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Ieroncig F, Breau JB, Bélair G, David LP, Noiseux N, Hatem R, Avram R. Novel Approaches to Define Outcomes in Coronary Revascularization. Can J Cardiol 2019; 35:967-982. [DOI: 10.1016/j.cjca.2018.12.016] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2018] [Revised: 12/10/2018] [Accepted: 12/10/2018] [Indexed: 01/10/2023] Open
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St-Pierre BD, Boudier-Reveret M, Der Sarkissian S, Aceros H, Gaboury L, Majdalani CE, Borie M, Noiseux N, Lamontagne M. Mesenchymal Stem Cells Injection As A Therapy In A Rat Model Of Collagenase-induced Tendinopathy. Med Sci Sports Exerc 2019. [DOI: 10.1249/01.mss.0000563484.83071.50] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
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Aceros H, Der Sarkissian S, Borie M, Stevens LM, Mansour S, Noiseux N. Celastrol-type HSP90 modulators allow for potent cardioprotective effects. Life Sci 2019; 227:8-19. [PMID: 30986447 DOI: 10.1016/j.lfs.2019.04.025] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Revised: 04/10/2019] [Accepted: 04/11/2019] [Indexed: 10/27/2022]
Abstract
AIMS Cardiac ischemic conditioning has been shown to decrease ischemic injury in experimental models and clinically. Activation of survival pathways leading to heat shock proteins (HSP) modulation is an important contributor to this effect. We have previously shown that celastrol, an HSP90 modulator, achieves cardioprotection through activation of cytoprotective HSP's and heme-oxygenase-1 (HO-1). This is the first comparative evaluation of several modulators of HSP90 activity for cardioprotection. Furthermore, basic celastrol structure-activity relationship was characterized in order to develop novel potent infarct sparing agents suitable for clinical development. MAIN METHODS Combining in vitro cell culture using rat myocardial cell line exposed to ischemic and ischemia/reperfusion (I/R) stresses, and ex vivo Langendorff rat heart perfusion I/R model, we evaluated cardioprotective effects of various compounds. Selected signalling pathways were evaluated by western blot and reporter gene activation. KEY FINDINGS From a variety of HSP90 modulator chemotypes, the celastrol family was most efficient in inducing cytoprotective HSP70 and HO-1 protein overexpression and cell survival in vitro. Celastrol and two synthetic analogs were protective against ischemia and prevented ischemia/reperfusion (I/R) injury when given as pre-treatment or at time of reperfusion, increasing viability and reducing mitochondrial permeability transition pore opening. Ex vivo experiments demonstrated that the two synthetic analogs show cardioprotective activity at lower concentrations compared to celastrol, with activation of multiple survival pathways. SIGNIFICANCE Celastrol backbone is essential for cardioprotection through HSP90 activity modulation. These compounds hold promise as novel adjunct treatment to improve outcome in the clinical management of I/R injury.
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Milojevic M, Serruys PW, Sabik JF, Kandzari DE, Schampaert E, van Boven AJ, Horkay F, Ungi I, Mansour S, Banning AP, Taggart DP, Sabaté M, Gershlick AH, Bochenek A, Pomar J, Lembo NJ, Noiseux N, Puskas JD, Crowley A, Kosmidou I, Mehran R, Ben-Yehuda O, Généreux P, Pocock SJ, Simonton CA, Stone GW, Kappetein AP. Bypass Surgery or Stenting for Left Main Coronary Artery Disease in Patients With Diabetes. J Am Coll Cardiol 2019; 73:1616-1628. [DOI: 10.1016/j.jacc.2019.01.037] [Citation(s) in RCA: 34] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/04/2018] [Accepted: 01/01/2019] [Indexed: 12/22/2022]
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Landry C, Privé A, Menaouar A, Adam D, Dagenais A, Merjaneh M, Germain J, Noiseux N, Cailhier J, Berthiaume Y, Poirier C, Ferraro P, Brochiero E. Assessment of Predictive Biomarkers Associated with Ischemia/Reperfusion Injury and Primary Graft Dysfunction in Lung Transplants. J Heart Lung Transplant 2019. [DOI: 10.1016/j.healun.2019.01.590] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
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Sathananthan J, Lauck S, Piazza N, Martucci G, Kim DH, Popma JJ, Asgar AW, Perrault LP, Lefèvre T, Labinaz M, Lamy A, Peterson MD, Arora RC, Noiseux N, Généreux P, Webb JG, Afilalo J. Habitual Physical Activity in Older Adults Undergoing TAVR. JACC Cardiovasc Interv 2019; 12:781-789. [DOI: 10.1016/j.jcin.2019.02.049] [Citation(s) in RCA: 16] [Impact Index Per Article: 3.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/17/2018] [Revised: 01/22/2019] [Accepted: 02/11/2019] [Indexed: 01/23/2023]
