From jbain@cjp.com Thu Jun 17 09:35:52 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id C914E1959C4 for ; Thu, 17 Jun 2004 09:35:51 -0400 (EDT) Received: from [12.5.58.113] (12.5.58.113) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.4) for ; Thu, 17 Jun 2004 09:35:51 -0400 Mime-Version: 1.0 (Apple Message framework v618) Content-Transfer-Encoding: 7bit Message-Id: <3FBE1C98-C063-11D8-95D0-000A9598C756@cjp.com> Content-Type: text/plain; charset=US-ASCII; format=flowed To: openHeart-L From: Jim Bain Date: Thu, 17 Jun 2004 09:35:51 -0400 X-Mailer: Apple Mail (2.618) Cc: Subject: [OpenHeart-L] testx X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Thu, 17 Jun 2004 13:35:53 -0000 x From jbain@cjp.com Tue Jun 22 09:55:52 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 602AF1A75D3 for ; Tue, 22 Jun 2004 09:55:52 -0400 (EDT) Received: from [12.5.58.113] (12.5.58.113) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 22 Jun 2004 09:55:51 -0400 Mime-Version: 1.0 (Apple Message framework v618) Content-Transfer-Encoding: 7bit Message-Id: Content-Type: text/plain; charset=US-ASCII; format=flowed To: openHeart-L From: Jim Bain Date: Tue, 22 Jun 2004 09:55:51 -0400 X-Mailer: Apple Mail (2.618) Cc: Subject: [OpenHeart-L] test12 X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 22 Jun 2004 13:55:54 -0000 12 From jkrobinson@cjp.com Tue Jun 22 10:28:25 2004 Return-Path: X-Original-To: openheart-l@lists.hsforum.com Delivered-To: openheart-l@lists.hsforum.com Received: from flavatown.mail.pas.earthlink.net (flavatown.mail.pas.earthlink.net [207.217.120.148]) by lists.hsforum.com (Postfix) with ESMTP id A605B1A7785 for ; Tue, 22 Jun 2004 10:28:24 -0400 (EDT) Received: from bittern.mail.pas.earthlink.net (bittern.mail.pas.earthlink.net [207.217.120.119]) by flavatown.mail.pas.earthlink.net (8.11.7+Sun/8.11.6) with ESMTP id i5MDxdE05456 for ; Tue, 22 Jun 2004 06:59:39 -0700 (PDT) Received: from user140.net1045.va.sprint-hsd.net ([69.34.210.140] helo=[192.168.0.2]) by bittern.mail.pas.earthlink.net with esmtp (Exim 3.33 #1) id 1BcloI-0003kn-00 for openheart-l@lists.hsforum.com; Tue, 22 Jun 2004 06:59:39 -0700 User-Agent: Microsoft-Entourage/11.0.0.040405 Date: Tue, 22 Jun 2004 09:59:17 -0400 Subject: Re: [OpenHeart-L] test12 From: "J. Kirby Robinson" To: Message-ID: In-Reply-To: Mime-version: 1.0 Content-type: text/plain; charset="US-ASCII" Content-transfer-encoding: 7bit X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 22 Jun 2004 14:28:25 -0000 Just got the below test message. jkr > From: Jim Bain > Reply-To: > Date: Tue, 22 Jun 2004 09:55:51 -0400 > To: openHeart-L > Subject: [OpenHeart-L] test12 > > 12 > > _______________________________________________ > OpenHeart-L mailing list > OpenHeart-L@lists.hsforum.com > http://mmp.cjp.com/mailman/listinfo/openheart-l From jbain@cjp.com Tue Jun 22 14:50:29 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id A88B11A7D7C for ; Tue, 22 Jun 2004 14:50:29 -0400 (EDT) Received: from [12.5.58.113] (12.5.58.113) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 22 Jun 2004 14:50:29 -0400 Mime-Version: 1.0 (Apple Message framework v618) Content-Transfer-Encoding: 7bit Message-Id: <08090AF6-C47D-11D8-986A-000A9598C756@cjp.com> Content-Type: text/plain; charset=US-ASCII; format=flowed To: openHeart-L From: Jim Bain Date: Tue, 22 Jun 2004 14:50:29 -0400 X-Mailer: Apple Mail (2.618) Cc: Subject: [OpenHeart-L] test13 X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 22 Jun 2004 18:50:30 -0000 13 From jbain@cjp.com Tue Jun 22 16:05:21 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id B137F1A7FBE for ; Tue, 22 Jun 2004 16:05:21 -0400 (EDT) Received: from [12.5.58.113] (12.5.58.113) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 22 Jun 2004 16:05:21 -0400 Mime-Version: 1.0 (Apple Message framework v618) Content-Transfer-Encoding: 7bit Message-Id: <7D90BD6A-C487-11D8-986A-000A9598C756@cjp.com> Content-Type: text/plain; charset=US-ASCII; format=flowed To: openHeart-L From: Jim Bain Date: Tue, 22 Jun 2004 16:05:21 -0400 X-Mailer: Apple Mail (2.618) Cc: Subject: [HSF] test14 X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 22 Jun 2004 20:05:22 -0000 14 From MSekela@aol.com Wed Jun 23 20:37:57 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id AEFEB1ACD00 for ; Wed, 23 Jun 2004 20:37:57 -0400 (EDT) Received: from imo-m22.mx.aol.com (64.12.137.3) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Wed, 23 Jun 2004 20:37:56 -0400 Received: from MSekela@aol.com by imo-m22.mx.aol.com (mail_out_v37_r2.6.) id 6.5a.2d147066 (16111) for ; Wed, 23 Jun 2004 20:37:49 -0400 (EDT) Received: from aol.com (mow-d14.webmail.aol.com [205.188.139.130]) by air-id12.mx.aol.com (v99_r4.8) with ESMTP id MAILINID123-3eef40da225d3f; Wed, 23 Jun 2004 20:37:49 -0400 Date: Wed, 23 Jun 2004 20:37:49 -0400 From: MSekela@aol.com To: OpenHeart-L@hsforum.com ("OpenHeart-L") Subject: Re: [HSF] =?ISO-8859-1?B?oERldGVyaW9yYXRlZCBkYWNyb24gZ3JhZnQgYWZ0ZXIgMjIgeXJz?= MIME-Version: 1.0 Message-ID: <0B9BC93A.12D4A6D3.00178812@aol.com> X-Mailer: Atlas Mailer 2.0 X-AOL-IP: 205.167.128.4 X-AOL-Language: english Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Thu, 24 Jun 2004 00:37:58 -0000 Tom, Did you cover your new graft with anything? I did one of these darn graft bronchiol fistulas and was quite pleased with the technical aspects of the case. He came back a year later with the same problem. It wasn't pretty! Mike From benjamin.bidstrup@bigpond.com Fri Jun 25 00:19:21 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id B09B61AF568 for ; Fri, 25 Jun 2004 00:19:21 -0400 (EDT) Received: from gizmo01bw.bigpond.com (144.140.70.11) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Fri, 25 Jun 2004 00:19:20 -0400 Received: (qmail 6826 invoked from network); 25 Jun 2004 04:10:01 -0000 Received: from unknown (HELO bwmam03.bigpond.com) (144.135.24.75) by gizmo01bw.bigpond.com with SMTP; 25 Jun 2004 04:10:01 -0000 Received: from ppp111.dialin.co.uk ([194.73.252.111]) by bwmam03.bigpond.com(MAM REL_3_4_2a 20/24766775) with SMTP id 24766775; Fri, 25 Jun 2004 14:19:16 +1000 Mime-Version: 1.0 X-Sender: benjamin.bidstrup@mail.bigpond.com Message-Id: In-Reply-To: <35CD69D7.56FF17AC.3E4A62AD@aol.com> References: <35CD69D7.56FF17AC.3E4A62AD@aol.com> Date: Fri, 25 Jun 2004 05:18:13 +0100 To: OpenHeart-L From: Ben Bidstrup Content-Type: text/plain; charset="us-ascii" ; format="flowed" Cc: Subject: [HSF] Proximal Anastomoses:(was CABG with minimal extracorporeal circulation) X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 25 Jun 2004 04:19:22 -0000 >Don >I don't know the exact percent but a good guess would be 95 to 98% >of the OPCABS had partial occlusion clamps used. We were using the >Symmetry device for awhile but had some problems and quit. We have >also tried the Heart string but it isn't perfect either. >Tom Martin > There are many ways to skin a cat. We use intra-operative TOE (TEE in North America). We regularly use epi-aortic scanning. Thus we can see with a high degree of reliability what the ascending aorta is like. Then we can plan on what to do. If it is healthy, then a partial occlusion clamp can be applied with a systemic pressure of approximately 100 mm Hg. If there is any doubt, then I use a Novare eNclose device. This has the advantage(s) of; using a technique -hand sewing that we all are used to, being able to reposition if not happy with the site, and usable for multiple top ends. It can be used for radials and free mammaries without the limitations of say the St Jude device. I have not used the Heartstring, but it is not reusable. Work some years ago showed that this scrutiny of the ascending aorta for patients being done with CPB (probably) reduced the incidence of strokes (not a RCT though !). This can easily be applied to OPCAB. In time, the other (non-suture) devices will have evolved and are likely to have reliable and reproducible results. They DO need to be studied under randomised conditions. Maybe at ISMICS we will hear of the newest studies and my tune will change in a few days. Watch this space. Disclaimer: I have no affiliation with Novare or St Jude. -- Ben Bidstrup FRACS FRCSEd FEBCTS Consultant Cardiothoracic Surgeon From benjamin.bidstrup@bigpond.com Fri Jun 25 00:21:23 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id EE4891AF805 for ; Fri, 25 Jun 2004 00:21:22 -0400 (EDT) Received: from gizmo08ps.bigpond.com (144.140.71.18) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Fri, 25 Jun 2004 00:21:22 -0400 Received: (qmail 10126 invoked from network); 25 Jun 2004 04:07:18 -0000 Received: from unknown (HELO psmam03.bigpond.com) (144.135.25.75) by gizmo08ps.bigpond.com with SMTP; 25 Jun 2004 04:07:18 -0000 Received: from ppp111.dialin.co.uk ([194.73.252.111]) by psmam03.bigpond.com(MAM REL_3_4_2a 83/1375851) with SMTP id 1375851; Fri, 25 Jun 2004 14:21:15 +1000 Mime-Version: 1.0 X-Sender: benjamin.bidstrup@mail.bigpond.com Message-Id: In-Reply-To: <84B3C297-C388-11D8-A43D-000A95A7F362@bigpond.com> References: <19e.25c69619.2e07a605@aol.com> <84B3C297-C388-11D8-A43D-000A95A7F362@bigpond.com> Date: Fri, 25 Jun 2004 05:21:06 +0100 To: OpenHeart-L From: Ben Bidstrup Subject: Re: [HSF] CABG with minimal extracorporeal circulation Content-Type: text/plain; charset="us-ascii" ; format="flowed" Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 25 Jun 2004 04:21:23 -0000 >The reason to do it is to avoid clamping the aorta! >The pump is not the bogey, it is the athero-embolism generated by the clamp. >What could be more like normal physiology than a warm perfused beating heart? >Why would you risk trashing the brain and damaging the myocardium ( >the toponin leak after cardioplegia has to come from somewhere) when >there is a simple alternative? >If we waited for randomized trials of every innovation nothing new >would ever emerge. >If you have technical problems with opcab then using " beating heart >on pump" is the way to way overcome them. This discussion was raised a few months ago. What is the 'best' procedure ? To achieve a good coronary bypass there are many techniques. OPCAB, MADCAB, ONCAB etc. Cardiopulmonary bypass has many modalities also as has been alluded to recently. Then there is the best method of myocardial preservation. And so it continues. If we simply look at the latest publicly available data from say