Download Technical Aspects of Modern Coronary Artery Bypass Surgery Ebook PDF

Coronary surgery encompasses two thirds of all adult cardiac surgery cases. With the endless pursuit of better outcomes, modern coronary artery bypass grafting (CABG) has become technically more complex in ways that are well beyond the training of the average cardiac surgeon. The old concept of "one-technique-fits-all" has been abandoned in favour of a specialized approach tailored to the individual patient. In fact, in recent years, there is a growing movement towards establishing coronary surgery as a super-specialization of cardiac surgery. Technical Aspects of Modern Coronary Artery Bypass Surgery aims to expand on both the basics and complexities of the technical aspects of coronary surgery. It serves as an up to date resource that illustrates and details the advancement and techniques in this field which may soon become a separate super-specialty. With a particular emphasis on illustrations, the book will be an essential reference book for both established surgeons that have no experience in advanced CABG, and the new generation of CABG surgeons. A complete and concise resource on all aspects of coronary surgery In-depth illustrative review of various coronary techniques Covers both current recommendations and well-established practices in the field

This book provides an invaluable practically applicable and comprehensive manual to coronary artery bypass grafting (CABG) surgery. Critical concepts and techniques are discussed in an easy-to-follow and understand step-by-step guide, featuring a wealth of intraoperative photos and illustrations with concise and instructive descriptions. Topics covered include classical sternotomy, variants of arterial revascularization, off-pump and minimally invasive techniques (MICS-CABG). Operative Techniques in Coronary Artery Bypass Surgery provides invaluable assistance to residents, fellows and trainee surgeons by explaining theoretical and technical aspects of the latest advances in procedural techniques and therapy personalization to optimize CABG surgical outcome. Considering that any heart team depends entirely on the participants’ knowledge and their willingness to cooperate, this work allows cardiologists and the other participants of a heart team to better understand the strengths and limitations of state-of-the-art surgical coronary revascularization. The concepts synthesized within the checklists and decision algorithms provided also enable the reader to develop their knowledge of which technique is the most appropriate for a particular patient.

Minimally invasive cardiac surgery(MICS) is an integral component of every future cardiac surgeon’s training. There continues to be a growing global demand towards less invasive surgical techniques. Both cardiologist and cardiac surgeon form "heart teams" to provide patients with novel, minimally invasive procedures, with all their benefits. Less invasive techniques are often complex and require special knowhow and skills. This book offers an innovative approach to learning, utilizing QR code technology, which refers the reader to essential audio-visual material, which, along with the didactic text, focuses on practical aspects of minimally invasive cardiac surgery. In modern Heart Teams, and with the advent of the hybrid era, surgeons will only be able to survive if they have state-of-the-art skills in less invasive technologies, which can be incorporated in the hybrid theatre and/or trans-catheter arena. This text accompanies the surgeon along this path, and provides clinical advice and practical solutions, beyond the necessary basic knowledge. Which courses to visit, which videos to watch, which centres to join for serious training? How best to exploit public and multimedia? How to consent a patient into a MICS procedure? How to set up a MICS program or practice? In the era of value driven outcomes, and a shift towards shorter and better patient journeys, MICS is a skill that no heart surgeon can be without. Minimally Invasive Cardiac Surgery: A Practical Guide is a teaching resource, reference book and manual written by surgeons who both operate and teach the procedures described within. Provides access to online resources via QR codes Includes links to videos and the e-version of the text Acts as a gateway to a huge choice of minimally invasive cardiac surgery materials

In patients with coronary artery disease, surgical revascu- larization with arterial or venous bypass grafts not only relieves symptoms, but also prolongs life. The result of such interventions, however, is frequently impaired by graft dysfunction and occlusion. This monograph highlights the clinical importance of coronary artery bypass graft disease and, in particular, the use of modern diagnostic techniques to assess graft structure and function. The molecular and cellular mechanisms of coronary bypass graft disease are ex- tensively discussed with several chapters devoted to prophy- lactic medical therapy. The indication, technique and results of reinterventions with balloon angioplasty, reope- ration or transplantation in patients with graft failure are also reviewed.

In 1962, Thomas Kuhne coined the term “paradigm shift” while arguing that human knowledge advances by quantum leaps with interspersed smaller steps. Preparation for the major advance is generally not a concerted effort by thought leaders. Rather, a few (or one) visionaries gain insights into a process and are able to definitely demonstrate the accuracy of their worldview. Often, the epiphany does not occur during the intellectual lifetime of the discoverers. Medicine has had numerous such “paradigm shifts” including the compelling reworking of Galen’s concepts of the body. Of note, the scientific world of the time explained the new views by arguing that the human body must have changed between the time of ancient Greece and modern Europe. The inauguration of cardiac surgery itself required profound shifts in medicine’s view of physiology. Yet, over the ensuing 40 years, the field was fine tuned so we could provide greater than 95% success rates in elective surgery with low cost and short h- pital stays. In some parts of the world, the procedures were viewed as commodities and prices dropped as providers were unable to differentiate the quality of their work. As patients and their physicians became more demanding, the desire to make the procedures “minimally invasive” grew. In effect, what we were really searching for was a life saving procedure that also preserved quality of life. In short, “minimally invasive” has really been a code phrase for procedures that disrupt our quality of life the least.