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Garg AX, Chan MTV, Cuerden MS, Devereaux PJ, Abbasi SH, Hildebrand A, Lamontagne F, Lamy A, Noiseux N, Parikh CR, Perkovic V, Quantz M, Rochon A, Royse A, Sessler DI, Shah PJ, Sontrop JM, Tagarakis GI, Teoh KH, Vincent J, Walsh M, Yared JP, Yusuf S, Whitlock RP. Effect of methylprednisolone on acute kidney injury in patients undergoing cardiac surgery with a cardiopulmonary bypass pump: a randomized controlled trial. CMAJ 2019; 191:E247-E256. [PMID: 30833491 PMCID: PMC6400656 DOI: 10.1503/cmaj.181644] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/01/2019] [Indexed: 11/01/2022] Open
Abstract
BACKGROUND Perioperative corticosteroid use may reduce acute kidney injury. We sought to test whether methylprednisolone reduces the risk of acute kidney injury after cardiac surgery. METHODS We conducted a prespecified substudy of a randomized controlled trial involving patients undergoing cardiac surgery with cardiopulmonary bypass (2007-2014); patients were recruited from 79 centres in 18 countries. Eligibility criteria included a moderate-to-high risk of perioperative death based on a preoperative score of 6 or greater on the European System for Cardiac Operative Risk Evaluation I. Patients (n = 7286) were randomly assigned (1:1) to receive intravenous methylprednisolone (250 mg at anesthetic induction and 250 mg at initiation of cardiopulmonary bypass) or placebo. Patients, caregivers, data collectors and outcome adjudicators were unaware of the assigned intervention. The primary outcome was postoperative acute kidney injury, defined as an increase in the serum creatinine concentration (from the preoperative value) of 0.3 mg/dL or greater (≥ 26.5 μmol/L) or 50% or greater in the 14-day period after surgery, or use of dialysis within 30 days after surgery. RESULTS Acute kidney injury occurred in 1479/3647 patients (40.6%) in the methylprednisolone group and in 1426/3639 patients (39.2%) in the placebo group (adjusted relative risk 1.04, 95% confidence interval 0.96 to 1.11). Results were consistent across several definitions of acute kidney injury and in patients with preoperative chronic kidney disease. INTERPRETATION Intraoperative corticosteroid use did not reduce the risk of acute kidney injury in patients with a moderate-to-high risk of perioperative death who had cardiac surgery with cardiopulmonary bypass. Our results do not support the prophylactic use of steroids during cardiopulmonary bypass surgery. Trial registration: ClinicalTrials.gov, no. NCT00427388.
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Pighi M, Piazza N, Martucci G, Lachapelle K, Perrault L, Asgar A, Lauck S, Webb J, Popma J, Kim DH, Lefevre T, Labinaz M, Lamy A, Peterson M, Arora R, Noiseux N, Trnkus A, Afilalo J. SEX-SPECIFIC DETERMINANTS OF OUTCOMES FOLLOWING TRANSCATHETER AORTIC VALVE REPLACEMENT. J Am Coll Cardiol 2019. [DOI: 10.1016/s0735-1097(19)32600-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Pighi M, Piazza N, Martucci G, Lachapelle K, Perrault LP, Asgar AW, Lauck S, Webb JG, Popma JJ, Kim DH, Lefèvre T, Labinaz M, Lamy A, Peterson MD, Arora RC, Noiseux N, Trnkus A, Afilalo J. Sex-Specific Determinants of Outcomes After Transcatheter Aortic Valve Replacement. Circ Cardiovasc Qual Outcomes 2019; 12:e005363. [DOI: 10.1161/circoutcomes.118.005363] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
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Chiang HY, Schweizer M, Ward M, Noiseux N, Greenlee J, Bashir M, Diekema D, Haleem A, Nair R, Herwaldt L. 2124. A Bundled Intervention Was Associated with Decreased Risk of Complex Staphylococcus aureus Surgical Site Infections among Patients Undergoing Clean Operative Procedures. Open Forum Infect Dis 2018. [PMCID: PMC6252434 DOI: 10.1093/ofid/ofy210.1780] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Background Our previous multicenter study suggested that a bundled intervention was associated with lower rates of complex S. aureus surgical site infections (SA SSIs) among patients undergoing cardiac or orthopedic operations in community hospitals. We aimed to evaluate the effect of this bundle in patients undergoing neurosurgical (NSG) operation, cardiac operation, or hip/knee arthroplasty at an academic health center. Methods This pragmatic quasi-experimental study included adult patients who underwent one of the procedures between June 1, 2012 and September 30, 2015 except those whose operations were done to treat infection. The bundle involved screening patients for SA nasal carriage, decolonizing carriers with intranasal mupirocin and chlorhexidine-gluconate bathing, and perioperative prophylaxis with vancomycin and cefazolin for patients who carried