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Published on: March 27, 2018
Cardiac surgery 2014 reviewed
Torsten Doenst1, Constanze Strüning2, Alexandros Moschovas2
1Department of Cardiothoracic Surgery, Friedrich-Schiller-University of Jena, Erlanger Allee 101, 07747, Jena, Germany. doenst@med.uni-jena.de.
Insights
This review summarizes key 2014 cardiac surgery research, focusing on coronary revascularization and valve disease. It aids informed decisions on surgical treatments versus interventional techniques.
Area of Science:
- Cardiovascular Surgery
- Interventional Cardiology
Background:
- Over 17,000 cardiac surgery publications in 2014 highlight ongoing debates.
- Key discussions involve the overlap of traditional cardiac surgery and modern interventional methods.
Purpose of the Study:
- To review significant 2014 publications in cardiac surgery.
- To provide an updated summary for clinical decision-making.
Main Methods:
- Literature review of pertinent publications from 2014.
- Focus on coronary revascularization, valve disease, heart failure, and aortic surgery.
Main Results:
- Landmark studies include the US Core Valve trial (transcatheter vs. surgical aortic valve replacement) and SYNTAX trial (bypass surgery outcomes).
- Significant contributions also noted in heart failure management (transplantation, ventricular assist devices) and aortic surgery.
Conclusions:
- The review synthesizes crucial findings in cardiac surgery for 2014.
- Offers a foundation for evidence-based decision-making in the field.
Abstract:
For the year 2014, more than 17,000 published references can be found in Pubmed when entering the search term "cardiac surgery". The last year has been characterized by a vivid discussion in the fields where classic cardiac surgery and modern interventional techniques overlap. Specifically, there have been important contributions in the field of coronary revascularization with either percutaneous coronary intervention or bypass surgery as well as in the fields of interventional valve therapy. Here, the US core valve trial with the first demonstration of a survival advantage at 1 year with transcatheter valves compared to surgical aortic valve replacement or the 5-year outcome of the SYNTAX trial with significant advantages for bypass surgery has been the landmark. However, in addition to these most visible publications, there have been several highly relevant and interesting contributions. This review article will summarize the most pertinent publications in the fields of coronary revascularization, surgical treatment of valve disease, heart failure (i.e., transplantation and ventricular assist devices) and aortic surgery. This condensed summary will provide the reader with "solid ground" for up-to-date decision-making in cardiac surgery.
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