)
- The growth of the minimally invasive procedures comes from the cannibalization of the open-heart surgery procedures. (sbwire.com)
- Cardiac surgery and heart valve procedures accounts for a large array of procedures. (sbwire.com)
- A cardiac cath provides your doctor with information on how well your heart works, identifies potential problems and allows for procedures to open arteries that are blocked. (tristarhealth.com)
- Despite more complications in patients having conventional bypass, operative mortality (P = .53) and hospital costs (P = .43) were similar to those of patients having off-pump procedures. (elsevier.com)
- At Valley, we offer endoscopic vein harvesting to obtain the leg vein needed for bypass surgery. (valleyhealth.com)
- Virtually every patient receiving cardiac surgery from Valley now benefits from endoscopic vein harvesting. (valleyhealth.com)
- The candidate should also have experience with less invasive aortic surgery including endoscopic aortic root and ascending aortic surgery. (disabledperson.com)
- To assess quantitative measurement of mean pulmonary artery pressure (PAP) in extracardiac total cavopulmonary connection (TCPC) patients by noninvasive echocardiographic inferior vena cava collapsibility index (IVC-CI) and also correlation between the peripheral vein pressure and mean PAP. (researchgate.net)
- When the under-surface of the vein is clearly exposed, the artery subsequently becomes visible. (ctsnet.org)
- Proximally, the mammary vein may be clipped and divided, clearing the view for the artery. (ctsnet.org)
- Iced saline (15 ml) is injected into a central vein and, from the temperature change in the aorta, the cardiac output can be calculated and the system can be calibrated. (wiley.com)
- Risk factors that evaluated in our analysis consist of hypertension (HTN), diabetes, body mass index (BMI), dyslipidemia and severity of carotid artery stenosis. (scribd.com)
- Recognize normal variants of aortic arch branching, including common origin of brachiocephalic and left common carotid arteries ("bovine arch"), and separate origin of vertebral artery from arch on CT and MRI/MRA. (umc.edu)
- Gencpinar T, Akkaya G, Bilen Ç, Akokay P, Yilmaz O, Çatalyürek H. Effects of carbon dioxide insufflation on anastomosis remodeling at a carotid artery site in rabbits. (termedia.pl)
- The aim of this study was to evaluate the effects of CO2 insufflation and endothelial damage during a rabbit carotid artery model. (termedia.pl)
- May also be used in carotid arteries (major arteries of the neck leading to the brain) to remove plaque and reduce risk for stroke. (heart.org)
- Oxygen rich blood will be returned to the aorta, femoral artery or carotid artery. (encyclopedia.com)
- The fatty emboli which cause brain damage are generated when the large artery from the heart (aorta) is manipulated and although these are reduced in most off-pump coronary bypass surgeries they are not eliminated because the aorta is still used as a site to attach some of the grafts. (wikipedia.org)
- Levosimendan was administered as an IC bolus (125-250 μg) in each coronary artery graft (2-3 grafts). (signavitae.com)
- Treats blocked heart arteries by taking arteries or veins from other parts of your body - called grafts - and using them to reroute the blood around the clogged artery to supply blood flow to your heart muscle ( View an animation of blood flow ). (heart.org)
- A patient may undergo one, two, three or more bypass grafts, depending on how many coronary arteries are narrowed. (heart.org)
- Alan Zajarias, MD, John M. Lasala, MD and Ralph J. Damiano Jr., MD, perform the first percutaneous valve repair surgery in the nation at Barnes-Jewish. (barnesjewish.org)
- This results in a very low risk of stroke, actually less than occurs during percutaneous coronary intervention In addition to off-pump surgery being associated with the clinical benefits of a reduced risk of stroke or memory problems, patients also typically have a faster recovery and shorter hospital stay, fewer blood transfusions, and fewer unwanted inflammatory/immune response issues. (wikipedia.org)
- Also known as Percutaneous Coronary Interventions [PCI], Balloon Angioplasty and Coronary Artery Balloon Dilation. (heart.org)
- The indication of ECMO was refractory cardiogenic shock despite adequate filling volumes, large-dose inotropes and intra-aortic balloon pump support. (ebscohost.com)
- Veno-arterial extracorporeal membrane oxygenation (VA-ECMO) after intra-aortic balloon pump (IABP) Counterpulsation: The Liverpool Hospital experience. (ebscohost.com)
- The article evaluates the microcirculation in a patient with severe cardiogenic shock supported by extracorporeal membrane oxygenation (ECMO) and intra-aortic balloon pump (IABP) counterpulsation using a sidestream darkfield intravitalmicroscope. (ebscohost.com)
- Impact of intra-aortic balloon pump on long-term mortality of unselected patients with ST-segment elevation myocardial infarction complicated by cardiogenic shock. (ebscohost.com)
- We report results of a retrospective review of intra-aortic balloon pump (IABP) use in two Australasian centres and evaluate the effect of final IABP tip position on outcome. (ebscohost.com)
