For specialists

Medical error is an inevitability that will overtake everyone who uses medical care. Medical personnel, by means of the state-of-the-art techniques and spurred by business, intervene in the patient’s body. And the more aggressive this intervention is, the higher is the cost of an error.

Medical error – the third leading cause of death in the US

Speckle tracking analysis to determine global longitudinal deformity (GLS) in the management of a patient with heart failure in the long term after CABG.

How we manage it (case report)

The main task is to perform the operation without incising the sternum. This will allow to avoid osteomyelitis of the sternum in future, the dehiscence of wire sutures in case of its “inconsistency” and will preserve the “frame” of the chest, which is extremely important for full value breathing in the postoperative period. Full value breathing will avoid the development of atelectasis in the lung, pneumonia, postcardiotomy syndrome, manifested by inflammation of the pleura and pericardium with hyperproduction of exudate.

Dual inflow, total-arterial, anaortic, off-pump coronary artery bypass grafting: how to do it

Two times reduced heparin dosage leading to lower risk of bleeding.

Five-year Outcomes after Off-pump or On-pump Coronary Artery Bypass Grafting

Off-pump VS On-pump CABG Debate – Pro Off-pump

Reduced chance of the embolic stroke due to the damage to plaques on the aortic wall.

Current Practice of State-of-the-Art Surgical Coronary Revascularization

A patient who has used autoarteries for coronary artery bypass grafting will live longer than a patient with used veins and, moreover, a patient with stented arteries. But we can observe this only after a 10-year period after the operation.

Radialis artery harvesting – how I do it

The 10 Commandments for Multiarterial Grafting

How I deploy arterial grafts (by David P. Taggart)

Total Arterial Revascularization: The Case for Radial Artery Conduit

The effect on survival from the use of a saphenous vein graft during coronary bypass surgery: a large cohort study

Effect of Bilateral Internal Mammary Artery Grafts on Long-Term Survival

Why bypass grafting is better than stenting even in the old version CABG?:

Coronary Artery Bypass Grafting is Still the Best Treatment for Multivessel and Left Main Disease, But Patients Need to Know

Percutaneous Coronary Intervention, Coronary Artery Bypass Surgery and the SYNTAX score: A systematic review and meta-analysis

Compliance With Guideline-Directed Medical Therapy in Contemporary Coronary Revascularization Trials

SYNTAX Score in Patients With Diabetes Undergoing Coronary Revascularization in the FREEDOM Trial

Five-Year Outcomes after PCI or CABG for Left Main Coronary Disease

PCI vs CABG in Left Main Disease — The Surgeons and Statisticians Are Right

Percutaneous coronary angioplasty versus coronary artery bypass grafting in the treatment of unprotected left main stenosis: updated 5-year outcomes from the randomised, non-inferiority NOBLE trial

Revascularization in Patients With Left Main Coronary Artery Disease and Left Ventricular Dysfunction

Revascularization Choices for Left Main Coronary Artery Disease: Does Left Ventricular Function Matter?

10-year follow-up of the multicentre randomised controlled SYNTAX trial

Long-term study finds QoL improvements in CABG patients despite complications

The intracoronary stenting epidemic is driven by pressure from the stent manufacturer’s market, which has an annual turnover of over $6 billion per year. As for efficiency … judge for yourself.

AHA 2019: ISCHEMIA Trial a Moment of Truth for PCI?

PCR trials

AVERT trial design and findings in the hot seat: investigators insist AVERT reflects current practices

Medical therapy takes COURAGE: No benefit of PCI over optimal drugs for preventing events in stable CAD

ORBITA: Sham Comparison Casts Doubt on PCI for Stable Angina

No CV event reduction with invasive over conservative initial strategy in stable ischemic heart disease

Acute heart failure is a life-threatening condition that requires immediate decision-making and is accompanied by active interventions in the human body. Acute coronary syndrome (ACS), acute myocarditis, pulmonary embolism (right ventricular failure), acute regurgitation on the aortic and mitral valves are the main causes of acute heart failure.

Compared with PCI, CABG is associated with significant lower all-cause mortality in patients with AHF

If the patient has developed aortic dissection, affecting only the region of the arch and the descending aorta, then hybrid surgery may be the method of choice: moving the brachiocephalic arteries into the ascending aorta using the bald arch technique, followed by placing a stentgraft in the dissection zone to eliminate the zone of entry into the dissection and remodeling of the thoracic aorta.

There’s intraoperative ultrasound of the heart in 100% of cases (remote monitoring of intracardiac hemodynamics).

Minimally invasive approach is utilized for both multivessel bypass grafting and hybrid surgery (stent + LIMA to LAD).

Blood is being preserved by the Cell Saver device (donor blood is not required).

Nerve block anesthesia. There are not narcotic drugs both intraoperatively and in the postoperative period. There’s no pain (full breathing) – no pneumonia.

Standardizing definitions for hybrid coronary revascularization