the STS, the mortality from CABG has been falling etc. To set up a trial, (RCT) to detect a difference in say POMI rates, or decrease in enzyme release or reduction in mortality would be in the tens of thousands. I disagree with Don, that nothing new would ever emerge if we waited for RCTs, but the nature of many surgical procedures is such that there are those that embrace new techniques (say OPCAB) and those that stick with the tried and true. Thus the trial is the real world trial but it doesn't achieve the correct standards for evidenced based medicine. One must also consider the cost of such trials. There isn't a brand new device or drug at the the end of it to make someone a lot of $$, so there is little incentive to do it. We try, and do underpowered studies or retrospective analyses. It is becoming apparent that there is not the huge difference in outcomes from OPCAB vs ONCAB that were expected. So we can discuss hybrid procedures. Not the PTCA + surgery, but the use of CPB in one of its forms to allow us to do the difficult parts of the surgery. Anterior and RCA grafts with OPCAB, 10-15 minutes of CPB to do a circumflex graft in selected cases. The best way to do a procedure is the way YOU and your team do it best. -- Ben Bidstrup FRACS FRCSEd FEBCTS Consultant Cardiothoracic Surgeon From jaylavee@netvision.net.il Sun Jun 27 10:45:25 2004 Return-Path: X-Original-To: OpenHeart-L@Lists.hsforum.com Delivered-To: OpenHeart-L@Lists.hsforum.com Received: from mxout2.netvision.net.il (mxout2.netvision.net.il [194.90.9.21]) by lists.hsforum.com (Postfix) with ESMTP id 392FD1B3C84 for ; Sun, 27 Jun 2004 10:45:25 -0400 (EDT) Received: from mdezlwjcforzbo ([217.132.21.189]) by mxout2.netvision.net.il (iPlanet Messaging Server 5.2 HotFix 1.21 (built Sep 8 2003)) with SMTP id <0HZZ00LIX2BIK5@mxout2.netvision.net.il> for OpenHeart-L@Lists.hsforum.com; Sun, 27 Jun 2004 17:45:22 +0300 (IDT) Date: Sat, 26 Jun 2004 17:45:16 +0200 From: "Jacob Lavee, MD" To: Open Heart List Message-id: <006e01c45b94$9e43fe00$0101c80a@mdezlwjcforzbo> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 X-Mailer: Microsoft Outlook Express 6.00.2800.1409 X-Priority: 3 X-MSMail-priority: Normal Content-Type: text/plain; charset=iso-8859-8-i Content-Transfer-Encoding: 7BIT X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: Subject: [HSF] Postoperative brain damage X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Sun, 27 Jun 2004 14:45:25 -0000 Dear Forum members, A recent case of postoperative embolic brain damage following aortic aneurysm repair has once again raised the old debate as to the right measures that should be taken postoperatively to minimize its effects. More specifically, opinions have varied regarding the use of steroids and Mannitol, to minimize brain edema. I would like to poll the Members as for their current approach to such event. Jacob Lavee, MD Sheba Medical Center Israel From MacaP@hhosp.com Mon Jun 28 13:44:51 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (mailbox.cjp.com [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 15C181B567A for ; Mon, 28 Jun 2004 13:44:51 -0400 (EDT) Received: from mail.hhosp.com (12.149.188.15) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Mon, 28 Jun 2004 13:44:50 -0400 To: Subject: Re: [HSF] Deteriorated dacron graft after 22 yrs Message-ID: From: MacaP@hhosp.com Date: Mon, 28 Jun 2004 12:43:34 -0500 X-MIMETrack: Serialize by Router on Domino01/Servers/HCI(Release 5.0.11 |July 24, 2002) at 06/28/2004 12:43:41 PM MIME-Version: 1.0 Content-type: text/plain; charset=us-ascii Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: openheart-l@lists.hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Mon, 28 Jun 2004 17:44:51 -0000 Return Receipt Your Re: [HSF] Deteriorated dacron graft after 22 yrs document : was Patricia Maca/CS/HPTL/HCI received by: at: 06/28/2004 12:44:42 PM From SchwabauerB@hhosp.com Wed Jun 30 12:39:48 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 8404F1B9B7E for ; Wed, 30 Jun 2004 12:39:48 -0400 (EDT) Received: from mail.hhosp.com (12.149.188.15) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Wed, 30 Jun 2004 12:39:47 -0400 To: Subject: Re: [HSF] reg-transcatheter valve replacements! Message-ID: From: SchwabauerB@hhosp.com Date: Wed, 30 Jun 2004 11:38:34 -0500 X-MIMETrack: Serialize by Router on Domino01/Servers/HCI(Release 5.0.11 |July 24, 2002) at 06/30/2004 11:38:38 AM MIME-Version: 1.0 Content-type: text/plain; charset=us-ascii Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 30 Jun 2004 16:39:48 -0000 Return Receipt Your Re: [HSF] reg-transcatheter valve replacements! document : was Beth Schwabauer/CS/HPTL/HCI received by: at: 06/30/2004 11:39:44 AM From SchwabauerB@hhosp.com Wed Jun 30 14:44:14 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 9D5781B9FFE for ; Wed, 30 Jun 2004 14:44:14 -0400 (EDT) Received: from mail.hhosp.com (12.149.188.15) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Wed, 30 Jun 2004 14:44:14 -0400 To: Subject: Re: [HSF] Deteriorated dacron graft after 22 yrs Message-ID: From: SchwabauerB@hhosp.com Date: Wed, 30 Jun 2004 13:43:00 -0500 X-MIMETrack: Serialize by Router on Domino01/Servers/HCI(Release 5.0.11 |July 24, 2002) at 06/30/2004 01:43:04 PM MIME-Version: 1.0 Content-type: text/plain; charset=us-ascii Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 30 Jun 2004 18:44:14 -0000 Return Receipt Your Re: [HSF] Deteriorated dacron graft after 22 yrs document : was Beth Schwabauer/CS/HPTL/HCI received by: at: 06/30/2004 01:44:10 PM From donross@bigpond.com Thu Jul 1 03:00:27 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id CCEE21BAEEF for ; Thu, 1 Jul 2004 03:00:27 -0400 (EDT) Received: from gizmo12bw.bigpond.com (144.140.70.43) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Thu, 1 Jul 2004 03:00:26 -0400 Received: (qmail 26549 invoked from network); 1 Jul 2004 07:00:21 -0000 Received: from unknown (HELO BWMAM16.bigpond.com) (144.135.24.114) by gizmo12bw.bigpond.com with SMTP; 1 Jul 2004 07:00:21 -0000 Received: from cpe-144-137-118-8.nsw.bigpond.net.au ([144.137.118.8]) by BWMAM16.bigpond.com(MAM REL_3_4_2a 261/21088639) with SMTP id 21088639; Thu, 01 Jul 2004 17:00:21 +1000 Mime-Version: 1.0 (Apple Message framework v618) In-Reply-To: References: <35CD69D7.56FF17AC.3E4A62AD@aol.com> Content-Type: text/plain; charset=US-ASCII; delsp=yes; format=flowed Message-Id: <51184FBE-CB2C-11D8-AC7C-000A95A7F362@bigpond.com> Content-Transfer-Encoding: 7bit From: Donald Ross Subject: =?ISO-8859-1?Q?Re:_[HSF]__Re:_[HSF]_=A0CABG_with_minimal_extraco?= =?ISO-8859-1?Q?rporeal_circulation?= Date: Thu, 1 Jul 2004 17:00:20 +1000 To: OpenHeart-L X-Mailer: Apple Mail (2.618) Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Thu, 01 Jul 2004 07:00:28 -0000 On 23/06/2004, at 10:41 PM, Donald Ross wrote: > Tom, > Your revelation of the overwhelming preponderance of aortic clamping > in your opcab group means that your trial is not looking at the the > best that opcab can offer and underscores the problem with other opcab > series which do not show much improvement in neuro complications. > The best that opcab can offer is revascularisation without any aortic > violation at all, the next best is a top end without clamping. When > ideal conditions can't be achieved opcab, then use the pump to gain > ideal conditions but keep the big advantage of no aortic clamping. > Published large series from India and Japan of opcab without aortic > clamping ( what I like to call "anaortic") are reporting zero strokes. > I have had zero strokes and no clinical cognitive decline in 750 > anaortic opcabs and only two minor events in my 1070 cases done with > no cross clamp. > Thus, all opcabs can't be lumped together, the degree of aortic > manipulation must be quantified. > Don. > On 22/06/2004, at 10:55 PM, Tdmartin2000@aol.com wrote: > >> Don >> I don't know the exact percent but a good guess would be 95 to 98% of >> the OPCABS had partial occlusion clamps used. We were using the >> Symmetry device for awhile but had some problems and quit. We have >> also tried the Heart string but it isn't perfect either. >> Tom Martin >> >> ---------------------------------------------------------------------- >> ----- >> >> Send confidential postings to: >> >> Contact: webmaster@hsforum.com >> Archives: http://www.hsforum.com/forum >> Unsubscribe: http://www.hsforum.com/forum/unsub >> Troubleshooting tips: http://www.hsforum.com/listhelp >> >> All messages transmitted by this listServ are subject to the policies >> and >> disclaimers posted at URL >> ---------------------------------------------------------------------- >> ---- >> > From damle@cableone.net Thu Jul 1 11:41:20 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 346591BB9F8 for ; Thu, 1 Jul 2004 11:41:20 -0400 (EDT) Received: from mail.cableone.net (24.116.0.122) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Thu, 1 Jul 2004 11:41:19 -0400 Received: from AjitOffice (unverified [24.119.207.141]) by smail2.cableone.net (SurgeMail 1.9b) with ESMTP id 7643619 for ; Thu, 01 Jul 2004 08:27:55 -0700 From: "Ajit Damle" To: Subject: =?iso-8859-1?Q?RE:_=5BHSF=5D__Re:_=5BHSF=5D_=A0CABG_with_minimal_extr?= =?iso-8859-1?Q?acorporeal_circulation?