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

[Michael Firstenberg]

well, since you brought it up...... who would you want to do your  
surgery?  on or off pump?

"when a cardiac surgeon was asked to name the top three surgeons in  
the world, he had a hard time coming up with the other 2"

-michael



On Feb 9, 2008, at 7:51 PM, hgrmd at aol.com wrote:

> You're absolutely right for a large portion of cardiologists.   
> However, I work with a few whom I believe put their patient's  
> welfare first.
> I've already told my wife the names of a couple of cards in the  
> latter category who are to do my cath should I ever need one.
>
> Hal
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: Donald Ross <donross at bigpond.com>
>
> Date: Sun, 10 Feb 2008 11:41:36
> To:OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Another Victory for the LAD Stent.....
>
>
> Hal,
> Do you really think cardiologists are going to interrupt their income
> stream just because we can graft the lad without a large incision?
> They will need a big malpractice smack before they even consider
> unbiased informed consent for lad stenting.
> Don
> On 10/02/2008, at 3:45 AM, Hgrmd at aol.com wrote:
>
>> 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)
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