Lucia Torracca HEART FAILURE & Co. Milano aprile 2010

Slides:

Advertisements

Similar presentations

What’s New in Type 2 Diabetes? Lots!

Advertisements

THE EVOLUTION OF EVH AND CONDUIT QUALITY

Tenth International Symposium HEART FAILURE & Co. CARDIOLOGY SCIENCE UPDATE FEMALE DOCTORS SPEAKING ON FEMALE DISEASES Milano aprile 2010 FEDERICA.

Tenth International Symposium HEART FAILURE & Co. CARDIOLOGY SCIENCE UPDATE FEMALE DOCTORS SPEAKING ON FEMALE DISEASES Milano aprile 2010 ICD data.

HEART TRANSPLANTATION Overall ISHLT 2008 J Heart Lung Transplant 2008;27:

What is cholesterol? Cholesterol is a waxy, fatlike substance that is naturally present in cell walls or membranes everywhere in the body. Your body uses.

Off pump CABG has been performed for the first time 40 years ago. Although conventional CABG is considered both safe and effective, the use of CBP.

CV Health: Three Ways to ‘kNOw’

CHANGING WORLDS The Impact of University Research.

Ischaemic Heart Disease- Implications of Gender Dr Kaye Birks School of Rural Health Monash University Australia Gender Competency Training for Medical.

A Clinical Evaluation of Terumo’s Prescriptive Oxygenation™ Series Capiox® FX15 and FX25 Hollow Fiber oxygenators with Integrated Arterial Filter in the.

(1) Arch Debranching vs. Elephant Trunk for Hybrid Repair of the Proximal Thoracic Aorta Arch Debranching versus Elephant Trunk Procedures for Hybrid Repair.

Impact of Preoperative Renal Dysfunction in Patients Undergoing Off- pump vs On-pump Coronary Artery Bypass.

STS 2015 John V. Conte, MD Professor of Surgery Johns Hopkins University School of Medicine On Behalf of the CoreValve US Investigators Transcatheter Aortic.

Chronicle Offers Management to Patients with Advanced Signs and Symptoms of Heart Failure Presented at American College of Cardiology Scientific Sessions.

Left Main Coronary Artery Dissection Complicating Diagnostic Coronary Angiography Layth A. Mimish MBChB, FRCPC, FACC Medical Director The Cardiovascular.

Beyond Dieting: New Weight Loss Medications & Treatments on the Horizon Daniel Bessesen, MD.

ACHD Patients Should Receive Treatment in Adult Institutions Society of Thoracic Surgeons Adult Cardiac Surgery Database reports 39,872 adults undergoing.

Simultaneous Coronary Artery Bypass and Carotid Endarterectomy Ye zhidong, Liu Peng Department of Cardiovascular Surgery China-Japan Friendship Hospital.

New guidelines for CABG

BITA Grafting: When to do it (when to not do it ) Joseph F. Sabik, MD Chairman and Professor of Surgery Department of Thoracic and Cardiovascular Surgery.

Cardiovascular Disease in Women Module V: Prognosis and Treatment Outcomes.

The New Priority: Decreasing Readmissions after Cardiothoracic Surgery: How Do We Get There? Michael Zhen-Yu Tong, MD, MBA Department of Cardiothoracic.

M Ruel, V Chan, M Boodhwani, B McDonald, X Ni, G Gill, K Lam, F Rubens, P Hendry, R Masters, T Mesana Ottawa, Canada How Detrimental is Re-Exploration.

Stent or Surgery: What is Best for a Woman ? Dr R H Stables Cardiothoracic Centre Liverpool UK.

S. HUNT Tenth International Symposium HEART FAILURE & Co. CARDIOLOGY SCIENCE UPDATE FEMALE DOCTORS SPEAKING ON FEMALE DISEASES Milano aprile 2010.

M. JESSUP Tenth International Symposium HEART FAILURE & Co. CARDIOLOGY SCIENCE UPDATE FEMALE DOCTORS SPEAKING ON FEMALE DISEASES Milano aprile 2010.

Randomized Controlled Trial of Intensive Versus Conservative Glucose Control in Patients Undergoing Coronary Artery Bypass Graft Surgery: GLUCOCABG Trial.

G. Rainey Williams Symposium September 30, 2005 CABG in the Elderly Patient: On or Off pump? A Single Center Experience R. Nathan Grantham, M.D.

Safety of Cyclooxygenase-2 (COX-2) inhibitors, Valdecoxib and Parecoxib, versus Placebo for Post CABG Pain Management Presented at American College of.

HOPE: Heart Outcomes Prevention Evaluation study Purpose To evaluate whether the long-acting ACE inhibitor ramipril and/or vitamin E reduce the incidence.

Multiple Arterial Bypass Grafting Should Be Routine Robert F Tranbaugh, David J Lucido, Kamellia R Dimitrova, Darryl M Hoffman, Charles M Geller, John.

A New Technology for Blood Conservation using Hemoconcentration A Universal Blood Reservoir for Salvaging Autologous Whole Blood from any ECC. The Hemobag.

Presenter: Shoujun Li, Kai Ma Department of Pediatric Cardiac Surgery, Fuwai hospital & National Center for Cardiovascular Disease, PUMC&CAMS, Beijing,

Sorin HeartLink – Perfusion Systems and Solutions Christian Chlela Senior Clinical Expert Sorin Group.

M Gaudino. 2 Loop FD et al NEJM 1986 Arterial conduits used for coronary artery bypass grafting - Internal Thoracic Artery - Radial Artery - Right.

Preoperative Hemoglobin A1c and the Occurrence of Atrial Fibrillation Following On-pump Coronary Artery Bypass surgery in Type-2 Diabetic Patients Akbar.