- Use of intra-aortic balloon pump in cardiac surgery: analysis of 80 consecutive cases. (ahajournals.org)
- "Beating Heart", off-pump coronary artery bypass Illustration permission for use granted by Medtronic, Inc. (hopkinsmedicine.org)
- A special "octopus retractor" was used to stabilize the heart because during off-pump surgery the heart continues to beat (thus the term "beating heart surgery"), unlike the traditional on-pump method where the heart is arrested and completely still. (hopkinsmedicine.org)
- Off-pump is also known as beating heart surgery. (wikipedia.org)
- With beating heart surgery, we don't stop the heart or use a heart-lung machine. (valleyhealth.com)
- Off-pump, or beating heart, surgery puts less strain on the heart muscle during surgery. (valleyhealth.com)
- It is sometimes referred to as "beating heart surgery. (hopkinsmedicine.org)
- Data analysis from beating heart surgery patients shows a significant reduction in the release of this debris with correspondingly lower stroke rates. (wikipedia.org)
- Do You Know About Beating Heart Bypass Surgery? (maxhealthcare.in)
- When an open-chest approach is required, it's preferable to perform the surgery on a beating heart, without the use of the heart-lung bypass machine. (uchospitals.edu)
- Assessment of fluid-responsiveness parameters for off-pump coronary artery bypass surgery: a comparison among LiDCO, transesophageal echochardiography, and pulmonary artery catheter. (semanticscholar.org)
- The aims of this study were to determine the agreement between pulmonary artery thermodilution (PA-TD), transpulmonary thermodilution (TP-TD) and the pulse contour method, and to test the ability of the pulse contour method to track changes in cardiac output. (wiley.com)
- Most studies have found, a posteriori, 'acceptable' agreement between TP-TD, the pulse contour method and the de facto clinical standard - pulmonary artery thermodilution (PA-TD) (2-9) . (wiley.com)
- Perhaps this is appropriate given the critical and routine role that intraoperative TEE now plays and the gradual waning of reliance on pulmonary artery catheters, but it is notable that there is neither a depiction nor a discussion of the pressure waves seen with these "routine cardiovascular monitors. (asahq.org)
- Commonly used methods of determining fluid status such as central venous pressure (CVP) and pulmonary artery pressure (PAP) do not accurately reflect the left ventricular end diastolic area and volume values, even when trends are followed after the administration of a fluid challenge during hemodynamic instability. (ispub.com)
- All forms of complex cardiac surgeries for paediatrics and adult congenital heart defects. (medretreat.com)
- Background: Tetralogy of Fallot (TOF) is one of the congenital cardiac abnormality which occurs during embryonic time. (researchgate.net)
- Management of pulmonary hypertension after the total correction of this congenital cardiac anomaly is very important. (researchgate.net)
- She had been seen at two other major academic centers in hopes of having a valve replacement along with repair of her "aortic root" (the section of aorta that joins the heart above the aortic valve), but was unable to find a team of physicians that would perform the surgery without blood transfusion. (hopkinsmedicine.org)
- A number of new and innovative devices within this market are expected to emerge over the forecast period, particularly in the heart valve and cardiac assist segments, and as a result, growth in the overall market is expected to accelerate. (hedgehogs.net)
- The pump is used to circulate oxygenated blood during heart or valve surgery and may contribute to complication with oxygen flow to the brain. (harvard.edu)
- We are one of the first programs in Michigan offering minimally invasive valve replacement surgery. (henryford.com)
- Mitral Valve Surgery As the most structurally complex of your heart's four valves, mitral valve conditions require expert care. (henryford.com)
- He has also performed India's first minimally invasive bypass surgery (MIDCAB), and also a minimally invasive valve replacement . (medicaltourismco.com)
- Robotic Heart surgery has positive results similar to those of a conventional heart surgery - restoration of sufficient blood flow and normal delivery of oxygen and nutrients to the heart or normal functioning of heart after a valve replacement . (indicure.com)
- Clinical-outcome trials in cardiac surgery--have we primed the pump? (nih.gov)
- The clinical outcome after coronary bypass surgery: a 30-year follow-up study. (medscape.com)
- Describe the clinical significance of coronary arterial calcification on a chest radiograph. (umc.edu)
- This handy clinical guide provides speedy access to information and guidelines cardiac surgery nurses use daily. (springerpub.com)
- She worked clinically in a variety of cardiac-related settings, including cardiac telemetry, transplant/metabolic clinical nursing, cardiology intensive care nursing, and cardiovascular research at University of California-Davis Medical Center. (springerpub.com)
- OBJECTIVES The purpose of this study was to test the value of gait speed, a clinical marker for frailty, to improve the prediction of mortality and major morbidity in elderly patients undergoing cardiac surgery. (semanticscholar.org)
