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

[Michael Firstenberg]

BIMA+radial?  you dont need that non-dominant hand do you?
GEA?


On Feb 9, 2008, at 10:28 PM, hgrmd at aol.com wrote:

> Michael,
>   As long as my aorta was free of plaques, I would prefer which  
> ever way would get me the most arterial anastomoses.  If I needed  
> to be done on pump, I would seek a speedy, high volume surgeon with  
> good STS stats.
>
> Hal
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: Michael Firstenberg <msfirst at gmail.com>
>
> Date: Sat, 9 Feb 2008 20:00:03
> To:OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Another Victory for the LAD Stent.....
>
>
> 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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