Credentialing and Accreditation

Apr 15, 2017 by in CARDIOLOGY Comments Off on Credentialing and Accreditation

THE AMERICAN REGISTRY FOR DIAGNOSTIC MEDICAL SONOGRAPHY The ARDMS was incorporated in 1975 as an independent nonprofit organization to provide certification examinations in the various specialties of medical sonography. In…

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Venous Anatomy and Hemodynamics

Apr 15, 2017 by in CARDIOLOGY Comments Off on Venous Anatomy and Hemodynamics

FIGURE 6.1. Pressure-volume relationships in collapsible tubes. During the “bending” phase of venous distension, large changes in volume are accommodated without significant changes in pressure. As the vein becomes elliptical…

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Quality Assurance and Test Validation

Apr 15, 2017 by in CARDIOLOGY Comments Off on Quality Assurance and Test Validation

MEASURING ACCURACY WITH CORRELATIVE EXAMINATIONS Specificity, sensitivity, and accuracy are used to describe the results of a diagnostic test in comparison with a standard examination (reference standard).6 These measures express…

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Statistics of OPCAB in Japan

Apr 15, 2017 by in CARDIOLOGY Comments Off on Statistics of OPCAB in Japan

Total number 14,999  Isolated CABG 10,658 (71 %)  Concomitant CABG 4,341 (29 %) Isolated CABG   Initial elective: 8,983 Other than initial elective: 1,675  Off pump: 5,865 Off pump: 880  On…

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Stabilization

Apr 15, 2017 by in CARDIOLOGY Comments Off on Stabilization

Fig. 10.1 Factors influencing the stabilization of the coronary artery on a beating heart Here is a hypothesis or assumption on the relationship among stabilization, surgeon skill, and graft patency….

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Difficult Coronary OPCAB Made in Japan

Apr 15, 2017 by in CARDIOLOGY Comments Off on Difficult Coronary OPCAB Made in Japan

Fig. 24.1 The preoperative left coronary angiogram clearly demonstrated severe diffuse coronary artery disease. The LAD was totally occluded and its distal portion was not filled via any collaterals. The…

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Intraoperative Graft Assessment OPCAB Made in Japan

Apr 15, 2017 by in CARDIOLOGY Comments Off on Intraoperative Graft Assessment OPCAB Made in Japan

Technology Advantages Limitations Conventional angiography Precise definition of graft patency, gold standard Invasive, requires contrast agent, hybrid operating room, and catheter skills Transit-time flowmetry Precise graft flow value Nonvisual, inability…

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Approach

Apr 15, 2017 by in CARDIOLOGY Comments Off on Approach

Fig. 5.1 Standard approach for CABG 5.2 Mini Sternotomy 5.2.1 Mini Left Thoracotomy With the spread of OPCAB, mini left anterior thoracotomy and OPCAB of the left anterior descending branch…

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Robotic Surgery

Apr 15, 2017 by in CARDIOLOGY Comments Off on Robotic Surgery

Fig. 28.1 Totally endoscopic coronary artery bypass grafting using endoscopic stabilizer without surgical robot 28.2 Patients’ Selection From the viewpoint of coronary lesions, the patients who have significant stenosis or…

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