[HSF] radial artery-vein patch

[Michael Firstenberg]

Neurological complications after caths are not unheard of.

-michael



On Mon, Mar 3, 2008 at 7:59 PM, Donald Ross <donross at bigpond.com> wrote:

> 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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