First-year outcomes of beating heart coronary artery bypass grafting using proximal mechanical connectors Todd M. Dewey, MD, Katherine Crumrine, Morley.

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Presentation transcript:

First-year outcomes of beating heart coronary artery bypass grafting using proximal mechanical connectors Todd M. Dewey, MD, Katherine Crumrine, Morley A. Herbert, PhD, Allison Leonard, RN, Syma L. Prince, RN, Christina Worley, RN, James R. Edgerton, MD, Mitchell J. Magee, MD, Michael J. Mack, MD The Annals of Thoracic Surgery Volume 77, Issue 5, Pages 1542-1549 (May 2004) DOI: 10.1016/j.athoracsur.2003.09.047

Fig 1 Major adverse cardiac event (MACE) occurrence in control and connector patients. (R. = right.) The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)

Fig 2 Major adverse cardiac event (MACE) occurrence in nondiabetic patients. (R. = right.) The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)

Fig 3 Major adverse cardiac event (MACE) occurrence in diabetic patients. (R.= right.) The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)

Fig 4 Major adverse cardiac event (MACE) occurrence in insulin-dependent diabetic patients. (R. = right.) The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)

Fig 5 Major adverse cardiac event (MACE) occurrence in diabetic patients controlled by oral medication. (R. = right.) The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)

Fig 6 Correlation of major adverse cardiac events and time of surgery. The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)

Fig 7 Distribution of patients and connectors in study subsets. (EBA = electron beam angiography; MACE = major adverse cardiac events). The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)

Fig 8 (Top) Low power view of occluded connector in the aorta. (A) Histologic section of occluded connector and fibrous tissue in the device. (B) Wall of vein graft. (C) Intimal surface of aorta. (D) Adventitial surface of the aorta (×10 magnification; higher power than of histologic section). (Bottom) High power view of same occluded connector in the aorta. (E) An area of necrosis in the wall of the vein graft. (F) One of the struts of the connector (×25 magnification). The Annals of Thoracic Surgery 2004 77, 1542-1549DOI: (10.1016/j.athoracsur.2003.09.047)