= Date: Thu, 1 Jul 2004 10:41:14 -0500 Message-ID: <001001c45f81$d8020f10$0202a8c0@AjitOffice> MIME-Version: 1.0 X-Priority: 3 (Normal) X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook, Build 10.0.2627 In-Reply-To: <51184FBE-CB2C-11D8-AC7C-000A95A7F362@bigpond.com> X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 Importance: Normal X-Server: High Performance Mail Server - http://surgemail.com Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Thu, 01 Jul 2004 15:41:20 -0000 I have used the Embolex filter in several on-pump cases. Some studies show reduction in neuro complications. If the best of OPCABs is "anaortic", a clinical trial should perhaps include the - best of ONCABs like aortic filter, proximal anastomoses on cross clamped aorta, maintaining adequate or even supra-normal perfusion pressures. Ajit Damle -----Original Message----- From: openheart-l-bounces@lists.hsforum.com [mailto:openheart-l-bounces@lists.hsforum.com] On Behalf Of Donald Ross Sent: Thursday, July 01, 2004 1:00 AM To: OpenHeart-L Subject: Re: [HSF] Re: [HSF] CABG with minimal extracorporeal circulation On 23/06/2004, at 10:41 PM, Donald Ross wrote: > Tom, > Your revelation of the overwhelming preponderance of aortic clamping > in your opcab group means that your trial is not looking at the the > best that opcab can offer and underscores the problem with other opcab > series which do not show much improvement in neuro complications. > The best that opcab can offer is revascularisation without any aortic > violation at all, the next best is a top end without clamping. When > ideal conditions can't be achieved opcab, then use the pump to gain > ideal conditions but keep the big advantage of no aortic clamping. > Published large series from India and Japan of opcab without aortic > clamping ( what I like to call "anaortic") are reporting zero strokes. > I have had zero strokes and no clinical cognitive decline in 750 > anaortic opcabs and only two minor events in my 1070 cases done with > no cross clamp. > Thus, all opcabs can't be lumped together, the degree of aortic > manipulation must be quantified. > Don. > On 22/06/2004, at 10:55 PM, Tdmartin2000@aol.com wrote: > >> Don >> I don't know the exact percent but a good guess would be 95 to 98% of >> the OPCABS had partial occlusion clamps used. We were using the >> Symmetry device for awhile but had some problems and quit. We have >> also tried the Heart string but it isn't perfect either. >> Tom Martin >> >> ---------------------------------------------------------------------- >> ----- >> >> Send confidential postings to: >> >> Contact: webmaster@hsforum.com >> Archives: http://www.hsforum.com/forum >> Unsubscribe: http://www.hsforum.com/forum/unsub >> Troubleshooting tips: http://www.hsforum.com/listhelp >> >> All messages transmitted by this listServ are subject to the policies >> and >> disclaimers posted at URL >> ---------------------------------------------------------------------- >> ---- >> > _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies and disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- From tacuff@swbell.net Thu Jul 1 15:00:23 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 8A6191BBFA7 for ; Thu, 1 Jul 2004 15:00:23 -0400 (EDT) Received: from smtp810.mail.sc5.yahoo.com (66.163.170.80) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Thu, 1 Jul 2004 15:00:22 -0400 Received: from unknown (HELO media) (tacuff@swbell.net@68.94.24.46 with login) by smtp810.mail.sc5.yahoo.com with SMTP; 1 Jul 2004 19:00:05 -0000 Message-ID: <002701c45f9d$9dc564c0$230110ac@media> From: "Tea Acuff" To: References: <35CD69D7.56FF17AC.3E4A62AD@aol.com> <51184FBE-CB2C-11D8-AC7C-000A95A7F362@bigpond.com> Subject: =?iso-8859-1?Q?Re:_=5BHSF=5D__Re:_=5BHSF=5D_=A0CABG_with_minimal_extr?= =?iso-8859-1?Q?acorporeal_circulation?= Date: Thu, 1 Jul 2004 13:59:49 -0500 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2800.1409 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Thu, 01 Jul 2004 19:00:23 -0000 I would like to share Dr. Ross's enthusiasm and results in a no "clamp" technique. And I do the former to some extent, but I don't have his results. The logic is sound...if you don't clamp you can't have a stroke from the clamp. However you can have one from hypoperfusion or the ventricle or cerebral vascular disease. CPB without the clamp may lessen the risk of hemodynamic strokes... but one of my mentors used to blame all of his strokes on the flow from the arterial inflow line. I have had the fatalistic experience of having a patient die of a stroke three days after no touch aortic Cabg with no hemodynamic problems and no CPB. (Not surprisngly, he was a doctor and the father of a referring physcian...making me feel powerless...like I needed another one of those lessons.) As in all complex problems, there are no absolutely predictable outcomes. However, first do no harm, then can you help is not a bad starting point. We are now in the phase of ...now that can can help, how do we limit the harm. Tea Acuff ----- Original Message ----- From: "Donald Ross" To: "OpenHeart-L" Sent: Thursday, July 01, 2004 2:00 AM Subject: Re: [HSF] Re: [HSF] CABG with minimal extracorporeal circulation > > On 23/06/2004, at 10:41 PM, Donald Ross wrote: > > > Tom, > > Your revelation of the overwhelming preponderance of aortic clamping > > in your opcab group means that your trial is not looking at the the > > best that opcab can offer and underscores the problem with other opcab > > series which do not show much improvement in neuro complications. > > The best that opcab can offer is revascularisation without any aortic > > violation at all, the next best is a top end without clamping. When > > ideal conditions can't be achieved opcab, then use the pump to gain > > ideal conditions but keep the big advantage of no aortic clamping. > > Published large series from India and Japan of opcab without aortic > > clamping ( what I like to call "anaortic") are reporting zero strokes. > > I have had zero strokes and no clinical cognitive decline in 750 > > anaortic opcabs and only two minor events in my 1070 cases done with > > no cross clamp. > > Thus, all opcabs can't be lumped together, the degree of aortic > > manipulation must be quantified. > > Don. > > On 22/06/2004, at 10:55 PM, Tdmartin2000@aol.com wrote: > > > >> Don > >> I don't know the exact percent but a good guess would be 95 to 98% of > >> the OPCABS had partial occlusion clamps used. We were using the > >> Symmetry device for awhile but had some problems and quit. We have > >> also tried the Heart string but it isn't perfect either. > >> Tom Martin > >> > >> ---------------------------------------------------------------------- > >> ----- > >> > >> Send confidential postings to: > >> > >> Contact: webmaster@hsforum.com > >> Archives: http://www.hsforum.com/forum > >> Unsubscribe: http://www.hsforum.com/forum/unsub > >> Troubleshooting tips: http://www.hsforum.com/listhelp > >> > >> All messages transmitted by this listServ are subject to the policies > >> and > >> disclaimers posted at URL > >> ---------------------------------------------------------------------- > >> ---- > >> > > > > _______________________________________________ > OpenHeart-L mailing list > > Send postings to: > OpenHeart-L@lists.hsforum.com > > To unsubscribe, change email address, or view archives: > http://mmp.cjp.com/mailman/listinfo/openheart-l > > All messages transmitted by this listServ are subject to the policies and > disclaimers posted at: > http://www.hsforum.com/listdisclaim > ----------------------------------------- From Tdmartin2000@aol.com Thu Jul 1 22:47:18 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 3E2DB1BC854 for ; Thu, 1 Jul 2004 22:47:18 -0400 (EDT) Received: from imo-m15.mx.aol.com (64.12.138.205) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Thu, 1 Jul 2004 22:47:17 -0400 Received: from Tdmartin2000@aol.com by imo-m15.mx.aol.com (mail_out_v37_r2.6.) id 6.149.2d12fbcb (2519) for ; Thu, 1 Jul 2004 22:47:07 -0400 (EDT) From: Tdmartin2000@aol.com Message-ID: <149.2d12fbcb.2e1626ab@aol.com> Date: Thu, 1 Jul 2004 22:47:07 EDT To: OpenHeart-L@hsforum.com MIME-Version: 1.0 X-Mailer: 9.0 for Windows sub 5031 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: Subject: [HSF] Coumadin allergy X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 02 Jul 2004 02:47:19 -0000 To the group I recently saw a young very intelligent pt who is in need of an AVR. As usual the question of which types of valves and their risks and benefits were discussed. Here was his question --Is there a potential for a cumadin allergy and if so would I recommend a trial of coumadin preop to see how he tolerated the drug and if we could reach the desired levels we wanted without any problems? Has anyone ever heard of a coumadin allergy and has anyone tried a trial of coumadin preop? Thanks Tom Martin U of Fl Gainesville From donross@bigpond.com Fri Jul 2 04:15:00 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 4347F1BCFA4 for ; Fri, 2 Jul 2004 04:15:00 -0400 (EDT) Received: from gizmo11bw.bigpond.com (144.140.70.21) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Fri, 2 Jul 2004 04:14:59 -0400 Received: (qmail 16792 invoked from network); 2 Jul 2004 06:54:17 -0000 Received: from unknown (HELO BWMAM16.bigpond.com) (144.135.24.114) by gizmo11bw.bigpond.com with SMTP; 2 Jul 2004 06:54:17 -0000 Received: from cpe-144-137-118-8.nsw.bigpond.net.au ([144.137.118.8]) by BWMAM16.bigpond.com(MAM REL_3_4_2a 261/21873265) with SMTP id 21873265; Fri, 02 Jul 2004 18:14:49 +1000 Mime-Version: 1.0 (Apple Message framework v618) In-Reply-To: <002701c45f9d$9dc564c0$230110ac@media> References: <35CD69D7.56FF17AC.3E4A62AD@aol.com> <51184FBE-CB2C-11D8-AC7C-000A95A7F362@bigpond.com> <002701c45f9d$9dc564c0$230110ac@media> Content-Type: text/plain; charset=US-ASCII; delsp=yes; format=flowed Message-Id: Content-Transfer-Encoding: 7bit From: Donald Ross Subject: =?ISO-8859-1?Q?Re:_[HSF]__Re:_[HSF]_=A0CABG_with_minimal_extraco?= =?ISO-8859-1?Q?rporeal_circulation?