Research
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2018 Network Meta-analysis of An-Aortic “NO” touch coronary revascularisation
The network meta-analysis of aortic no touch techniques provides a “Class 1, Level of evidence B’ indication for minimising the aortic manipulation during CAGS. See full article Network meta-analysis favouring anaortic cag [544] Zhao DF, Edelman JJ, Seco M, Bannon PG, Wilson MK, Byrom MJ, et al. Coronary artery bypass grafting with and without manipulation of … Continue reading 2018 Network Meta-analysis of An-Aortic “NO” touch coronary revascularisation
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2018 European guidelines on revascularistion
An-aortic no touch guidelines See paper below for full guidelines Sousa Uva 2018 2018 ESCEACTS Guidelines on myo
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Da Vinci assisted robotic coronary bypass surgery speeds recovery.
At just 44, Joanna was told there was a 90 per cent blockage in one of the arteries in her heart. she was ideal for a keyhole coronary bypass operation using the new da Vinci Xi robot. “It allows us to do safe, minimally invasive open-heart surgery through smaller cuts, so you get back to … Continue reading Da Vinci assisted robotic coronary bypass surgery speeds recovery.
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Costly robotic surgery ‘more accessible’ after opening of new Sydney training facility
More Australian surgeons will be trained to use robots at the operating table, with the opening of the country’s first robotic surgery training facility at Sydney’s Royal Prince Alfred (RPA) Hospital. Australian Broadcasting Corporation Broadcast: 18/04/2017 Reporter: Antoinette Lattouf View the full news article.
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Percutaneous tricuspid valve replacement for a stenosed bioprosthesis
Roberts P, Spina R, Vallely M, Wilson M, Bailey B, Celermajer DS Circ Cardiovasc Interv 2010 Aug;3(4):e14-5 PMID: 20716752 View the PubMed article Abstract
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Bilateral internal mammary arteries: evidence and technical considerations
Vallely MP, Edelman JJ, Wilson MK Ann Cardiothorac Surg 2013 Jul;2(4):570-7 PMID: 23977638 Abstract Bilateral internal mammary artery (BIMA) grafts are used for coronary revascularisation by only a minority of surgeons, despite a growing body of evidence suggesting improved survival when compared to use of only one internal mammary artery with additional saphenous vein grafts. … Continue reading Bilateral internal mammary arteries: evidence and technical considerations
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Anaortic off-pump coronary artery bypass grafting in the elderly and very elderly
Elderly patients undergoing surgical revascularisation may disproportionately benefit from avoiding manipulation of the ascending aorta and cardiopulmonary bypass. In this multi-centre observational study, we sought to determine the 30-day outcomes of anaortic off-pump coronary artery bypass (OPCAB) in an elderly and very-elderly population.
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Outcomes of surgical aortic valve replacement in octogenarians
In the era of TAVI, there has been renewed interest in the outcomes of conventional AVR for high-risk patients. This study evaluates the short- and long-term outcomes of AVR in octogenarians.
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Total percutaneous cardiopulmonary bypass with Perclose ProGlide
Suture-mediated closure devices have been previously described as an interesting alternative to femoral cutdown during endovascular aortic procedures. The insertion of two or three devices before the cannulation (preclose technique) permits successful percutaneous access also with a large sheath up to 24 Fr diameter. The main benefit of percutaneous access is a lower rate of complication at the groin. The same technique can be applied to cardiac procedures where femoral cannulation for cardiopulmonary bypass (CPB) is required. We report a series of 12 patients in whom total percutaneous CPB was successfully established using a Perclose ProGlide for the arterial access.
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Replacement of the aortic root with a composite valve-graft conduit: risk factor analysis in 246 consecutive patients
Composite valve-graft (CVG) replacement of the aortic root is a well-studied and recognised treatment for various aortic root conditions, including valvular disease with associated aortopathy. There have been few previous studies of the procedure in large numbers in an Australian setting.