[HSF] radial artery-vein patch

[Donald Ross]

Hal,
You make an excellent point and it is definitely a weakness of the  
paper.
The problem is that there are  a lot of conversions because it  
includes all our surgeons and their indications and methods are  
variable.
One guy for instance is a fair weather sailor and rarely does circs  
off pump, so if it looks difficult when the heart is flipped he does  
the  case on pump with a X clamp ~ 30%  whereas I do 5% on pump,  
electively, beating heart. Urgent crash conversions are are not a  
feature of our practice because of our caution and experience.   
However, since most of the cases are those of the two dedicated  
opcabers who eschew the aorta if possible  I think the conclusions  
are close to valid. The anaortic neurological complication rate is  
the  same as that for coronary angiography!
Don
On 03/03/2008, at 10:54 PM, Hgrmd at aol.com wrote:

> Don,
>   That's a very interesting paper.  However, I would like to know  the
> number, mortality, morbidity, and neurologic fate of the failed  
> intent  to treats.
> That's the problem with most of these OPCAB papers.  They  pick and  
> choose.  I
> can recall at least one paper detailing the substantial  M and M  
> associated
> with emergent conversion.
>
> Hal
>
>
>
> **************Ideas to please picky eaters. Watch video on AOL Living.
> (http://living.aol.com/video/how-to-please-your-picky-eater/rachel- 
> campos-duffy/
> 2050827?NCID=aolcmp00300000002598)
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