Smoking Research has shown that smoking increases heart rate, blood pressure, tightens major arteries, and can create irregularities in the timing of.

Coronary Artery Surgery 2003 Coronary Artery Surgery Results 2003 Coronary Artery Surgery Results 2003 The Japanese Association for Coronary Artery Surgery.

Outcome of Increasingly Morbid Cardiac Patients Prof. Abdulhamid Al-Saeed, FFARCSI Professor in Anaesthesia & Critical Care Medicine Head of Cardiac Anaesthesia.

Department of cardiovascular surgery Kumamoto Central Hospital Taro Nakatsu, Nobushige Tamura, Takuya Nomoto, Koji Hagio, Masanosuke Ishigami, Shouichi.

1 Heart surgery in Norway 2008 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD

Date of download: 9/19/2016 Copyright © 2016 American Medical Association. All rights reserved. From: Association Between Endoscopic vs Open Vein-Graft.

Surgical Procedure as a Treatment for Obesity

Single IMA {Single Arterial}

Joseph Zacharias & Bilal Kirmani Lancashire Cardiac Centre Blackpool

Lako S, Daka A, Nurka T, Dedej T, Memishaj S

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2006 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

George T. Christakis, MD, Richard D. Weisel, MD, Karen J

Beating Heart Surgery Punjab Institute of Cardiology, Lahore.

Jan L.Svennevig, MD,PhD Heart surgery in Norway 2007 Norwegian Association of Cardiothoracic Surgeons Jan L.Svennevig, MD,PhD.

ECMO and advanced intensive care Euro-Elso 2013

Coronary Artery Bypass Grafting (CABG) Patients

Richard S. D’Agostino, MD, Jeffrey P

Leena Khaitan, MD, Francis P Sutter, Scott M Goldman, MD

Advances in the treatment of coronary artery disease

Coronary Artery Surgery

Shikhar Agarwal, MD, MPH, Aatish Garg, MD, Akhil Parashar, MD, Lars G

Lower graft patency after off-pump than on-pump coronary artery bypass grafting: An updated meta-analysis of randomized trials Hisato Takagi, MD, PhD,

Surgical revascularization techniques that minimize surgical risk and maximize late survival after coronary artery bypass grafting in patients with diabetes.

for the REGROUP Trial Investigators

Gender profiling in coronary artery bypass grafting

George T. Christakis, MD, Richard D. Weisel, MD, Karen J

Risk Stratification and Interventional Cardiology: Robert L

Predictors of Low Cardiac Output Syndrome After Isolated Coronary Artery Bypass Surgery: Trends Over 20 Years Khaled D. Algarni, MD, MHS, Manjula Maganti,

Multivariable prediction of in-hospital mortality associated with aortic and mitral valve surgery in Northern New England Edward R Nowicki, MD, Nancy.

A decade after the Surgical Treatment for Ischemic Heart Failure (STICH) trial: Weaving firm clinical recommendations from lessons learned Robert E.

Assessment of independent predictors for long-term mortality between women and men after coronary artery bypass grafting: Are women different from men?

On-pump versus off-pump coronary artery bypass grafting: impact on postoperative renal failure requiring renal replacement therapy Jan Bucerius, MD,

Presentation transcript:

Lucia Torracca HEART FAILURE & Co. Milano 9 - 10 aprile 2010 Tenth International Symposium HEART FAILURE & Co. CARDIOLOGY SCIENCE UPDATE FEMALE DOCTORS SPEAKING ON FEMALE DISEASES Milano 9 - 10 aprile 2010 Lucia Torracca

Il bypass aorto-coronarico: più rischioso e meno efficace? L. Torracca Direttore U.O. Cardiochirurgia A.O.U. Ospedali Riuniti “Umberto I- G. M. Lancisi- G. Salesi” Presidio Monospecialistico “G. M. Lancisi” Ancona

Preoperative risk profile (women versus men) Older Diabetes/Obesity/Hypertension Smaller body surface area Lower hematocrit Congestive heart failure/NYHA class IV IV heparin/nitroglycerin Urgent/emergent operation Higher STS estimated mortality Single center consecutive 1743 pts Aldea Ann Thorac Surg 1999

Gender profiling in CABG 15,597 pts Cleveland Clinic Koch JTCVS 2003;126:2044

Operative mortality 344,913 pts from STS database 5

Operative mortality 6

Operative mortality 7

Operative mortality 8

Operative mortality 9

Operative risk factors Aldea Ann Thorac Surg 1999 10

Operative risk factors Internal mammary artery use FEMALE vs MALE 64% 78% O’Connor 1993 65% 76% Edwards 1998 67% 80% Humphries 2007 83% 89% Bukkapatnam 2010 11

Outcome 1113 pts followed for 6-8 weeks after CABG 12

QOL before and after CABG Peric V. ICVTS 2010;10:232

QOL before and after CABG Peric V. ICVTS 2010;10:232

Quality of life 15

Women may benefit of a more aggressive rehabilitation program

- 2 groups of patients 261 women and 261 men “computer-matched” - All pts bilateral IMA graft - Hospital mortality 3,4% vs 3,8% (women vs men)

Gender and off-pump 22

Gender and off-pump 23

Female and leg wound complications Paletta Ann Thorac Surg 2000;70:492 24

Endoscopic vein harvesting Yun JCTS 2005;129:496

Increase the use of “at least” one or “better” two mammary arteries Optimal management of blood glucose level (100-150mg/dl) Intraop management of anemia (nadir Ht>22 during CPB): reduce pump prime, ultrafiltration 26

Use of off-pump surgery ? Optimization of thyroxine treatment Hormone replacement therapy??? 27

Thanks for the attention!