Research Topics
| John D PuskasSummaryAffiliation: Emory University Country: USA Publications
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Publications
Off-pump coronary artery bypass grafting provides complete revascularization with reduced myocardial injury, transfusion requirements, and length of stay: a prospective randomized comparison of two hundred unselected patients undergoing off-pump versus coJ D Puskas
Division of Cardiothoracic Surgery, Emory University School of Medicine, and the Emory Center for Outcomes Research, Crawford Long Hospital, Atlanta, GA 30308, USA
J Thorac Cardiovasc Surg 125:797-808. 2003....- Thoracoscopic radiofrequency pulmonary vein isolation and atrial appendage occlusionJohn Puskas
Emory Center for Atrial Fibrillation, Emory Crawford Long Hospital, Atlanta, Georgia 30308, USA
Ann Thorac Surg 83:1870-2. 2007..She was discharged home on postoperative day 3 and had one brief episode of atrial fibrillation 1 week later, but has had no further atrial fibrillation for more than 6 months since the procedure... - Off-pump vs conventional coronary artery bypass grafting: early and 1-year graft patency, cost, and quality-of-life outcomes: a randomized trialJohn D Puskas
Division of Cardiothoracic Surgery, Emory University School of Medicine and Emory Center for Outcomes Research, Atlanta, GA, USA
JAMA 291:1841-9. 2004..A preliminary report showed OPCAB achieved improved inhospital outcomes, similar completeness of revascularization, and shorter lengths of stay compared with conventional coronary artery bypass grafting (CABG)... - Is routine use of temporary epicardial pacing wires necessary after either OPCAB or conventional CABG/CPB?John D Puskas
Divisions of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Heart Surg Forum 6:E103-6. 2003..The resurgence of off-pump CAB (OPCAB) prompted a reexamination of this practice... 
Prediction of new onset atrial fibrillation after cardiac revascularization surgeryMikhael F El-Chami
Emory University, Atlanta, Georgia, USA
Am J Cardiol 110:649-54. 2012..This risk index can be used clinically to identify patients at high risk for the development of AF...- Long-term outcomes after isolated aortic valve replacement in octogenarians: a modern perspectiveVinod H Thourani
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 86:1458-64; discussion 1464-5. 2008..This study compares the short- and long-term survival outcomes of octogenarians after AVR with younger age groups in the modern surgical era... - Off-pump coronary bypass provides reduced mortality and morbidity and equivalent 10-year survivalJohn D Puskas
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 86:1139-46; discussion 1146. 2008..This study compared in-hospital major adverse cardiac events (MACE) and long-term survival after off-pump (OPCAB) vs on-pump (CPB) coronary artery bypass grafting (CABG)... - Elevated preoperative hemoglobin A1c level is associated with reduced long-term survival after coronary artery bypass surgeryMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Rollins School of Public Health, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 86:1431-7. 2008..The predictive role of hemoglobin A1c (HbA1c) on long-term outcomes after coronary artery bypass surgery has not been evaluated... - Aortic valve replacement for aortic stenosis in patients with left ventricular dysfunctionMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Ann Thorac Surg 88:746-51. 2009..The purpose of this study was to assess the impact of left ventricular dysfunction and other risk factors on short- and mid-term outcomes after aortic valve replacement for aortic stenosis... - The impact of body mass index on morbidity and short- and long-term mortality in cardiac valvular surgeryVinod H Thourani
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA
J Thorac Cardiovasc Surg 142:1052-61. 2011..The objective of this study was to investigate the relationship between body mass index and morbidity and mortality after valvular surgery... - Impact of preoperative renal dysfunction in patients undergoing off-pump versus on-pump coronary artery bypassBryon J Boulton
Clinical Research Unit, Division of Cardiothoracic Surgery, Rollins School of Public Health, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Ann Thorac Surg 92:595-601; discussion 602. 2011..The impact of the degree of renal dysfunction (RD) in patients undergoing coronary artery bypass grafting (CABG) ranging from normal to dialysis-dependence is not well defined... - Ventricular arrhythmia after cardiac surgery: incidence, predictors, and outcomesMikhael F El-Chami
Division of Cardiology, Emory University, Atlanta, Georgia 30308, USA
J Am Coll Cardiol 60:2664-71. 2012..This study sought to investigate the prevalence, predictors, and outcomes of patients with post-operative ventricular arrhythmia (POVA) in a large cohort of patients... - Bilateral internal thoracic artery grafting is associated with significantly improved long-term survival, even among diabetic patientsJohn D Puskas
Clinical Research Unit, Division of Cardiothoracic Surgery, Department of Biostatistics and Bioinformatics, Rollins School of Public Health, Emory University, Atlanta, Georgia 30308, USA
Ann Thorac Surg 94:710-5; discussion 715-6. 2012.... - Expanding the indications for the David V aortic root replacement: early resultsBradley G Leshnower
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA, USA
J Thorac Cardiovasc Surg 143:879-84. 2012..To examine the early results of the David V valve-sparing aortic root replacement procedure in expanded, higher risk clinical scenarios with appropriately selected patients... - Risk factors for conversion to cardiopulmonary bypass during off-pump coronary artery bypass surgeryRitam Chowdhury
Rollins School of Public Health, Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia 30308, USA