= Date: Fri, 2 Jul 2004 18:14:48 +1000 To: OpenHeart-L@hsforum.com X-Mailer: Apple Mail (2.618) Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 02 Jul 2004 08:15:00 -0000 Tea, What a rotten experience you had with your "anaortic " case that probably had a "hypercoagulation stroke". Perhaps, if he had been done "still heart" where CPB blunts post-op hypercoagulation, there might not have been a problem. The pump is a somewhat invasive therapy to use for that purpose, however. I have been lucky not to have had a post-op stroke, but being very aware of the potential problem, start aspirin and clopidogrel within hours of the operation and don't stop pre-op aspirin. You need to use clopidogrel to cover the 15% of people who are aspirin resistant. Don On 02/07/2004, at 4:59 AM, Tea Acuff wrote: > I would like to share Dr. Ross's enthusiasm and results in a no "clamp" > technique. And I do the former to some extent, but I don't have his > results. > The logic is sound...if you don't clamp you can't have a stroke from > the > clamp. However you can have one from hypoperfusion or the ventricle or > cerebral vascular disease. CPB without the clamp may lessen the risk of > hemodynamic strokes... but one of my mentors used to blame all of his > strokes on the flow from the arterial inflow line. I have had the > fatalistic > experience of having a patient die of a stroke three days after no > touch > aortic Cabg with no hemodynamic problems and no CPB. (Not surprisngly, > he > was a doctor and the father of a referring physcian...making me feel > powerless...like I needed another one of those lessons.) As in all > complex > problems, there are no absolutely predictable outcomes. However, first > do no > harm, then can you help is not a bad starting point. We are now in the > phase > of ...now that can can help, how do we limit the harm. > Tea Acuff > ----- Original Message ----- > From: "Donald Ross" > To: "OpenHeart-L" > Sent: Thursday, July 01, 2004 2:00 AM > Subject: Re: [HSF] Re: [HSF] CABG with minimal extracorporeal > circulation > > >> >> On 23/06/2004, at 10:41 PM, Donald Ross wrote: >> >>> Tom, >>> Your revelation of the overwhelming preponderance of aortic clamping >>> in your opcab group means that your trial is not looking at the the >>> best that opcab can offer and underscores the problem with other >>> opcab >>> series which do not show much improvement in neuro complications. >>> The best that opcab can offer is revascularisation without any aortic >>> violation at all, the next best is a top end without clamping. When >>> ideal conditions can't be achieved opcab, then use the pump to gain >>> ideal conditions but keep the big advantage of no aortic clamping. >>> Published large series from India and Japan of opcab without aortic >>> clamping ( what I like to call "anaortic") are reporting zero >>> strokes. >>> I have had zero strokes and no clinical cognitive decline in 750 >>> anaortic opcabs and only two minor events in my 1070 cases done with >>> no cross clamp. >>> Thus, all opcabs can't be lumped together, the degree of aortic >>> manipulation must be quantified. >>> Don. >>> On 22/06/2004, at 10:55 PM, Tdmartin2000@aol.com wrote: >>> >>>> Don >>>> I don't know the exact percent but a good guess would be 95 to 98% >>>> of >>>> the OPCABS had partial occlusion clamps used. We were using the >>>> Symmetry device for awhile but had some problems and quit. We have >>>> also tried the Heart string but it isn't perfect either. >>>> Tom Martin >>>> >>>> -------------------------------------------------------------------- >>>> -- >>>> ----- >>>> >>>> Send confidential postings to: >>>> >>>> Contact: webmaster@hsforum.com >>>> Archives: http://www.hsforum.com/forum >>>> Unsubscribe: http://www.hsforum.com/forum/unsub >>>> Troubleshooting tips: http://www.hsforum.com/listhelp >>>> >>>> All messages transmitted by this listServ are subject to the >>>> policies >>>> and >>>> disclaimers posted at URL >>>> -------------------------------------------------------------------- >>>> -- >>>> ---- >>>> >>> >> >> _______________________________________________ >> OpenHeart-L mailing list >> >> Send postings to: >> OpenHeart-L@lists.hsforum.com >> >> To unsubscribe, change email address, or view archives: >> http://mmp.cjp.com/mailman/listinfo/openheart-l >> >> All messages transmitted by this listServ are subject to the policies >> and >> disclaimers posted at: >> http://www.hsforum.com/listdisclaim >> ----------------------------------------- > > > _______________________________________________ > OpenHeart-L mailing list > > Send postings to: > OpenHeart-L@lists.hsforum.com > > To unsubscribe, change email address, or view archives: > http://mmp.cjp.com/mailman/listinfo/openheart-l > > All messages transmitted by this listServ are subject to the policies > and > disclaimers posted at: > http://www.hsforum.com/listdisclaim > ----------------------------------------- > From yongin@hotmail.com Fri Jul 2 07:40:55 2004 Return-Path: X-Original-To: openheart-l@lists.hsforum.com Delivered-To: openheart-l@lists.hsforum.com Received: from lists.hsforum.com (unknown [219.95.194.231]) by lists.hsforum.com (Postfix) with ESMTP id 83D3B1BD58D for ; Fri, 2 Jul 2004 07:40:50 -0400 (EDT) From: yongin@hotmail.com To: openheart-l@lists.hsforum.com Date: Fri, 2 Jul 2004 19:40:51 +0800 MIME-Version: 1.0 Content-Type: multipart/mixed; boundary="----=_NextPart_000_0016----=_NextPart_000_0016" X-Priority: 3 X-MSMail-Priority: Normal Message-Id: <20040702114050.83D3B1BD58D@lists.hsforum.com> X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Subject: [HSF] Do you? X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 02 Jul 2004 11:40:55 -0000 This is a multi-part message in MIME format. ------=_NextPart_000_0016----=_NextPart_000_0016 Content-Type: text/plain; charset="Windows-1252" Content-Transfer-Encoding: 7bit You have written a very good text, excellent, good work! ++++ Attachment: No Virus found ++++ F-Secure AntiVirus - www.f-secure.com ------=_NextPart_000_0016----=_NextPart_000_0016-- From dra@norwoodclinic.com Fri Jul 2 08:16:45 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 31C771BD94E for ; Fri, 2 Jul 2004 08:16:45 -0400 (EDT) Received: from spf1n11en0.carraway.com (66.182.153.164) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Fri, 2 Jul 2004 08:16:39 -0400 Received: from internal-mail.carraway.com (internal-mail [10.0.1.49]) by spf1n11en0.carraway.com (8.10.1/8.10.0) with SMTP id i62CNH123660 for ; Fri, 2 Jul 2004 07:23:17 -0500 Received: from CMMC-Message_Server by internal-mail.carraway.com with Novell_GroupWise; Fri, 02 Jul 2004 07:16:24 -0600 Message-Id: X-Mailer: Novell GroupWise 4.1 Date: Fri, 02 Jul 2004 07:16:15 -0600 From: "Dr. Constantine Athanasuleas" To: donross@bigpond.com, OpenHeart-L@hsforum.com Subject: Re:_[HSF]__Re:_[HSF]_ CABG_with_minimal_extracorporeal_circulation -Reply Mime-Version: 1.0 Content-Type: text/plain Content-Disposition: inline Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 02 Jul 2004 12:16:45 -0000 Stroke is clearly has many causes. We have been impressed at the reduction of this event in off and on pump cases by measuring cerebral oximetry. It is suprising during cardiac manipulation in OPCAB how frequently hypoperfusion of the brain is noted. Simply observing blood pressure or cardiac output does not reflect the perfusion of the brain. constantine athanasuleas From Jbflegejr@aol.com Fri Jul 2 11:48:18 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 2C8241BDF78 for ; Fri, 2 Jul 2004 11:48:18 -0400 (EDT) Received: from imo-m19.mx.aol.com (64.12.137.11) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Fri, 2 Jul 2004 11:48:17 -0400 Received: from Jbflegejr@aol.com by imo-m19.mx.aol.com (mail_out_v37_r2.6.) id 6.9b.49e2e97f (2519) for ; Fri, 2 Jul 2004 11:48:09 -0400 (EDT) From: Jbflegejr@aol.com Message-ID: <9b.49e2e97f.2e16ddb8@aol.com> Date: Fri, 2 Jul 2004 11:48:08 EDT Subject: Re: [HSF] Coumadin allergy To: OpenHeart-L@hsforum.com MIME-Version: 1.0 X-Mailer: 9.0 for Windows sub 5112 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 02 Jul 2004 15:48:18 -0000 I have had one patient, a woman with a prosthetic mitral valve and AF, who had a typical drug reaction to Coumadin manifest by a skin rash on her trunk and extremities. She was switched to Dicumarol which she tolerated. Dicumarol is still available, at least as of a couple of years ago, but not stocked by most pharmacies. I have long thought that it would make sense to have a patient try Coumadin therapy for awhile before committing him to lifelong anticoagulant treatment but have never done it. I have been long reluctant to commit anyone to lifelong Coumadin therapy which I view as dangerous especially in the older patients, which all become if they do not die first. My practice has been to recommend biologic valves to all patients needing a valve (I do not deal with children) with the clear expectation that further operation will at sometime be required, and hopefully several times. If the patient insists on a mechanical valve after our discussion, I will oblige. Most of my patients who have come back with a worn-out valve have requested another of the same type. It has been unusual that one wants to switch to a mechanical valve. John Flege From Jbflegejr@aol.com Fri Jul 2 11:58:37 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 106DA1BE2D6 for ; Fri, 2 Jul 2004 11:58:37 -0400 (EDT) Received: from imo-m19.mx.aol.com (64.12.137.11) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Fri, 2 Jul 2004 11:58:36 -0400 Received: from Jbflegejr@aol.com by imo-m19.mx.aol.com (mail_out_v37_r2.6.) id 6.db.e5c92bc (2519) for ; Fri, 2 Jul 2004 11:58:33 -0400 (EDT) From: Jbflegejr@aol.com Message-ID: Date: Fri, 2 Jul 2004 11:58:32 EDT Subject: Re: [HSF] Deteriorated dacron graft after 22 yrs To: OpenHeart-L@hsforum.com MIME-Version: 1.0 X-Mailer: 9.0 for Windows sub 5112 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Fri, 02 Jul 2004 15:58:37 -0000 I have seen two patients with deterioration of Dacron grafts like you describe. Both were originally operated on in the early 1970s and the grafts were bad about 15 years later. One had been put in the Thoracic aorta for traumatic transection, was a 24mm graft to start with and when I replaced it was about 50mm but intact. The other was an axillo-femoral and was 10 or 12 mm and at the time of reoperation had areas up to 40mm and many spots of fragmentation. I have not seen any since and assume that there were inherent problems in some of the early grafts and that since they have been worked out. John Flege From jaylavee@netvision.net.il Sat Jul 3 03:51:55 2004 Return-Path: X-Original-To: OpenHeart-L@Lists.hsforum.com Delivered-To: OpenHeart-L@Lists.hsforum.com Received: from mxout3.netvision.net.il (mxout3.netvision.net.il [194.90.9.24]) by lists.hsforum.com (Postfix) with ESMTP id 48FF11BF226 for ; Sat, 3 Jul 2004 03:51:55 -0400 (EDT) Received: from mdezlwjcforzbo ([212.235.64.222]) by mxout3.netvision.net.il (iPlanet Messaging Server 5.2 HotFix 1.21 (built Sep 8 2003)) with SMTP id <0I0900D1VN5XX4@mxout3.netvision.net.il> for OpenHeart-L@Lists.hsforum.com; Sat, 03 Jul 2004 10:51:52 +0300 (IDT) Date: Sat, 03 Jul 2004 10:51:54 +0200 From: "Jacob Lavee, MD" To: Open Heart List Message-id: <005f01c460db$06bf9660$0101c80a@mdezlwjcforzbo> MIME-version: 1.0 X-MIMEOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 X-Mailer: Microsoft Outlook Express 6.00.2800.1409 X-Priority: 3 X-MSMail-priority: Normal Content-Type: text/plain; charset=iso-8859-8-i Content-Transfer-Encoding: 7BIT X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: Subject: [HSF] Postoperative brain damge X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Sat, 