[HSF] Impact of previous PCI on outcomes after CABG

Wed Mar 26 11:40:08 EDT 2008

>I love surgeons, would not be anything else, especially not an interventional cardiologist > 
> Bill 

For once the truth and not the usual spiel we hear that as surgeons we need to have catheter skills, be able to do percutaneous procedures, run a cath lab, etc etc. 

At least some of us still recognize that sticking wires up vessels is not surgery.

Ani

> To: OpenHeart-L at lists.hsforum.com> Subject: Re: [HSF] Impact of previous PCI on outcomes after CABG> Date: Tue, 25 Mar 2008 23:59:25 -0400> From: ichfno at aol.com> CC: > > > Tea;> > Forgive me but I am not sure exactly what you mean? As a previous combatant in the adult world I remember getting stent disasters sent from the cath lab. We were rarely consulted before the procedure by the cardiologist, "gee come take a look and give me an opinion before I do this", I doubt that has changed in the last 13 years. The public is maleable, sure they want the smaller incision, but at the cost of being on an umbilical cord to their cardiologists? I am not sure that they would all be that way, I think that some people actually think about long term ( whether that be 7 or 15 years) results when it comes to their coronary intervention, mind you this does not apply to preventative approaches. I love surgeons, would not be anything else, especially not an interventional cardiologist who would try to sell refrigerators to Eskimo's, but they outclass surgeons in leaps and bounds when it comes to marketing interventional cardiology as compared to surgeons marketing the Go> ld Standard. So, what do I think, I think WE (if you will allow that Imperative) were fat and happy, even after the original angioplasty techniques came out, and they were hungry and aggressive, and now they have mastered the technique of creating a better, a newer, an improved STENT, still the same, stent schment. Until they come up with a biologically compatible endothelially friendly stent WE have the Gold Standard, they have not proven anything except that in the short term their results are ALMOST as good as ours.> > Bill > > > > > > > > -----Original Message-----> From: Tea Acuff <tacuff at swbell.net>> To: OpenHeart-L at lists.hsforum.com> Sent: Tue, 25 Mar 2008 8:53 pm> Subject: Re: [HSF] Impact of previous PCI on outcomes after CABG> > > > > > > > > > > So now we know what you think of patients. what's your opinion of surgeons? the > same?> > tea> > > > ----- Original Message ----> From: "ichfno at aol.com" <ichfno at aol.com>> To: OpenHeart-L at lists.hsforum.com> Sent: Tuesday, March 25, 2008 7:04:44 AM> Subject: Re: [HSF] Impact of previous PCI on outcomes after CABG> > > I think you would say where is the data showing it does not apply to DES? Some > time you have to nail their fins to the floor, stent shment, it is a foreign > object in the vascular space made of metal, only Plavix and all the other meds > they use are what keep the DES ones open. Since the original angioplasty they > have been out of control, moving targets, bending the data, looking at short > term follow-up and calling it intermediate. I do not have to deal with these > guys, but it still walks, talks and looks like a duck. Educate your patients, > they will tell their friends and a referral friend to friend is the best. Not > all patients are stupid.> > Bill> > > > > > > > -----Original Message-----> From: alsadd <alsadd at ksu.edu.sa>> To: OpenHeart-L at lists.hsforum.com> Sent: Tue, 25 Mar 2008 4:17 pm> Subject: RE: [HSF] Impact of previous PCI on outcomes after CABG> > > > > > > > > > > I am with you and was hoping to use it in the next meeting with our> cardiologists. As you would expect one of them "smart Alex" would stand up> and say that " it does not apply to DES; I rest my case" type of comments.> What would I say to that?> > Ahmed> > -----Original Message-----> From: openheart-l-bounces at lists.hsforum.com> [mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Ben Bidstrup> Sent: Tuesday, March 25, 2008 2:04 AM> To: OpenHeart-L at lists.hsforum.com> Subject: RE: [HSF] Impact of previous PCI on outcomes after CABG> > Devil's advocate.> What would the basis be for arguing a difference with DES vs BMS?> > > > >Ben:> >Thank you for this wonderful article. The only problem they are not sure if> >this applies to DES ?! Look in the conclusion. I was dismayed to say the> >least> >> >> >Ahmed> >> >-----Original Message-----> >From: openheart-l-bounces at lists.hsforum.com> >[mailto:openheart-l-bounces at lists.hsforum.com] On Behalf Of Ben Bidstrup> >Sent: Monday, March 24, 2008 11:36 PM> >To: HS Forum> >Subject: [HSF] Impact of previous PCI on outcomes after CABG> >> >Readers might be (very) interested in this article.> >http://eurheartj.oxfordjournals.org/cgi/content/abstract/29/5/673> >> >Imagine that!> >--> >Ben Bidstrup FRACS FRCSEd FEBCTS> >Consultant Cardiothoracic Surgeon> >_______________________________________________> >OpenHeart-L mailing list> >> >Send postings to:> > OpenHeart-L at lists.hsforum.com> >> >To UNSUBSCRIBE, to CHANGE email address, or to view archives:> >http://mmp.cjp.com/mailman/listinfo/openheart-l> >> >All messages transmitted by the OpenHeart-L are subject to the policies and> >disclaimers posted at:> >http://www.hsforum.com/listdisclaim> >-----------------------------------------> >> >_______________________________________________> >OpenHeart-L mailing list> >> >Send postings to:> > OpenHeart-L at lists.hsforum.com> >> >To UNSUBSCRIBE, to CHANGE email address, or to view archives:> >http://mmp.cjp.com/mailman/listinfo/openheart-l> >> >All messages transmitted by the OpenHeart-L are subject to the policies and> >disclaimers posted at:> >http://www.hsforum.com/listdisclaim> >-----------------------------------------> > > -- > Ben Bidstrup FRACS FRCSEd FEBCTS> Consultant Cardiothoracic Surgeon> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > > > > > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------> > > > > > _______________________________________________> OpenHeart-L mailing list> > Send postings to:> OpenHeart-L at lists.hsforum.com> > To UNSUBSCRIBE, to CHANGE email address, or to view archives:> http://mmp.cjp.com/mailman/listinfo/openheart-l> > All messages transmitted by the OpenHeart-L are subject to the policies and > disclaimers posted at:> http://www.hsforum.com/listdisclaim> -----------------------------------------
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