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

Sun Feb 10 14:56:26 EST 2008

I agree with Hal. We use radial grafts extensively (70% of our cases)  
over the past 8 years and as yet, have not seen a major complication  
related to the harvesting.
Steven Schwartz

On Feb 9, 2008, at 8:07 PM, hgrmd at aol.com wrote:

> Michael,
>   Have you ever seen a permanent injury from a radial harvest?   
> Other than minor hypesthesias, I've yet to see one.  However, it's  
> fairly clear that the radial has to be grafted to a tightly  
> stenotic vessel in order to avoid stringing.
>
> Hal
> Sent from my Verizon Wireless BlackBerry
>
> -----Original Message-----
> From: Michael Firstenberg <msfirst at gmail.com>
>
> Date: Sat, 9 Feb 2008 22:41:09
> To:OpenHeart-L at lists.hsforum.com
> Subject: Re: [HSF] Another Victory for the LAD Stent.....
>
>
> 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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