- The descriptions of cardiac anatomy and the discussions of cardiac electrophysiology and mechanical functioning in chapter 1 are basic, but they are linked to clinical management principles such that even experienced practitioners will benefit from reviewing this chapter. (asahq.org)
- The primary clinical end point was the incidence of POAF after surgery. (springer.com)
- Recognize coronary arterial calcification on CT and describe the current role of coronary artery calcium scoring with helical or electron beam CT. (umc.edu)
- arterial pressure based cardiac output, arterial pressure waveform. (ispub.com)
- The purpose of this study was to compare the stroke volume variation (SVV) and arterial pressure based cardiac output (APCO) with the current accepted methods on cardiac output and preload status.METHODS: Prospective, observational study in 100 cardiac surgery patients. (ispub.com)
- A centrifugal or roller head pump can be used in the arterial position for extracorporeal circulation of the blood. (encyclopedia.com)
- All patients who underwent cardiac surgery between June 2005 and December 2008 were included. (who.int)
- This study was designed as a single centered retrospective cohort study aimed to find out the proportion of the kidney injury in patients who underwent cardiac surgery and to evaluate the efficiency of eGFR and AKIN criteria for the early prediction of AKI. (webmedcentral.com)
- An estimated 170,000 Americans undergo coronary artery bypass surgery each year. (columbiasurgery.org)
- People with diabetes have a 30 per cent less chance of dying if they undergo coronary artery bypass surgery rather than opening the artery through angioplasty and inserting a stent, a new study has found. (medicalxpress.com)
- In general, it is recommended for people with disabling angina that cannot be controlled by conventional therapy and who are also good candidates for surgery. (columbiasurgery.org)
- Very often, the patient may have suffered from disabling angina or other cardiac limitations before the operation. (columbiasurgery.org)
- American College of Cardiology and American Heart Association (ACC/AHA) guidelines 3 for antiplatelet therapy following coronary stenting published in 2006 recommended 1 month of aspirin and clopidogrel after elective implantation of a bare metal stent (BMS), 3 months for sirolimus-eluting stents and 6 months after paclitaxel-eluting stents. (bmj.com)
- Those surgeries are available right here at Cardiovascular & Thoracic Surgery. (st-marys.org)
- Cardiovascular & Thoracic Surgery is located at 2828 First Ave., Suite 200, in Huntington. (st-marys.org)
- MountainView's cardiovascular and thoracic surgery is the premier program in Southern Nevada. (mountainview-hospital.com)
- He recently assumed the role as the Section Head of Adult Cardiac Surgery at the Frankel Cardiovascular Center. (umcvc.org)
- Nevertheless, because TEE has essentially become a standard monitor for cardiovascular surgery, an appropriately detailed and well-written treatment of this subject is allotted half of the chapter. (asahq.org)
- A section of healthy blood vessel taken from your chest, arms or legs is then sewed, or grafted, onto the coronary artery above the blockage and reattached below to allow blood to bypass the blockage and provide greater blood supply to the heart muscle. (emoryhealthcare.org)
- Often combined with implantation of a stent (see below) to help prop the artery open and decrease the chance of another blockage. (heart.org)
- Your healthcare provider may plan the surgery in advance, or you might need it in an emergency if a vessel suddenly becomes blocked. (hopkinsmedicine.org)
- Provides local stabilization of a target vessel during off-pump coronary artery bypass. (maquet.com)
- All forms of bypass surgery involve removing a 'clean' vessel (graft) and attaching it to the areas around the blocked artery in order to restore blood flow. (uchospitals.edu)
- Coronary stent- An artificial support device used to keep a coronary vessel open. (encyclopedia.com)
- Methods and Results Of 240 patients undergoing extracorporeal membrane oxygenation support following cardiac surgery, 111 had echocardiographic examinations at our institution before implantation of extracorporeal membrane oxygenation and were thus included. (ahajournals.org)
- Post-operatively, cardiac output was determined with the PA-TD and pulse contour methods, and the bias and limits of agreement were again calculated. (wiley.com)
- Post-operatively, cardiac output measurements with the PA-TD and pulse contour methods did not agree, but the pulse contour method reliably tracked pacing-induced changes in cardiac output. (wiley.com)
- Methods: A total of 1993 elderly patients (age ≥ 80 years) underwent isolated, primary coronary artery bypass graft operations at 16 different statewide centers from 2003 to 2008. (elsevier.com)
- Additionally, in patients who undergo stent implantation in the setting of an acute coronary syndrome, at least 12 months of dual therapy is typically recommended regardless of the type of stent used. (bmj.com)
- Acute coronary syndrome is an umbrella term for when blood supplied to the heart muscle is decreased or blocked, leading to a heart attack . (heart.org)