This updated edition examines the biological characteristics and clinical use of arterial grafts for coronary artery bypass surgery. It contains first-hand information on arterial grafts, as well as vein grafts with regard to biological characteristics, clinical use including off-pump coronary bypass grafting surgery, results, and future developments. The book is a practical guide and as a stimulus for further improvement of arterial grafting techniques.

This issue of Surgical Clinics of North America focuses on Cardiothoracic Surgery, and is edited by Dr. John H. Braxton. Articles will include: Review of ICU Management of the Cardiac and Thoracic Surgery Patient and the Team Approach; Minimally Invasive and Robotically Assisted Cardiac Surgery; Surgical Treatment of Heart Failure; The Changing Face of the Cardiothoracic Surgical Team; Thoracic Trauma and Management; Minimally Invasive and Robotically Assisted Thoracic Surgery; The Impact on Less Invasive Surgery on Esophageal Diseases; Lung Cancer Screening and its Impact of Surgical Volume; The Surgical Treatment of Coronary Artery Occlusive Disease: Modern Treatment Strategies for an Age Old Problem; Transcutaneous Valve Repair and Update; Robotic Lobectomy and Segmentectomy: Technical Details and Results; Diagnostic Imaging and Newer Modalities for Thoracic Diseases: PET Imaging and EBUS for Staging and its Implication for Lung Cancer; Mitral Valve Repair: French Correction vs. American Correction; Cardiac Screening in the Noncardiac Surgery Patient; and more!

Graft verification is a crucial aspect of successful cardiac and vascular surgery, as many complications seen in coronary surgery today are due to poor graft function. The incidence of surgical imperfections can be reduced only when adequate methods of intraoperative graft patency verification are adopted. If coronary surgery is to remain a major clinical modality in the treatment of coronary artery disease, assurance of graft patency by vascular flowmetry at the time of surgery is of critical importance. The first text ever written on the topic, this book summarizes the most recent scientific findings in vascular flowmetry and its application to intraoperative verification. Internationally recognized authorities in the field contribute their experience and opinion on the use of modern flowmetric technologies in cardiac and vascular surgery. Each of the book's 11 chapters describes a different aspect of the clinical applicability of intraoperative flowmetry, with the aim of educating readers to successfully incorporate the technique in their daily clinical practice. Cardiac and vascular surgeons, general surgeons, cardiologists and fellows will all benefit from the knowledge presented by this book.

The very rapid pace of advances in biomedical research promises us a wide range of new drugs, medical devices, and clinical procedures. The extent to which these discoveries will benefit the public, however, depends in large part on the methods we choose for developing and testing them. Modern Methods of Clinical Investigation focuses on strategies for clinical evaluation and their role in uncovering the actual benefits and risks of medical innovation. Essays explore differences in our current systems for evaluating drugs, medical devices, and clinical procedures; health insurance databases as a tool for assessing treatment outcomes; the role of the medical profession, the Food and Drug Administration, and industry in stimulating the use of evaluative methods; and more. This book will be of special interest to policymakers, regulators, executives in the medical industry, clinical researchers, and physicians.

Modern Cardiac Surgery is based on, but does not consist completely of, papers submitted at the annual course of cardiac surgery run by the combined Institutes and Post-Graduate Hospitals involved in cardiac surgery in London (1977). The subjects which have been chosen and included fulfil one of two criteria; either they are subjects which were not included in the previous book, The Current Status of Cardiac Surgery, or they cover subjects which needed to be updated. Because this is a teaching course and not a symposium, the emphasis has been on being informative rather than on presenting masses of results. The book has been prepared partly from manuscripts submitted by the authors and partly from annotated tapes of the proceedings of the meeting. Through out the editing and production of this book careful consideration has been given to the requirements of the readership. The book is aimed at all students of cardiac surgery and cardiology at all levels, and as much information as possible has been packed into it. Neverthe less, the editor wishes to thank the authors for the efforts they have made to be concise and clear in their presentation and for their tremendous co-opera tion in alterations which have been incorporated to make it a more readable treatise. This means that this is a book which is of value to nurses interested in cardiology in intensive care, to physiotherapists and students wishing to look up particular topics before their final examinations.

This book discusses the principles, applications, benefits, and pitfalls of off-pump coronary artery bypass (OPCAB) surgery, and provides information on the surgical strategies adopted and the anesthetic management considerations for patient undergoing OPCAB surgery.

