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

[Hgrmd at aol.com]

Ani,
  To be honest, I didn't critically analyze the paper from CCF.   They very 
well could have done some arcane data massage to prove a point.   However, 
their conclusions basically support the policies of the surgeons in my  group as 
well as the referring cardiologists.  It's rare that we do a redo  stand alone 
CABG when there is a well functioning LIMA to the LAD.  For one  thing, the 
interventionalists can generally do enough PCI to get by.  If  they can't, the 
patient is usually treated medically.  Since I haven't done  a stand alone CABG 
so far this year, I can't speak authoritatively.   However, I do believe it's 
rare that we reoperate when there is a good LIMA to  the LAD.
 
Hal



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