MRSA. The primary outcome was complex SA SSIs. To analyze changes in SSI rates, we used Poisson regression in time-series analysis. We used breast operations as a non-equivalent control group. Results One hundred forty-one complex SA SSIs occurred after 23,920 operations during the pre-intervention period (July 2004 to June 2012) and 28 occurred after 11,588 operations during intervention period (July 2012 to September 2015) (rate ratio [RR] 0.41; 95% confidence interval [CI] 0.27–0.61; Figure 1). During the same period, the complex SA SSI rate after breast operations did not decrease (RR 1.96; 0.82–4.65). Neurosurgeons implemented other interventions before implementing the full bundle in period 4 (Figure 2). The rate of complex SA SSIs after NSG operations decreased significantly only after the bundle was implemented (period 1 vs. 4, RR 0.22; 0.11–0.46). During the intervention period, 53% of patients received all bundle elements appropriate for their carriage status and 39% received some bundle elements. The complex SA SSI rate decreased significantly among patients who fully adhered (RR 0.23; 0.09–0.57) and among patients who partially adhered or not adhered (RR 0.56; 0.39–0.81). Conclusion Despite suboptimal adherence, the complex SA SSI rate decreased after implementing the evidence-based bundle but did not decrease in the non-equivalent control. Implementation science could help improve bundle adherence. Disclosures All authors: No reported disclosures.
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Goldfarb M, Lauck S, Webb JG, Asgar AW, Perrault LP, Piazza N, Martucci G, Lachapelle K, Noiseux N, Kim DH, Popma JJ, Lefèvre T, Labinaz M, Lamy A, Peterson MD, Arora RC, Morais JA, Morin JF, Rudski LG, Afilalo J. Malnutrition and Mortality in Frail and Non-Frail Older Adults Undergoing Aortic Valve Replacement. Circulation 2018; 138:2202-2211. [DOI: 10.1161/circulationaha.118.033887] [Citation(s) in RCA: 58] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
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Adjibodu B, Mukumbola kasongo A, Potvin J, Gobeil F, Forcillo J, Stevens L, Noiseux N, Masson J. EFFECTIVENESS AND LIMITATIONS OF AN EARLY DISCHARGE CARE PATHWAY FOR TRANS-CATHETER AORTIC VALVE RECIPIENTS IN A MODERATE VOLUME CENTRE. Can J Cardiol 2018. [DOI: 10.1016/j.cjca.2018.07.218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022] Open
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Stevens L, Dagenais F, Perrault L, Jeanmart H, David G, de Varennes B, Noiseux N, Langlois Y. DEVELOPMENT OF A PROVINCIAL RISK PREDICTION MODEL FOR ISOLATED CORONARY ARTERY BYPASS GRAFTING. Can J Cardiol 2018. [DOI: 10.1016/j.cjca.2018.07.389] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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Der Sarkissian S, Sauvé J, Larose É, Busque L, Aceros H, Prieto I, Basile F, Stevens L, Mansour S, Roy D, Noiseux N. DIFFERENTIAL EXPRESSION ANALYSIS OF CD133+ STEM CELLS IN ACUTE AND CHRONIC MI PATIENTS WITH LV DYSFUNCTION REVEALS PATHWAYS ASSOCIATED WITH THERAPEUTIC EFFECTIVENESS OF STEM CELL THERAPY FOR ISCHEMIC CARDIOMYOPATHIES. Can J Cardiol 2018. [DOI: 10.1016/j.cjca.2018.07.195] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
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Der Sarkissian S, Sauvé J, Larose E, Stevens L, Yau T, Prieto I, Basile F, Mansour S, Roy D, Noiseux N. Identification of differential expression phenotypes of CD133 + stem cells in acute and chronic myocardial infarct patients and specific expression pathways underpinning therapeutic responsiveness in regenerative therapy. Cytotherapy 2018. [DOI: 10.1016/j.jcyt.2018.02.022] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Ben Ali W, Voisine P, Olsen PS, Jeanmart H, Noiseux N, Goeken T, Satishchandran V, Cademartiri F, Cutter G, Veerasingam D, Brown C, Emmert MY, Perrault LP. DuraGraft vascular conduit preservation solution in patients undergoing coronary artery bypass grafting: rationale and design of a within-patient randomised multicentre trial. Open Heart 2018; 5:e000780. [PMID: 29682294 PMCID: PMC5905829 DOI: 10.1136/openhrt-2018-000780] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/13/2018] [Revised: 02/21/2018] [Accepted: 03/06/2018] [Indexed: 11/25/2022] Open
Abstract