03 Jul 2004 07:51:56 -0000 Dear Forum members, A recent case of postoperative embolic brain damage following aortic aneurysm repair has once again raised the old debate as to the right measures that should be taken postoperatively to minimize its effects. More specifically, opinions have varied regarding the use of steroids and Mannitol to minimize brain edema. I would like to poll the Members as for your current approach to such event. Jacob Lavee, MD Sheba Medical Center Israel From psimha@satyam.net.in Sun Jul 4 03:01:49 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 39D441C08D3 for ; Sun, 4 Jul 2004 03:01:49 -0400 (EDT) Received: from sifyr2.maa.sify.net (202.144.76.20) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Sun, 4 Jul 2004 03:01:47 -0400 Received: (sifymail 32481 invoked by uid 5012); 4 Jul 2004 12:14:21 +0530 Received: from 202.144.76.20 (HELO SMRP03) (202.144.76.20) by 202.144.76.20 with SMTP; 4 Jul 2004 12:14:21 +0530 Received: (sifymail 32344 invoked by uid 5012); 4 Jul 2004 12:14:15 +0530 Received: from 220.226.42.147 (HELO prasannaf6ac57) (220.226.42.147) by 202.144.76.20 with SMTP; 4 Jul 2004 12:14:15 +0530 Message-ID: <000401c46194$a93d08a0$932ae2dc@prasannaf6ac57> From: "psimha" To: "OpenHeart-L" References: <1ac.25299121.2df3223d@aol.com> Subject: Re: [HSF] Intestinal perforation post MVR Date: Sun, 4 Jul 2004 12:00:15 +0530 MIME-Version: 1.0 X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2800.1409 X-MIMEOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Sun, 04 Jul 2004 07:01:49 -0000 I am posting a follow up wrt to the histopath of the case of mimtestinal = necrosis post MVR - it was suggestive of mesentric arterial ischemia and = in view of skip lesions and absence of trash in the arteries our = pathologist felt it may be due to mesentric spasm. Prasanna --- Original Message -----=20 From: Rwmfglycar@aol.com=20 To: OpenHeart-L@hsforum.com=20 Sent: Saturday, June 05, 2004 6:48 PM Subject: Re: [HSF] Intestinal perforation post MVR I agree with you we cannot invoke the bypass technique. What does = thoracic epidural do to vascular reflexes? Bob From Rwmfglycar@aol.com Sun Jul 4 14:18:11 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 4F10B1C148D for ; Sun, 4 Jul 2004 14:18:11 -0400 (EDT) Received: from imo-m28.mx.aol.com (64.12.137.9) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Sun, 4 Jul 2004 14:18:10 -0400 Received: from Rwmfglycar@aol.com by imo-m28.mx.aol.com (mail_out_v37_r2.6.) id 6.1ed.249e98f3 (15889) for ; Sun, 4 Jul 2004 14:18:03 -0400 (EDT) Received: from aol.com (mow-m01.webmail.aol.com [64.12.184.129]) by air-id08.mx.aol.com (v100.23) with ESMTP id MAILINID84-3e1140e849daaf; Sun, 04 Jul 2004 14:18:03 -0400 Date: Sun, 04 Jul 2004 14:18:02 -0400 From: Rwmfglycar@aol.com To: OpenHeart-L@hsforum.com Subject: Re: [HSF] =?ISO-8859-1?B?oEludGVzdGluYWwgcGVyZm9yYXRpb24gcG9zdCBNVlI=?= MIME-Version: 1.0 Message-ID: <50FA5857.35F130F5.0CF18FC6@aol.com> X-Mailer: Atlas Mailer 2.0 X-AOL-IP: 24.151.107.195 X-AOL-Language: english Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Sun, 04 Jul 2004 18:18:11 -0000 Thanks for the follow up. VERY INTERESTING INDEED. BY HAVING AN AUTOPSY WE ARE THAT MUCH CLOSER TO AN UNDERSTNDING BOB In a message dated 7/4/2004 2:42:15 AM Eastern Daylight Time, "psimha" writes: >I am posting a follow up wrt to the histopath of the case of mimtestinal necrosis post MVR - it was suggestive of mesentric arterial ischemia and in view of skip lesions and absence of trash in the arteries our pathologist felt it may be due to mesentric spasm. >Prasanna >--- Original Message ----- >  From: Rwmfglycar@aol.com >  To: OpenHeart-L@hsforum.com >  Sent: Saturday, June 05, 2004 6:48 PM >  Subject: Re: [HSF] Intestinal perforation post MVR > > >  I agree with you we cannot invoke the bypass technique. What does thoracic epidural do to vascular reflexes? >  Bob >_______________________________________________ >OpenHeart-L mailing list > >Send postings to: > OpenHeart-L@lists.hsforum.com > >To unsubscribe, change email address, or view archives: >http://mmp.cjp.com/mailman/listinfo/openheart-l > >All messages transmitted by this listServ are subject to the policies and >disclaimers posted at: >http://www.hsforum.com/listdisclaim >----------------------------------------- > From carlos_heart@hotmail.com Sun Jul 4 20:02:26 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 105571C1C1C for ; Sun, 4 Jul 2004 20:02:26 -0400 (EDT) Received: from hotmail.com (64.4.35.36) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Sun, 4 Jul 2004 20:02:25 -0400 Received: from mail pickup service by hotmail.com with Microsoft SMTPSVC; Sun, 4 Jul 2004 17:02:24 -0700 Received: from 200.114.161.65 by by12fd.bay12.hotmail.msn.com with HTTP; Mon, 05 Jul 2004 00:02:24 GMT X-Originating-IP: [200.114.161.65] X-Originating-Email: [carlos_heart@hotmail.com] X-Sender: carlos_heart@hotmail.com From: "Carlos Heart" To: OpenHeart-L@hsforum.com Date: Sun, 04 Jul 2004 21:02:24 -0300 Mime-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1; format=flowed Message-ID: X-OriginalArrivalTime: 05 Jul 2004 00:02:24.0415 (UTC) FILETIME=[59DB7AF0:01C46223] Cc: Subject: [HSF] OPCAB incidence X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Mon, 05 Jul 2004 00:02:26 -0000 Dear members: I would need to have your estimates on OPCAB incidence in different countries , among the total number of isolated coronary surgery. Thank you, C.B. _________________________________________________________________ MSN Amor: busca tu ½ naranja http://latam.msn.com/amor/ From friedrich-christian.riess@albertinen.de Mon Jul 5 08:00:29 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 09DE11C289A for ; Mon, 5 Jul 2004 08:00:29 -0400 (EDT) Received: from adwlngate01.albertinen.de (62.157.88.242) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Mon, 5 Jul 2004 08:00:28 -0400 Subject: Antwort: [HSF] OPCAB incidence To: OpenHeart-L@hsforum.com X-Mailer: Lotus Notes Version 5.0.1 (Intl) 11. August 1999 Message-ID: From: friedrich-christian.riess@albertinen.de Date: Mon, 5 Jul 2004 14:00:09 +0200 X-MIMETrack: Serialize by Router on ADWLNGATE01/ADW/DE(Release 6.5.1|January 21, 2004) at 05.07.2004 14:08:30 MIME-Version: 1.0 Content-type: text/plain; charset=ISO-8859-1 Content-transfer-encoding: quoted-printable Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Mon, 05 Jul 2004 12:00:29 -0000 20 - 25% F.C.Riess = = "Carlos Heart" = = An: OpenH= eart-L@hsforum.com = Gesendet von: Kopie: = = openheart-l-bounces@lists. Thema: [HSF]= OPCAB incidence = hsforum.com = = = = = = 04.07.2004 22:02 = = Bitte antworten an = = OpenHeart-L = = = = = = Dear members: I would need to have your estimates on OPCAB incidence in different countries , among the total number of isolated coronary surgery. Thank you, C.B. _________________________________________________________________ MSN Amor: busca tu =BD naranja http://latam.msn.com/amor/ _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies a= nd disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- = From ebender001@charter.net Mon Jul 5 16:30:59 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 15EF71C4B88 for ; Mon, 5 Jul 2004 16:30:59 -0400 (EDT) Received: from mxsf02.cluster1.charter.net (209.225.28.202) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Mon, 5 Jul 2004 16:30:58 -0400 Received: from mxip06.cluster1.charter.net (mxip06a.cluster1.charter.net [209.225.28.136]) by mxsf02.cluster1.charter.net (8.12.11/8.12.11) with ESMTP id i65KWuVa027124 for ; Mon, 5 Jul 2004 16:32:58 -0400 Received: from 68-119-250-234-rcp3.ubr1.cpgd.mo.charter.com (HELO [192.168.0.5]) (68.119.250.234) by mxip06.cluster1.charter.net with ESMTP; 05 Jul 2004 16:30:52 -0400 X-Ironport-AV: i="3.81R,150,1083556800"; d="scan'208"; a="83546539:sNHT12160012" Mime-Version: 1.0 (Apple Message framework v618) Content-Transfer-Encoding: 7bit Message-Id: <34EBDB64-CEC2-11D8-AF71-000A9599D67C@charter.net> Content-Type: text/plain; charset=US-ASCII; format=flowed To: OpenHeart-L From: Edward Bender Date: Mon, 5 Jul 2004 15:30:51 -0500 X-Mailer: Apple Mail (2.618) Cc: Subject: [HSF] High Risk Heart Surgery X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Mon, 05 Jul 2004 20:30:59 -0000 Most of us have worked to develop "critical pathways" for the expected course of patients undergoing cardiac surgery to improve efficiency and decrease length of stay. Since we are more frequently operating on coronary bypass patients that are older, have lower LVEF's, with more need for concomitant procedures (such as mitral repair), have any forum members developed separate care pathways for these patients. For instance, the 85 year old female with LVEF of 10-15% requiring CABG and valve repair usually spends close to a week in the ICU (in my hands), going very slowly when weaning ventilator, IABP, and inotropes. These types of patients usually get evaluated for biventricular pacer to be inserted during the current hospitalization (taking advantage of a LV epicardial lead placed during heart surgery). Obviously, the hospital stays are longer, and there is more need for inpatient rehab. It would be nice to show to hospital administrators and case managers what the rest of the world's experience with length of stay and use of resources is. Thanks, Ed Bender, MD From Herbert.Hangler@uibk.ac.at Tue Jul 6 01:13:02 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id EC8051C53F0 for ; Tue, 6 Jul 2004 01:13:01 -0400 (EDT) Received: from smtp.uibk.ac.at (138.232.1.142) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 01:13:01 -0400 Received: from localhost (lwm2.uibk.ac.at [138.232.1.161]) by smtp.uibk.ac.at (8.12.10/8.12.10/F1) with ESMTP id i665CwvD016875 for ; Tue, 6 Jul 2004 07:12:58 +0200 Received: from firewall2.uklibk.ac.at (firewall2.uklibk.ac.at [193.171.69.65]) by web-mail2.uibk.ac.at (IMP) with HTTP for ; Tue, 6 Jul 2004 07:12:57 +0200 Message-ID: <1089090777.40ea34d9eb902@web-mail2.uibk.ac.at> Date: Tue, 6 Jul 2004 07:12:57 +0200 From: Herbert Bernd Hangler To: OpenHeart-L@hsforum.com MIME-Version: 1.0 Content-Type: text/plain Content-Transfer-Encoding: 7bit User-Agent: Internet Messaging Program (IMP) 3.2.1 X-Originating-IP: 193.171.69.65 X-Forwarded-For: 10.3.22.11 X-Spam-Score: -7.5 () BLANK_LINES_80_90,RCV_SMTP_UIBK,RCV_TILAK,RCV_WEBMAIL