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Cardiac

June 1, 2014
This is a nice video that demonstrates what items are required to safely perform an emergency resternotomy.    Might be a nice video to show to your ICU nurses or those who might be required to assist in an emergency resternotomy. 
June 1, 2014
This study assessed whether the application of a poly based hydrogel containing amioderone applied to the epicardium at the time of surgery reduced the incidence of post-operative atrial fibrillation. The study randomised 100 patients undergoing cardiac surgery to either receive the amioderone spray at the time of surgery or no intervention.
June 1, 2014
This multi-centre registry study assessed peri-operative and long-term outcomes in patients who underwent isolated surgical aortic valve replacement (AVR) who had previous undergone coronary artery bypass graft surgery (CABG). The study included 113 patients who underwent AVR after previous CABG across seven centres between 2000-2013.
May 29, 2014
This study assessed nonfatal outcomes comparing CABG to PCI for pts with multivessel CAD identified in national registries.  The outcome was the composite of death, MI, or stroke.  Registry data were linked to Medicare data to obtain outcomes and pts were propensity score matched.  The authors identified a total of 86,244 CABG and 103,549 PCI pts.  A
May 28, 2014
Joe Novak, MD was an F-15 Combat Pilot and now is an Emergency Physician. In this fantastic lecture, he brings the concepts of Combat Aviation to the art of Resuscitation. The Boldface
May 27, 2014
Filmed at the 2014 STS Annual Meeting in Orlando, Florida, this roundtable discussion focuses on the treatment of mitral valve disease. Vinod Thourani moderates the discussion with Gorav Ailawadi, Vinay Badhwar, and Michael Argenziano.
May 25, 2014
Interesting images of one of the very few reports on transeptal mitral valve implantation, in this case with a SAPIEN XT valve. The valve was implanted in a 72-year old female patient with previous aortic valve replacement and tricuspid valve annuloplasty. She had symptomatic mitral stenosis with severe calcification of the mitral annulus.
May 23, 2014
In this extensive review, the authors focus on extracorproreal membrane oxygenation (ECMO), both for cardiac and respiratory failure. They describe the explosive increase in ECMO use, the expanding indications, and the need for more evidence-based use.
May 22, 2014
Traditionally, patients undergoing TAVI are treated with dual antiplatelet therapy (DAPT). This strategy in not based on strong evidence.
May 21, 2014
The PORTICO trial has opened to evaluate the Portico Transcatheter Aortic Valve System.  This prospective multicenter trial involving up to 40 sites will randomize pts to Portico vs another TAVR valve in the US. 

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