Introduction Saphenous vein grafts (SVGs) remain the most often used conduits in coronary artery bypass grafting (CABG). However, they are prone to vein graft disease (VGD) during follow-up, which may compromise clinical outcomes. Injury to the SVG endothelium during harvesting and storage promotes neointimal hyperplasia that can advance to atherosclerosis characterised by SVG failure. This trial investigates the potential benefit of DuraGraft, a novel, one-time intraoperative graft treatment developed to efficiently protect the structural and functional integrity of the vascular endothelium, on the development and progression of VGD in CABG patients. Methods and analysis This ongoing prospective randomised, double-blinded multicentre trial (NCT02272582/NCT02774824) includes patients undergoing isolated CABG requiring at least two SVGs. It compares the impact of DuraGraft, a novel treatment against VGD versus the standard-of-care (SOC; heparinised saline) using a within-patient randomisation (with one SVG treated with DuraGraft and the other treated with SOC). Besides clinical assessments, patients undergo longitudinal 64-slice or better multidetector CT (MDCT) angiography of paired grafts (within each patient) at 4–6 weeks, 3 months and 12 months. Primary endpoints will be the magnitude of change in mean wall thickness and lumen diameter (stenosis) of paired grafts, at 3 and 12 months, respectively. Besides the evaluation of overall safety, longitudinal assessment of each graft (secondary endpoint) is performed in order to obtain insight into graft behaviour after CABG. Enrolment of 119 patients was successfully completed, and analysis of MDCT angiography follow-up is ongoing with the completed analysis becoming available by end of first quarter of 2018. Ethics and dissemination The regional ethics committees have approved the trial. Results will be submitted for publication. Clinical trial identifier NCT02272582 and NCT02774824.
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Chartrand-Lefebvre C, Stevens LM, Mansour S, Noiseux N. CT angiography for coronary graft assessment. J Thorac Dis 2018; 10:E77-E78. [PMID: 29600110 DOI: 10.21037/jtd.2017.11.136] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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Girgis M, Piazza N, Martucci G, Kim DH, Popma J, Lauck S, Webb J, Asgar A, Perrault L, Lefevre T, Labinaz M, Lamy A, Peterson M, Arora RC, Noiseux N, Généreux P, Spaziano M, Morais J, Afilalo J. CARDIAC AND GERIATRIC DETERMINANTS OF FUNCTIONAL STATUS AND SURVIVAL IN OLDER ADULTS UNDERGOING TRANSCATHETER AORTIC VALVE REPLACEMENT. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32549-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/17/2022]
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Sathananthan J, Piazza N, Martucci G, Hyun Kim D, Popma J, Asgar A, Perrault L, Lefèvre T, Labinaz M, Lamy A, Peterson M, Arora RC, Noiseux N, Genereux P, Webb J, Lauck S, Afilalo J. HABITUAL PHYSICAL ACTIVITY AND SURVIVAL IN OLDER ADULTS UNDERGOING TRANS CATHETER AORTIC VALVE REPLACEMENT: INSIGHTS FROM THE FRAILTY-AVR STUDY. J Am Coll Cardiol 2018. [DOI: 10.1016/s0735-1097(18)32504-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Boldeanu I, Perreault Bishop J, Nepveu S, Stevens LM, Soulez G, Kieser TM, Lamy A, Noiseux N, Chartrand-Lefebvre C. Incidental findings in CT imaging of coronary artery bypass grafts: results from a Canadian multicenter prospective cohort. BMC Res Notes 2018; 11:72. [PMID: 29368660 PMCID: PMC5784672 DOI: 10.1186/s13104-018-3168-1] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/20/2017] [Accepted: 01/12/2018] [Indexed: 12/18/2022] Open
Abstract
Objective To assess the prevalence and clinical significance of incidental findings identified during computed tomography imaging of coronary artery bypass grafts. Results This prospective study includes 144 patients undergoing coronary graft patency assessment using computed tomography. Incidental findings were classified as significant if they were considered to need an immediate action or treatment, short-term work-up or follow-up, or minor. A total of 211 incidental findings were present in 109 (75.7%) patients. Seventy-one incidental findings (33.6%) were cardiac and 140 (66.4%) were extracardiac. Most common cardiac incidental findings were atrial dilatation [39 patients, 48 incidental findings (67.6%)] and aortic valve calcifications (7 patients, 9.9%). Among the 140 extracardiac incidental findings, the most common were lung nodules (51 patients, 54 nodules, 38.6%), and emphysema (21 patients, 15%). Thirty-six (25.7%) extracardiac incidental findings were significant and notably, 23 (63.9%) were lung nodules. Follow-up was recommended in 37 cases, among which all patients with significant lung nodules (23 patients, 62.2%). In conclusion, most common computed tomography incidental findings in patients with coronary grafts were lung nodules and emphysema. Electronic supplementary material The online version of this article (10.1186/s13104-018-3168-1) contains supplementary material, which is available to authorized users.