X-Scanned-By: MIMEDefang 2.42 at uibk.ac.at Cc: Subject: [HSF] (no subject) X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 05:13:02 -0000 Please remove me from your list From John.Alvarez@health.wa.gov.au Tue Jul 6 02:52:39 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 8B2FE1C59CB for ; Tue, 6 Jul 2004 02:52:39 -0400 (EDT) Received: from NT212CISEP.corporate.hdwa.health.wa.gov.au (165.118.97.12) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 02:52:38 -0400 content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable X-MimeOLE: Produced By Microsoft Exchange V6.0.6487.1 Subject: RE: [HSF] OPCAB incidence Date: Tue, 6 Jul 2004 14:48:29 +0800 Message-ID: <360C8F72E621D511BA05000629381F5F6CF89E@nt005mseqe.qe2.health.wa.gov.au> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: [HSF] OPCAB incidence Thread-Index: AcRiJ05TT/Xo1EKPRSuIKQLws1qYowA/kgZQ From: "Alvarez, John" To: Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 06:52:39 -0000 alvarez jm @50%=20 -----Original Message----- From: openheart-l-bounces@lists.hsforum.com [mailto:openheart-l-bounces@lists.hsforum.com]On Behalf Of Carlos Heart Sent: Monday, 5 July 2004 08:02 To: OpenHeart-L@hsforum.com Subject: [HSF] OPCAB incidence Dear members: I would need to have your estimates on OPCAB incidence in different=20 countries , among the total number of isolated coronary surgery. Thank you, C.B. _________________________________________________________________ MSN Amor: busca tu =BD naranja http://latam.msn.com/amor/ _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies = and=20 disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- From rudi@kbd.hr Tue Jul 6 03:42:07 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 6688A1C5C99 for ; Tue, 6 Jul 2004 03:42:07 -0400 (EDT) Received: from zagreb.kbd.hr (161.53.183.3) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 03:42:06 -0400 Received: from localhost ([127.0.0.1]) by zagreb.kbd.hr with esmtp (Exim 4.34) id 1BhkZH-0006Bq-Nv for OpenHeart-L@hsforum.com; Tue, 06 Jul 2004 09:40:43 +0200 Received: from zagreb.kbd.hr ([127.0.0.1]) by localhost (zagreb [127.0.0.1]) (amavisd-new, port 10024) with ESMTP id 23064-10 for ; Tue, 6 Jul 2004 09:40:37 +0200 (CEST) Received: from dubrava.kbd.hr ([161.53.183.4] helo=pckbd316) by zagreb.kbd.hr with asmtp (Exim 4.34) id 1BhkZB-0006Bj-IY for OpenHeart-L@hsforum.com; Tue, 06 Jul 2004 09:40:37 +0200 From: "Igor Rudez" To: Subject: RE: [HSF] OPCAB incidence Date: Tue, 6 Jul 2004 09:42:47 +0200 Message-ID: MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable X-Priority: 3 (Normal) X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook, Build 10.0.4024 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 Importance: Normal In-Reply-To: <360C8F72E621D511BA05000629381F5F6CF89E@nt005mseqe.qe2.health.wa.gov.au> X-Virus-Scanned: by amavisd-new-20030616-p9 (Debian) Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 07:42:07 -0000 Dear John, regaring your request, I can only speak for my institution (if it helps). Please visit our web page (link given below) and find answers to your question. If you need additional information, do not hesitate to contact me. Igor Rudez, MD University Hospital Dubrava Zagreb, Croatia www.kbd.hr/kardkir -----Original Message----- From: openheart-l-bounces@lists.hsforum.com [mailto:openheart-l-bounces@lists.hsforum.com] On Behalf Of Alvarez, John Sent: Tuesday, July 06, 2004 8:48 AM To: OpenHeart-L@hsforum.com Subject: RE: [HSF] OPCAB incidence alvarez jm @50%=20 -----Original Message----- From: openheart-l-bounces@lists.hsforum.com [mailto:openheart-l-bounces@lists.hsforum.com]On Behalf Of Carlos Heart Sent: Monday, 5 July 2004 08:02 To: OpenHeart-L@hsforum.com Subject: [HSF] OPCAB incidence Dear members: I would need to have your estimates on OPCAB incidence in different=20 countries , among the total number of isolated coronary surgery. Thank you, C.B. _________________________________________________________________ MSN Amor: busca tu =BD naranja http://latam.msn.com/amor/ _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies and=20 disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies and=20 disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- From goldmans@mlhs.org Tue Jul 6 14:11:31 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id A1B661C6BF0 for ; Tue, 6 Jul 2004 14:11:31 -0400 (EDT) Received: from mlhs.org (192.104.254.177) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 14:11:31 -0400 Received: from ([10.101.16.162]) by ironmail.mlhs.org with ESMTP id 132020105.11190345; Tue, 06 Jul 2004 14:10:45 -0400 Received: from mdc-mail.ad.mlhs.org ([10.101.16.50]) by mlhowa1.ad.mlhs.org with Microsoft SMTPSVC(6.0.3790.0); Tue, 6 Jul 2004 14:10:42 -0400 Received: from TLH-MAIL.ad.mlhs.org ([10.124.16.56]) by mdc-mail.ad.mlhs.org with Microsoft SMTPSVC(5.0.2195.6713); Tue, 6 Jul 2004 14:10:44 -0400 X-MimeOLE: Produced By Microsoft Exchange V6.0.6487.1 content-class: urn:content-classes:message MIME-Version: 1.0 Date: Tue, 6 Jul 2004 14:11:02 -0400 Message-ID: <6764E7F21669F64C81BBE14C902CDEDD0171044F@tlh-mail.ad.mlhs.org> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Index: AcRjhJIN5HF8TeVBRcar+lpAjjSYbQ== From: "Goldman, Scott" To: X-OriginalArrivalTime: 06 Jul 2004 18:10:44.0823 (UTC) FILETIME=[8E58BE70:01C46384] Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: Subject: [HSF] (no subject) X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 18:11:32 -0000 I saw a 58 year old man who had a percutaneous repair of a secondum ASD( 2.5x1.9 cm) with a large Amplatz device. He now has a small leak and intermittent severe chest pain. He has no coronary disease and the pain started right after the device was inserted 3 years ago. Does any one have experience in removing one of these things? Could this be the cause of his pain?=20 =20 Scott Goldman MD Chairman Department of Surgery Main Line Health =20 From goldmans@mlhs.org Tue Jul 6 14:30:57 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id BDE241C7225 for ; Tue, 6 Jul 2004 14:30:56 -0400 (EDT) Received: from mlhs.org (192.104.254.177) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 14:30:56 -0400 Received: from ([10.101.16.162]) by ironmail.mlhs.org with ESMTP id 132020105.11190965; Tue, 06 Jul 2004 14:30:13 -0400 Received: from mdc-mail.ad.mlhs.org ([10.101.16.50]) by mlhowa1.ad.mlhs.org with Microsoft SMTPSVC(6.0.3790.0); Tue, 6 Jul 2004 14:30:13 -0400 Received: from TLH-MAIL.ad.mlhs.org ([10.124.16.56]) by mdc-mail.ad.mlhs.org with Microsoft SMTPSVC(5.0.2195.6713); Tue, 6 Jul 2004 14:30:12 -0400 X-MimeOLE: Produced By Microsoft Exchange V6.0.6487.1 content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable Subject: FW: [HSF] Pain after percutaneous ASD repair Date: Tue, 6 Jul 2004 14:30:29 -0400 Message-ID: <6764E7F21669F64C81BBE14C902CDEDD01022E9E@tlh-mail.ad.mlhs.org> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: [HSF] Pain after percutaneous ASD repair Thread-Index: AcRjhJIN5HF8TeVBRcar+lpAjjSYbQAAmjfw From: "Goldman, Scott" To: X-OriginalArrivalTime: 06 Jul 2004 18:30:12.0386 (UTC) FILETIME=[4644B820:01C46387] Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 18:31:01 -0000 Scott Goldman MD Chairman Department of Surgery Main Line Health -----Original Message----- From: openheart-l-bounces@lists.hsforum.com [mailto:openheart-l-bounces@lists.hsforum.com] On Behalf Of Goldman, Scott Sent: Tuesday, July 06, 2004 2:11 PM To: OpenHeart-L@hsforum.com Subject: [HSF] (no subject) I saw a 58 year old man who had a percutaneous repair of a secondum ASD( 2.5x1.9 cm) with a large Amplatz device. He now has a small leak and intermittent severe chest pain. He has no coronary disease and the pain started right after the device was inserted 3 years ago. Does any one have experience in removing one of these things? Could this be the cause of his pain?=20 =20 Scott Goldman MD Chairman Department of Surgery Main Line Health =20 _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies and=20 disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- From jrodriguezcampos@yahoo.com Tue Jul 6 15:46:40 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 46C561CF243 for ; Tue, 6 Jul 2004 15:46:40 -0400 (EDT) Received: from web51602.mail.yahoo.com (206.190.38.207) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 15:46:39 -0400 Message-ID: <20040706194633.56692.qmail@web51602.mail.yahoo.com> Received: from [200.61.190.145] by web51602.mail.yahoo.com via HTTP; Tue, 06 Jul 2004 14:46:33 CDT Date: Tue, 6 Jul 2004 14:46:33 -0500 (CDT) From: =?iso-8859-1?q?Jorge=20Rodriguez=20Campos?= Subject: Re: [HSF] OPCAB incidence To: OpenHeart-L@hsforum.com In-Reply-To: MIME-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 19:46:40 -0000 Dear Carlos: In my country Argentina is likely 40 % .- Best regards.- Jorge F. Rodriguez Campos. Carlos Heart wrote:Dear members: I would need to have your estimates on OPCAB incidence in different countries , among the total number of isolated coronary surgery. Thank you, C.B. _________________________________________________________________ MSN Amor: busca tu ½ naranja http://latam.msn.com/amor/ _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies and disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- --------------------------------- Do You Yahoo!? Todo lo que quieres saber de Estados Unidos, América Latina y el resto del Mundo. Visíta Yahoo! Noticias. From jrodriguezcampos@yahoo.com Tue Jul 6 16:23:44 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id D87E71CF8DE for ; Tue, 6 Jul 2004 16:23:43 -0400 (EDT) Received: from web51602.mail.yahoo.com (206.190.38.207) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 16:23:42 -0400 Message-ID: <20040706202340.68527.qmail@web51602.mail.yahoo.com> Received: from [200.61.190.145] by web51602.mail.yahoo.com via HTTP; Tue, 06 Jul 2004 15:23:40 CDT Date: Tue, 6 Jul 2004 15:23:40 -0500 (CDT) From: =?iso-8859-1?q?Jorge=20Rodriguez=20Campos?= Subject: Re: [HSF] High Risk Heart Surgery To: OpenHeart-L@hsforum.com In-Reply-To: <34EBDB64-CEC2-11D8-AF71-000A9599D67C@charter.net> MIME-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 20:23:46 -0000 Dear Ed: For patients who need coronary bypass, older, and high risk with associate diseases we do OPCAB with epidural and patient awake same Karagoz and the result are good, don't need ventilator, and decrease length of stay.