[HSF] Another Victory for the LAD Stent.....

[Ani Anyanwu]

> One of the things I remember from the STS was from the Cleveland Clinic in > which their conclusion was that redo CABG was generally not warranted if > there was a patent LIMA to the LAD. > > Hal> I would be keen to see this data but suspect it is the usual massage of data and statistics we get from the clinic. Maybe there may well be no survival advantage, but then redo CABG is generally not done for survival - so how they could decide there is no indication for a procedure generally done to improve quality of life (relief of angina) escapes me. Unless there premise is that redo CABG is not effective in relief of angina due to stenosed vein grafts or progression of native disease. To demonstrate this they would need a mid-term follow-up in symptom status and quality of life which I suspect they don't have. Nevertheless I will try keep an open mind till I see the data.
 
Ani
 



> From: Hgrmd at aol.com> Date: Sat, 9 Feb 2008 11:45:51 -0500> Subject: Re: [HSF] Another Victory for the LAD Stent.....> To: OpenHeart-L at lists.hsforum.com> CC: > > Michael,> One of the things I remember from the STS was from the Cleveland Clinic in > which their conclusion was that redo CABG was generally not warranted if > there was a patent LIMA to the LAD. Extending that general theme, I hope that > one day the medical community will one day realize that most patients do > better with a LIMA to the LAD rather than PCI for proximal LAD disease. I suspect > we would have a better chance of winning that battle with MIDCAB's. > Robotically assisted takedown of the LIMA is already a reality. Perhaps with the > Cardica distal anastomotic device, it can routinely be down endoscopically. > However, I will say I heard a couple of private comments that this device may > have its problems. I want to see more long term data before I really take the > plunge with this device.> Rather than lament that cardiologists and patients don't want to have > their chest split to install a mammary and 3 veins, we should show them that we > truly have a better minimally invasive alternative to construct a LIMA to the > LAD. Certainly, in your poor patient's case, he would have had a better > chance of survival.> > Hal> > > > **************Biggest Grammy Award surprises of all time on AOL Music. > (http://music.aol.com/grammys/pictures/never-won-a-grammy?NCID=aolcmp003000000025> 48)> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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