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Restoring ventricular restoration: A call to re‐evaluate a surgical therapy considered ineffective

Doenst, Torsten ; Velazquez, Eric J. ; Michler, Robert E.

Journal of cardiac surgery, 2021-02, Vol.36 (2), p.693-695 [Periódico revisado por pares]

United States

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Título:
Restoring ventricular restoration: A call to re‐evaluate a surgical therapy considered ineffective
Autor: Doenst, Torsten ; Velazquez, Eric J. ; Michler, Robert E.
Assuntos: aneurysm ; cardiac surgery ; Cardiac Surgical Procedures ; Coronary Artery Bypass ; heart failure ; Heart Failure - surgery ; Heart Ventricles - diagnostic imaging ; Heart Ventricles - surgery ; Humans ; Myocardial Ischemia - surgery ; surgical ventricular reconstruction ; Treatment Outcome
É parte de: Journal of cardiac surgery, 2021-02, Vol.36 (2), p.693-695
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 23
Descrição: The technique of surgical restoration of postischemically dilated left ventricles (SVR) has almost disappeared from operating theaters after the Surgical Treatment of IsChemic Heart failure (STICH) Trial demonstrated no treatment effect in patients with CAD and ejection fraction below 35%. Criticism on the trial was expressed stating that surgical expertise and patient selection (i.e., almost no aneurysm patients included) may have been inadequate to test the procedure s potential. Gaudino and colleagues now propose to conduct an analysis comparing the STICH patient population to a group of comparable SVR patients treated by a center with documented specific expertise for this technique. We here address the background of the trial and the following controversy and suggest a rationale why the suggested analysis has the potential to add valuable information to the field.
Editor: United States
Idioma: Inglês

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Restoring ventricular restoration: A call to re‐evaluate a surgical therapy considered ineffective

Doenst, Torsten ; Velazquez, Eric J. ; Michler, Robert E.

United States

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