- We do two RVAo with this technique for older patients, and the patients was good.- Best regards. Dr. Jorge F. Rodríguez Campos Edward Bender wrote: Most of us have worked to develop "critical pathways" for the expected course of patients undergoing cardiac surgery to improve efficiency and decrease length of stay. Since we are more frequently operating on coronary bypass patients that are older, have lower LVEF's, with more need for concomitant procedures (such as mitral repair), have any forum members developed separate care pathways for these patients. For instance, the 85 year old female with LVEF of 10-15% requiring CABG and valve repair usually spends close to a week in the ICU (in my hands), going very slowly when weaning ventilator, IABP, and inotropes. These types of patients usually get evaluated for biventricular pacer to be inserted during the current hospitalization (taking advantage of a LV epicardial lead placed during heart surgery). Obviously, the hospital stays are longer, and there is more need for inpatient rehab. It would be nice to show to hospital administrators and case managers what the rest of the world's experience with length of stay and use of resources is. Thanks, Ed Bender, MD _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies and disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- --------------------------------- Do You Yahoo!? Todo lo que quieres saber de Estados Unidos, América Latina y el resto del Mundo. Visíta Yahoo! Noticias. From drdharris@yahoo.co.uk Tue Jul 6 17:39:44 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 6B5201CFEC8 for ; Tue, 6 Jul 2004 17:39:44 -0400 (EDT) Received: from web60003.mail.yahoo.com (216.109.116.226) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 17:39:44 -0400 Message-ID: <20040706213937.41110.qmail@web60003.mail.yahoo.com> Received: from [196.31.249.180] by web60003.mail.yahoo.com via HTTP; Tue, 06 Jul 2004 22:39:37 BST Date: Tue, 6 Jul 2004 22:39:37 +0100 (BST) From: =?iso-8859-1?q?David=20Harris?= Subject: Re: [HSF] OPCAB incidence To: OpenHeart-L@hsforum.com In-Reply-To: MIME-Version: 1.0 Content-Type: text/plain; charset=iso-8859-1 Content-Transfer-Encoding: 8bit Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 21:39:44 -0000 In Cape Town, I estimate about 5 to 10%. My personal experience: previously 70%, 50% last year, now 20% OPCAB and 15% beating heart on pump. In the low risk patient there has been shown to be no difference in outcome (presuming anaesthetic and bypass management is optimal), so I think one should go for the procedure that is going to be the easiest in these patients. --- Carlos Heart wrote: > Dear members: > I would need to have your estimates on OPCAB > incidence in different > countries , among the total number of isolated > coronary surgery. > Thank you, > C.B. > > _________________________________________________________________ > MSN Amor: busca tu ½ naranja > http://latam.msn.com/amor/ > > _______________________________________________ > OpenHeart-L mailing list > > Send postings to: > OpenHeart-L@lists.hsforum.com > > To unsubscribe, change email address, or view > archives: > http://mmp.cjp.com/mailman/listinfo/openheart-l > > All messages transmitted by this listServ are > subject to the policies and > disclaimers posted at: > http://www.hsforum.com/listdisclaim > ----------------------------------------- > ===== Dr. David G. Harris, FCS, MMED, Cardiothoracic Surgeon Suite A2 Tygerberg Hospital, 7505 Cape Town, South Africa. Tel +27-21-9762347 Fax +27-21-9761157 Mobile +27-83-3309587 ___________________________________________________________ALL-NEW Yahoo! Messenger - sooooo many all-new ways to express yourself http://uk.messenger.yahoo.com From benjamin.bidstrup@bigpond.com Tue Jul 6 19:29:14 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 0F6F11D05FF for ; Tue, 6 Jul 2004 19:29:14 -0400 (EDT) Received: from gizmo11bw.bigpond.com (144.140.70.21) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 19:29:13 -0400 Received: (qmail 28899 invoked from network); 6 Jul 2004 22:08:18 -0000 Received: from unknown (HELO bwmam11.bigpond.com) (144.135.24.100) by gizmo11bw.bigpond.com with SMTP; 6 Jul 2004 22:08:18 -0000 Received: from cpe-139-168-160-63.qld.bigpond.net.au ([139.168.160.63]) by bwmam11.bigpond.com(MAM REL_3_4_2a 174/44667798) with SMTP id 44667798; Wed, 07 Jul 2004 09:29:03 +1000 Mime-Version: 1.0 X-Sender: benjamin.bidstrup@mail.bigpond.com Message-Id: In-Reply-To: <360C8F72E621D511BA05000629381F5F6CF89E@nt005mseqe.qe2.health.wa.gov.au> References: <360C8F72E621D511BA05000629381F5F6CF89E@nt005mseqe.qe2.health.wa.gov.au> Date: Wed, 7 Jul 2004 09:28:53 +1000 To: OpenHeart-L@hsforum.com From: Ben Bidstrup Subject: RE: [HSF] OPCAB incidence Content-Type: text/plain; charset="us-ascii" ; format="flowed" Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 23:29:14 -0000 >alvarez jm >@50% > >-----Original Message----- >From: openheart-l-bounces@lists.hsforum.com >[mailto:openheart-l-bounces@lists.hsforum.com]On Behalf Of Carlos Heart >Sent: Monday, 5 July 2004 08:02 >To: OpenHeart-L@hsforum.com >Subject: [HSF] OPCAB incidence > > >Dear members: >I would need to have your estimates on OPCAB incidence in different >countries , among the total number of isolated coronary surgery. >Thank you, >C.B. > >_________________________________________________________________ Whilst this is probably the incidence in one institution, overall in Australia it is around 15-20%. -- Ben Bidstrup FRACS FRCSEd FEBCTS Consultant Cardiothoracic Surgeon From biga@multitel.com.uy Tue Jul 6 19:41:29 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id D48A51D087B for ; Tue, 6 Jul 2004 19:41:29 -0400 (EDT) Received: from vmail.multitel.com.uy (200.108.215.22) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 19:41:29 -0400 Received: from daniel ([::ffff:200.108.219.147]) by vmail.multitel.com.uy with esmtp; Tue, 06 Jul 2004 20:37:07 -0300 Message-ID: <002801c463b2$b4ff3850$eea5fea9@daniel> From: "Daniel Bigalli" To: OpenHeart-L@hsforum.com References: <20040706213937.41110.qmail@web60003.mail.yahoo.com> Subject: Re: [HSF] OPCAB incidence Date: Tue, 6 Jul 2004 20:41:05 -0300 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: 7bit X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2800.1409 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Tue, 06 Jul 2004 23:41:30 -0000 Dear Carlos: In Uruguay is aproximately 50 %. My personal experience this year in coronary surgery: 50% OPCAB and 50% "beating heart on pump" Best regards Daniel Bigalli Montevideo-Uruguay From Tdmartin2000@aol.com Tue Jul 6 23:20:07 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 84AAD1D153B for ; Tue, 6 Jul 2004 23:20:07 -0400 (EDT) Received: from imo-m28.mx.aol.com (64.12.137.9) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 23:20:07 -0400 Received: from Tdmartin2000@aol.com by imo-m28.mx.aol.com (mail_out_v37_r2.6.) id 6.be.10d08adc (16781) for ; Tue, 6 Jul 2004 23:19:54 -0400 (EDT) From: Tdmartin2000@aol.com Message-ID: Date: Tue, 6 Jul 2004 23:19:54 EDT Subject: Re: [HSF] OPCAB incidence To: OpenHeart-L@hsforum.com MIME-Version: 1.0 X-Mailer: 9.0 for Windows sub 5031 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 07 Jul 2004 03:20:09 -0000 In one of our trials-40-50% not in trial-- 10% Tom Martin U of Fl From DukeB60@aol.com Tue Jul 6 23:34:18 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 691DD1D17F9 for ; Tue, 6 Jul 2004 23:34:18 -0400 (EDT) Received: from imo-m19.mx.aol.com (64.12.137.11) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Tue, 6 Jul 2004 23:34:18 -0400 Received: from DukeB60@aol.com by imo-m19.mx.aol.com (mail_out_v37_r2.6.) id 6.126.450ef4f8 (4222) for ; Tue, 6 Jul 2004 23:34:07 -0400 (EDT) From: DukeB60@aol.com Message-ID: <126.450ef4f8.2e1cc92f@aol.com> Date: Tue, 6 Jul 2004 23:34:07 EDT Subject: Re: [HSF] OPCAB incidence To: OpenHeart-L@hsforum.com MIME-Version: 1.0 X-Mailer: 9.0 for Windows sub 5000 Content-Type: text/plain; charset="US-ASCII" Content-Transfer-Encoding: 7bit X-Content-Filtered-By: Mailman/MimeDel 2.1.2 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 07 Jul 2004 03:34:18 -0000 Couple of years ago, 80% OPCAB. Now about 50%. MADCAB about 30 - 40%. Remainder full arrested CABG. From yekong@online.sh.cn Wed Jul 7 01:58:25 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 8513B1D2105 for ; Wed, 7 Jul 2004 01:58:25 -0400 (EDT) Received: from lcfep2.online.sh.cn (61.129.163.112) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Wed, 7 Jul 2004 01:58:20 -0400 Received: from RavProxy ([211.144.96.22]) by lcfep2.online.sh.cn with ESMTP id <20040707055828.SXOE2403.lcfep2.online.sh.cn@RavProxy> for ; Wed, 7 Jul 2004 13:58:28 +0800 Message-ID: <004201c463e7$505e0270$0be0a8c0@D32YT71X> From: "Ye Kong" To: References: Subject: Re: [HSF] OPCAB incidence Date: Wed, 7 Jul 2004 13:57:40 +0800 MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: base64 X-Priority: 3 X-MSMail-Priority: Normal X-Mailer: Microsoft Outlook Express 6.00.2800.1409 X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2800.1409 Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 07 Jul 2004 05:58:26 -0000 SXQgd2FzIGVzdGltYXRlZCBvdmVyIDcwJSBvZiB0b3RhbCBjb3JvbmFyeSBzdXJnZXJ5IGRvbmUg YXMgT1BDQUIgaW4gbWFpbmxhbmQgb2YgQ2hpbmEuIE15IHBlcnNvbmFsIHByYWN0aWNlLCBhYm91 dCA5NyUgT1BDQUIgaW4gdGhlIHBhc3QsIGRvd24gdG8gYWJvdXQgOTAlIE9QQ0FCIGN1cnJlbnRs eSwgMTAlIG9uLXB1bXAgYmVhdGluZyBoZWFydCBpbiBjYXNlIG9mIExWRUREIGdyZWF0ZXIgdGhh biA3MG1tLCBMVkVGIGxlc3MgdGhhbiAyMCUsIGFuZC9vciBMViBhbmV1cnlzbSByZXNlY3Rpb24u IA0KDQpZZSBLb25nDQpTaGFuZ2hhaS1DaGluYQ0KDQotLS0tLSBPcmlnaW5hbCBNZXNzYWdlIC0t LS0tIA0KRnJvbTogIkNhcmxvcyBIZWFydCIgPGNhcmxvc19oZWFydEBob3RtYWlsLmNvbT4NClRv OiA8T3BlbkhlYXJ0LUxAaHNmb3J1bS5jb20+DQpTZW50OiBNb25kYXksIEp1bHkgMDUsIDIwMDQg ODowMiBBTQ0KU3ViamVjdDogW0hTRl0gT1BDQUIgaW5jaWRlbmNlDQoNCg0KPiBEZWFyIG1lbWJl cnM6DQo+IEkgd291bGQgbmVlZCB0byBoYXZlIHlvdXIgZXN0aW1hdGVzIG9uIE9QQ0FCIGluY2lk ZW5jZSBpbiBkaWZmZXJlbnQgDQo+IGNvdW50cmllcyAsIGFtb25nIHRoZSB0b3RhbCBudW1iZXIg b2YgaXNvbGF0ZWQgY29yb25hcnkgc3VyZ2VyeS4NCj4gVGhhbmsgeW91LA0KPiBDLkIuDQo+IA0K PiBfX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19f X19fX19fX19fXw0KPiBNU04gQW1vcjogYnVzY2EgdHUgvSBuYXJhbmphIGh0dHA6Ly9sYXRhbS5t