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Related Concept Videos

Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...

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Related Experiment Video

Updated: Jun 24, 2026

Re-Arterialized Rat Partial Liver Transplantation with an in vivo Vessel-Oriented 70% Hepatectomy
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A Single-Surgeon Experience Transitioning to Total Arterial Revascularization.

Dwight D Harris1, Louis Chu1, Sharif A Sabe1

  • 1Division of Cardiac Surgery, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA 02215, USA.

Journal of Clinical Medicine
|August 29, 2024
PubMed
Summary

Total arterial revascularization (TAR) offers improved outcomes for coronary artery bypass grafting (CABG) patients, including shorter ICU stays and fewer readmissions. Experienced surgeons can adopt TAR with minimal learning curve and no increase in major complications.

Keywords:
CABGTotal Arterial Revascularizationcoronary artery diseaseinternal mammary artery

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Area of Science:

  • Cardiovascular Surgery
  • Cardiac Surgery Outcomes
  • Minimally Invasive Cardiac Surgery

Background:

  • Coronary artery bypass grafting (CABG) is standard for advanced coronary artery disease.
  • Total arterial revascularization (TAR) is underutilized due to concerns like sternal wound infections and learning curve.
  • This study evaluates outcomes for mid-career surgeons transitioning to TAR.

Purpose of the Study:

  • To assess short-term outcomes of total arterial revascularization (TAR) in CABG.
  • To evaluate the learning curve associated with adopting TAR by experienced surgeons.
  • To compare TAR outcomes against traditional CABG using internal mammary artery and vein grafts (IMA-SVG).

Main Methods:

  • A cohort of isolated, non-emergent CABG patients from January 2014 to January 2022 was reviewed.
  • Patients were divided into TAR and traditional IMA-SVG groups.
  • Outcomes including operative time, ICU stay, readmissions, and complications were compared.

Main Results:

  • The TAR group experienced longer bypass, cross-clamp, and operative times.
  • TAR was associated with shorter ICU stays, lower 30-day readmission rates, and fewer postoperative transfusions.
  • No significant differences were observed in prolonged intubation, stroke, length of stay, mortality, or sternal wound complications.

Conclusions:

  • Transitioning to TAR slightly increases operative time but improves key short-term outcomes.
  • TAR adoption by experienced surgeons shows a minimal learning curve.
  • TAR is a safe and effective revascularization strategy with comparable or improved outcomes to IMA-SVG.