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Stevens LM, Noiseux N, Avezum A, Ayapati DR, Chen X, Lucchese FA, Cacheda H, Parvathaneni S, Ou Y, Lamy A. Conversion after off-pump coronary artery bypass grafting: the CORONARY trial experience. Eur J Cardiothorac Surg 2017; 51:539-546. [PMID: 28082464 DOI: 10.1093/ejcts/ezw361] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/24/2016] [Accepted: 10/10/2016] [Indexed: 11/12/2022] Open
Abstract
Objectives Emergent and late conversions form OFF-to-ON pump coronary artery bypass grafting (CABG) have been associated with worse outcomes, however, it remains unclear as to which risk factors are associated with conversion and how to prevent them. Methods Among 4718 patients who randomly underwent off- or on-pump CABG, the incidence of off-pump to on-pump cross-over, or 'OFF-to-ON conversion', was 7.9% (186/2356). The primary outcome was a composite of death, stroke, myocardial infarction, or new renal failure requiring dialysis. We assessed the risk factors and outcomes of converted patients. Results Emergent OFF-to-ON conversions, defined as conversions for hypotension or ischaemia, were required for 3.2% of patients ( n = 75), while most elective conversions were due to small or intramuscular coronaries ( n = 83). OFF-to-ON converted patients required increased surgery time, blood transfusions, intensive care unit stay, and presented a higher incidence at 1 year of the composite outcome compared with non-converted off-pump patients (all P < 0.01), especially if the conversion was emergent. Conversely, elective conversions outcomes were no different compared with non-converted off-pump patients ( P = 0.35). Independent predictors of emergent conversions included higher heart rate or chronic atrial fibrillation, urgent surgery, more grafts planned and surgeon experience with off-pump CABG. Conclusions Emergent OFF-to-ON conversion is associated with worse outcomes compared with elective conversion or no conversion. In the presence of risk factors for emergent conversion, an early and elective conversion approach is a judicious strategy.
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Der Sarkissian S, Aceros H, Borie M, Stevens L, Mansour S, Noiseux N. IDENTIFICATION OF A NOVEL HIGHLY EFFICIENT PHARMACOLOGICAL CANDIDATE FOR USE AS AN INFARCT-SPARING DRUG. Can J Cardiol 2017. [DOI: 10.1016/j.cjca.2017.07.240] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
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El Hammiri A, Matteau A, Potter B, Gobeil F, Noiseux N, Stevens LM, Mansour S. TCT-285 How appropriate is coronary artery bypass graft implantation based on Fractional Flow Reserve lesions assessment? J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.364] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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Emmert M, Voisine P, Olson PS, Noiseux N, Jeanmart H, Veerasingam D, Brown C, Perrault L. TCT-284 DuraGraft, a one-time intraoperative treatment against vein graft failure: A randomized multicenter trial using longitudinal MDCT angiography analysis in patients undergoing CABG. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.363] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Kelly C, Sabik J, Kappetein AP, Brown W, Noiseux N, Pomar J, Zhang Y, Serruys P, Stone G. TCT-76 Impact of Post-Discharge Dual Antiplatelet Therapy vs. Aspirin Alone After CABG in Patients with Left Main Disease: Results from the EXCEL Trial. J Am Coll Cardiol 2017. [DOI: 10.1016/j.jacc.2017.09.128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
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