c24uY29tL2Ftb3IvDQo+IA0KPiBfX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19fX19f X19fX19fX19fXw0KPiBPcGVuSGVhcnQtTCBtYWlsaW5nIGxpc3QNCj4gDQo+IFNlbmQgcG9zdGlu Z3MgdG86DQo+ICBPcGVuSGVhcnQtTEBsaXN0cy5oc2ZvcnVtLmNvbQ0KPiANCj4gVG8gdW5zdWJz Y3JpYmUsIGNoYW5nZSBlbWFpbCBhZGRyZXNzLCBvciB2aWV3IGFyY2hpdmVzOg0KPiBodHRwOi8v bW1wLmNqcC5jb20vbWFpbG1hbi9saXN0aW5mby9vcGVuaGVhcnQtbA0KPiANCj4gQWxsIG1lc3Nh Z2VzIHRyYW5zbWl0dGVkIGJ5IHRoaXMgbGlzdFNlcnYgYXJlIHN1YmplY3QgdG8gdGhlIHBvbGlj aWVzIGFuZCANCj4gZGlzY2xhaW1lcnMgcG9zdGVkIGF0Og0KPiBodHRwOi8vd3d3LmhzZm9ydW0u Y29tL2xpc3RkaXNjbGFpbQ0KPiAtLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0tLS0t LS0tLQ== From John.Alvarez@health.wa.gov.au Wed Jul 7 02:31:40 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 4A0B51D25FC for ; Wed, 7 Jul 2004 02:31:40 -0400 (EDT) Received: from NT212CISEP.corporate.hdwa.health.wa.gov.au (165.118.97.12) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Wed, 7 Jul 2004 02:31:39 -0400 content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset="iso-8859-1" Content-Transfer-Encoding: quoted-printable X-MimeOLE: Produced By Microsoft Exchange V6.0.6249.0 Subject: RE: [HSF] OPCAB incidence Date: Wed, 7 Jul 2004 14:28:03 +0800 Message-ID: <360C8F72E621D511BA05000629381F5F6CF8A0@nt005mseqe.qe2.health.wa.gov.au> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: [HSF] OPCAB incidence Thread-Index: AcRjsR3V1v4z2IdnSU2bkm8n1WINjgAOtTMg From: "Alvarez, John" To: Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 07 Jul 2004 06:31:40 -0000 Yes Ben is right I thought you were after individual surgeons cheers ja -----Original Message----- From: Ben Bidstrup [mailto:benjamin.bidstrup@bigpond.com] Sent: Wednesday, 7 July 2004 07:29 To: OpenHeart-L@hsforum.com Subject: RE: [HSF] OPCAB incidence >alvarez jm >@50% > >-----Original Message----- >From: openheart-l-bounces@lists.hsforum.com >[mailto:openheart-l-bounces@lists.hsforum.com]On Behalf Of Carlos Heart >Sent: Monday, 5 July 2004 08:02 >To: OpenHeart-L@hsforum.com >Subject: [HSF] OPCAB incidence > > >Dear members: >I would need to have your estimates on OPCAB incidence in different >countries , among the total number of isolated coronary surgery. >Thank you, >C.B. > >_________________________________________________________________ Whilst this is probably the incidence in one institution, overall in=20 Australia it is around 15-20%. --=20 Ben Bidstrup FRACS FRCSEd FEBCTS Consultant Cardiothoracic Surgeon _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change email address, or view archives: http://mmp.cjp.com/mailman/listinfo/openheart-l All messages transmitted by this listServ are subject to the policies = and=20 disclaimers posted at: http://www.hsforum.com/listdisclaim ----------------------------------------- From rkhoda@yahoo.com Wed Jul 7 11:23:27 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 5E1271D42F5 for ; Wed, 7 Jul 2004 11:23:27 -0400 (EDT) Received: from web53004.mail.yahoo.com (206.190.39.194) by cjp.com with SMTP (Eudora Internet Mail Server X 3.2.5) for ; Wed, 7 Jul 2004 11:23:26 -0400 Message-ID: <20040707152320.27377.qmail@web53004.mail.yahoo.com> Received: from [170.163.27.235] by web53004.mail.yahoo.com via HTTP; Wed, 07 Jul 2004 08:23:20 PDT Date: Wed, 7 Jul 2004 08:23:20 -0700 (PDT) From: Reza Khodaverdian Subject: Re: FW: [HSF] Pain after percutaneous ASD repair To: OpenHeart-L@hsforum.com In-Reply-To: <6764E7F21669F64C81BBE14C902CDEDD01022E9E@tlh-mail.ad.mlhs.org> MIME-Version: 1.0 Content-Type: text/plain; charset=us-ascii Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 07 Jul 2004 15:23:27 -0000 I have seen three of these devices removed. The indications were infection/thrombosis in 2 and migration with R-L shunt in one. Chest pain was not a symptoms in those cases. The surgical technique was not any different from closing an ASD. Taking the device out was easy in two and difficult in one due to dense fibrous attachment to interatrial septum. Hope this helps, Reza Khodaverdian, --- "Goldman, Scott" wrote: > > > Scott Goldman MD > Chairman > Department of Surgery > Main Line Health > > > -----Original Message----- > From: openheart-l-bounces@lists.hsforum.com > [mailto:openheart-l-bounces@lists.hsforum.com] On > Behalf Of Goldman, > Scott > Sent: Tuesday, July 06, 2004 2:11 PM > To: OpenHeart-L@hsforum.com > Subject: [HSF] (no subject) > > I saw a 58 year old man who had a percutaneous > repair of a secondum ASD( > 2.5x1.9 cm) with a large Amplatz device. He now has > a small leak and > intermittent severe chest pain. He has no coronary > disease and the pain > started right after the device was inserted 3 years > ago. Does any one > have experience in removing one of these things? > Could this be the cause > of his pain? > > > > Scott Goldman MD > > Chairman > > Department of Surgery > > Main Line Health > > > > _______________________________________________ > OpenHeart-L mailing list > > Send postings to: > OpenHeart-L@lists.hsforum.com > > To unsubscribe, change email address, or view > archives: > http://mmp.cjp.com/mailman/listinfo/openheart-l > > All messages transmitted by this listServ are > subject to the policies > and > disclaimers posted at: > http://www.hsforum.com/listdisclaim > ----------------------------------------- > _______________________________________________ > OpenHeart-L mailing list > > Send postings to: > OpenHeart-L@lists.hsforum.com > > To unsubscribe, change email address, or view > archives: > http://mmp.cjp.com/mailman/listinfo/openheart-l > > All messages transmitted by this listServ are > subject to the policies and > disclaimers posted at: > http://www.hsforum.com/listdisclaim > ----------------------------------------- > __________________________________ Do you Yahoo!? New and Improved Yahoo! Mail - 100MB free storage! http://promotions.yahoo.com/new_mail From goldmans@mlhs.org Wed Jul 7 15:35:20 2004 Return-Path: X-Original-To: OpenHeart-L@lists.hsforum.com Delivered-To: OpenHeart-L@lists.hsforum.com Received: from cjp.com (unknown [12.5.58.31]) by lists.hsforum.com (Postfix) with ESMTP id 9441F1D5C1B for ; Wed, 7 Jul 2004 15:35:20 -0400 (EDT) Received: from mlhs.org (192.104.254.177) by cjp.com with ESMTP (Eudora Internet Mail Server X 3.2.5) for ; Wed, 7 Jul 2004 15:35:20 -0400 Received: from ([10.101.16.162]) by ironmail.mlhs.org with ESMTP id 132020105.11218639; Wed, 07 Jul 2004 15:34:35 -0400 Received: from mdc-mail.ad.mlhs.org ([10.101.16.50]) by mlhowa1.ad.mlhs.org with Microsoft SMTPSVC(6.0.3790.0); Wed, 7 Jul 2004 15:34:20 -0400 Received: from TLH-MAIL.ad.mlhs.org ([10.124.16.56]) by mdc-mail.ad.mlhs.org with Microsoft SMTPSVC(5.0.2195.6713); Wed, 7 Jul 2004 15:34:34 -0400 X-MimeOLE: Produced By Microsoft Exchange V6.0.6487.1 content-class: urn:content-classes:message MIME-Version: 1.0 Content-Type: text/plain; charset="us-ascii" Content-Transfer-Encoding: quoted-printable Subject: RE: FW: [HSF] Pain after percutaneous ASD repair Date: Wed, 7 Jul 2004 15:34:29 -0400 Message-ID: <6764E7F21669F64C81BBE14C902CDEDD01022E9F@tlh-mail.ad.mlhs.org> X-MS-Has-Attach: X-MS-TNEF-Correlator: Thread-Topic: FW: [HSF] Pain after percutaneous ASD repair Thread-Index: AcRkNmtho+dMSRYRQVa9WwHLTdtNiwAIwKuA From: "Goldman, Scott" To: X-OriginalArrivalTime: 07 Jul 2004 19:34:34.0762 (UTC) FILETIME=[6ED646A0:01C46459] Cc: X-BeenThere: openheart-l@lists.hsforum.com X-Mailman-Version: 2.1.2 Precedence: list Reply-To: OpenHeart-L@hsforum.com List-Id: List-Unsubscribe: , List-Archive: List-Post: List-Help: List-Subscribe: , X-List-Received-Date: Wed, 07 Jul 2004 19:35:20 -0000 Thanks Scott Goldman MD Chairman Department of Surgery Main Line Health -----Original Message----- From: openheart-l-bounces@lists.hsforum.com [mailto:openheart-l-bounces@lists.hsforum.com] On Behalf Of Reza Khodaverdian Sent: Wednesday, July 07, 2004 11:23 AM To: OpenHeart-L@hsforum.com Subject: Re: FW: [HSF] Pain after percutaneous ASD repair I have seen three of these devices removed. The indications were infection/thrombosis in 2 and migration with R-L shunt in one. Chest pain was not a symptoms in those cases. The surgical technique was not any different from closing an ASD. Taking the device out was easy in two and difficult in one due to dense fibrous attachment to interatrial septum. Hope this helps, Reza Khodaverdian, --- "Goldman, Scott" wrote: >=20 >=20 > Scott Goldman MD > Chairman > Department of Surgery > Main Line Health >=20 >=20 > -----Original Message----- > From: openheart-l-bounces@lists.hsforum.com > [mailto:openheart-l-bounces@lists.hsforum.com] On > Behalf Of Goldman, > Scott > Sent: Tuesday, July 06, 2004 2:11 PM > To: OpenHeart-L@hsforum.com > Subject: [HSF] (no subject) >=20 > I saw a 58 year old man who had a percutaneous > repair of a secondum ASD( > 2.5x1.9 cm) with a large Amplatz device. He now has > a small leak and > intermittent severe chest pain. He has no coronary > disease and the pain > started right after the device was inserted 3 years > ago. Does any one > have experience in removing one of these things? > Could this be the cause > of his pain?=20 >=20 > =20 >=20 > Scott Goldman MD >=20 > Chairman >=20 > Department of Surgery >=20 > Main Line Health >=20 > =20 >=20 > _______________________________________________ > OpenHeart-L mailing list >=20 > Send postings to: > OpenHeart-L@lists.hsforum.com >=20 > To unsubscribe, change email address, or view > archives: > http://mmp.cjp.com/mailman/listinfo/openheart-l >=20 > All messages transmitted by this listServ are > subject to the policies > and=20 > disclaimers posted at: > http://www.hsforum.com/listdisclaim > ----------------------------------------- > _______________________________________________ > OpenHeart-L mailing list >=20 > Send postings to: > OpenHeart-L@lists.hsforum.com >=20 > To unsubscribe, change email address, or view > archives: > http://mmp.cjp.com/mailman/listinfo/openheart-l >=20 > All messages transmitted by this listServ are > subject to the policies and > disclaimers posted at: > http://www.hsforum.com/listdisclaim > ----------------------------------------- >=20 =09 =09 __________________________________ Do you Yahoo!? New and Improved Yahoo! Mail - 100MB free storage! http://promotions.yahoo.com/new_mail=20 _______________________________________________ OpenHeart-L mailing list Send postings to: OpenHeart-L@lists.hsforum.com To unsubscribe, change