This book provides an invaluable practically applicable and comprehensive manual to coronary artery bypass grafting (CABG) surgery. Critical concepts and techniques are discussed in an easy-to-follow and understand step-by-step guide, featuring a wealth of intraoperative photos and illustrations with concise and instructive descriptions. Topics covered include classical sternotomy, variants of arterial revascularization, off-pump and minimally invasive techniques (MICS-CABG). Operative Techniques in Coronary Artery Bypass Surgery provides invaluable assistance to residents, fellows and trainee surgeons by explaining theoretical and technical aspects of the latest advances in procedural techniques and therapy personalization to optimize CABG surgical outcome. Considering that any heart team depends entirely on the participants’ knowledge and their willingness to cooperate, this work allows cardiologists and the other participants of a heart team to better understand the strengths and limitations of state-of-the-art surgical coronary revascularization. The concepts synthesized within the checklists and decision algorithms provided also enable the reader to develop their knowledge of which technique is the most appropriate for a particular patient.

Examining the complex dynamics of medical treatment options and the variable character of surgical technologies, this volume broadens and transcends the notion of technological innovation.

Advances in Myocardial Revascularization Research and Treatment: 2011 Edition is a ScholarlyPaper™ that delivers timely, authoritative, and intensively focused information about Myocardial Revascularization in a compact format. The editors have built Advances in Myocardial Revascularization Research and Treatment: 2011 Edition on the vast information databases of ScholarlyNews.™ You can expect the information about Myocardial Revascularization in this eBook to be deeper than what you can access anywhere else, as well as consistently reliable, authoritative, informed, and relevant. The content of Advances in Myocardial Revascularization Research and Treatment: 2011 Edition has been produced by the world’s leading scientists, engineers, analysts, research institutions, and companies. All of the content is from peer-reviewed sources, and all of it is written, assembled, and edited by the editors at ScholarlyEditions™ and available exclusively from us. You now have a source you can cite with authority, confidence, and credibility. More information is available at http://www.ScholarlyEditions.com/.

The last five years have witnessed an increasing interest in the subject of transmyocardial laser revascularization (TMR) as illustrated by the number of abstracts presented at the meetings of the American Heart Association and the American College of Cardiology (Figure). The ideas and concepts associated with this particular method of myocardial revascularization have changed dramatically over even this short period of time. The original premise of "de-evolving" mammalian hearts to recreate a reptilian-like myocardial circulation by making multiple channels through the myocardium has been almost (but perhaps not quite) completely dismissed. Now, the most popular notion is that there is an angiogenic response to myocardial channel making. It is this development of new blood vessels that is thought to be responsible for the apparent improvements in symptoms and blood flow. Along the way, the idea that a channel could stay open and allow blood to flow directly from the ventricular chamber has found little support. Rather than directly explore all of these issues and merely duplicate previously published articles, our aim was to take a novel approach: that is, to step back from these arguments and provide perspective from the vantage point of distance. In the case of trans myocardial revascularization, distance comes both in terms of history and in terms of methodology and knowledge from other fields of research. Historically, innovative methods of myocardial revascularization are by no means uncommon. The first two chapters deal with this historical' perspective.

Translating Regenerative Medicine to the Clinic reviews the current methodological tools and experimental approaches used by leading translational researchers, discussing the uses of regenerative medicine for different disease treatment areas, including cardiovascular disease, muscle regeneration, and regeneration of the bone and skin. Pedagogically, the book concentrates on the latest knowledge, laboratory techniques, and experimental approaches used by translational research leaders in this field. It promotes cross-disciplinary communication between the sub-specialties of medicine, but remains unified in theme by emphasizing recent innovations, critical barriers to progress, the new tools that are being used to overcome them, and specific areas of research that require additional study to advance the field as a whole. Volumes in the series include Translating Gene Therapy to the Clinic, Translating Regenerative Medicine to the Clinic, Translating MicroRNAs to the Clinic, Translating Biomarkers to the Clinic, and Translating Epigenetics to the Clinic. Encompasses the latest innovations and tools being used to develop regenerative medicine in the lab and clinic Covers the latest knowledge, laboratory techniques, and experimental approaches used by translational research leaders in this field Contains extensive pedagogical updates aiming to improve the education of translational researchers in this field Provides a transdisciplinary approach that supports cross-fertilization between different sub-specialties of medicine

CARLO CONTI You are today confronting sensitive questions on the subject of "Cardiac surgery and heart diseases in old age" and I congratulate you on this. It is a brave and important step to discuss this multifaceted question which demands an answer and an explanation from many perspectives: From a medical perspective, there is the question of the medical feasibility and durability of treatment. From an economic angle we ask ourselves whether we can pay for everything that is medically feasible. From the patient's perspective there is the legitimate de sire and the justified need not to leave anything untried that might serve to sustain or improve the quality of life. The ethical perspective: is what is feasible really desirable? Should everything be done simply because it can be done? Is it ethically acceptable to set an age limit on an opera tion that in all probability will produce an improvement in the quality of life? And if so, where does this limit lie? Below it surgery is "worthwhile" but above it is not? No one in all seriousness and with a clean conscience will want to draw this line randomly or arbitrarily. That ap pears to us - quite rightly - morally unacceptable. The doctors' perspective: they are obliged by the Hippo cratic oath in principle to carry out all the treatments that are indicated and comply with the rules of the art of med ICIne.