Ann Thorac Surg 93:1936-41; discussion 1942. 2012..The purpose of this study was to identify preoperative risk factors for intraoperative conversion in nonemergent patients undergoing isolated OPCAB... - Short- and long-term outcomes in patients undergoing valve surgery with end-stage renal failure receiving chronic hemodialysisVinod H Thourani
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA 30308, USA
J Thorac Cardiovasc Surg 144:117-23. 2012..The objective of this study was to evaluate the effect of chronic preoperative hemodialysis for end-stage renal failure in patients undergoing valve surgery... - Long-term survival for patients with preoperative renal failure undergoing bioprosthetic or mechanical valve replacementVinod H Thourani
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Rollins School of Public Health, Atlanta, Georgia, USA
Ann Thorac Surg 91:1127-34. 2011..The objective of this study was to assess short-term and long-term outcomes after valve replacement with biologic or mechanical prostheses in patients with preoperative end-stage renal disease on chronic dialysis... - Impact of preoperative renal dysfunction on long-term survival for patients undergoing aortic valve replacementVinod H Thourani
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Ann Thorac Surg 91:1798-806; discussion 1806-7. 2011..The purpose of this study was to compare patients undergoing AVR with a range of renal function from normal to dialysis-dependence... - Hybrid coronary revascularization versus off-pump coronary artery bypass for the treatment of left main coronary stenosisMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia30308, USA
Ann Thorac Surg 92:2155-60. 2011.... - Racial disparity persists after on-pump and off-pump coronary artery bypass graftingWilliam A Cooper
Department of Biostatistics, Emory University, Atlanta, GA, USA
Circulation 120:S59-64. 2009..This study sought to determine the extent to which race is a risk factor for adverse events, long-term mortality, and whether off-pump surgery (OPCAB) modifies that risk... - Selective antegrade cerebral perfusion via right axillary artery cannulation reduces morbidity and mortality after proximal aortic surgeryMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA
J Thorac Cardiovasc Surg 138:1081-9. 2009..This study investigated whether selective antegrade cerebral perfusion is associated with improved outcomes in both emergency and elective settings compared with deep hypothermic circulatory arrest alone... - Impact of preoperative neurologic events on outcomes after coronary artery bypass graftingMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Ann Thorac Surg 86:504-10; discussion 510. 2008..This study assessed the impact of a history of preoperative neurologic events on postoperative outcomes in patients undergoing off-pump coronary artery bypass (OPCAB) vs conventional coronary artery bypass (CCAB)... - Hybrid coronary revascularization for the treatment of left main coronary stenosis: a feasibility studyS Tanveer Rab
Division of Cardiology, Andreas Gruentzig Cardiovascular Center of Emory University School of Medicine, Atlanta, Georgia, USA
Catheter Cardiovasc Interv 80:238-44. 2012..To determine the feasibility of a hybrid coronary revascularization (HCR) approach for the treatment of left main (LM) coronary artery stenosis... - What happens after discharge? An analysis of long-term survival in cardiac surgical patients requiring prolonged intensive careK Miriam Elfstrom
Rollins School of Public Health, Emory University, Atlanta, Georgia, USA
J Card Surg 27:13-9. 2012..Cardiac surgical patients with postoperative complications frequently require prolonged intensive care yet survive to hospital discharge... - The effect of diabetes mellitus on in-hospital and long-term outcomes after heart valve operationsMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Atlanta, Georgia, USA
Ann Thorac Surg 90:124-30. 2010..Diabetes mellitus (DM) is associated with adverse in-hospital and long-term outcomes in patients undergoing coronary artery bypass grafting. This study evaluated outcomes in patients with DM undergoing isolated heart valve operations... - Sternotomy Versus Nonsternotomy LIMA-LAD Grafting for Single-Vessel DiseaseMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, School of Medicine, Emory University, Atlanta, Georgia Electronic address
Ann Thorac Surg 94:1469-77. 2012..Nonsternotomy approaches are used in the hope of achieving a less invasive operation. It is unknown whether nonsternotomy approaches impact in-hospital or midterm outcomes... - The society of thoracic surgeons 30-day predicted risk of mortality score also predicts long-term survivalJohn D Puskas
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Ann Thorac Surg 93:26-33; discussion 33-5. 2012..The Society of Thoracic Surgeons Predicted Risk of Mortality (PROM) score is a well-validated predictor of 30-day mortality after cardiac procedures. This study investigated the ability of PROM to predict longer-term survival... - Off-pump coronary bypass surgery for high-risk patients: only in expert centers?Faraz Kerendi
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Curr Opin Cardiol 23:573-8. 2008..This review will summarize the recent literature examining outcomes of OPCAB versus on-pump coronary artery bypass in high-risk subgroups, and will examine the safety of routine application of OPCAB in these patients... - Elevated preoperative hemoglobin A1c level is predictive of adverse events after coronary artery bypass surgeryMichael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
J Thorac Cardiovasc Surg 136:631-40. 2008..Hemoglobin A1c is a reliable measure of long-term glucose control. It is unknown whether adequacy of diabetic control, measured by hemoglobin A1c, is a predictor of adverse outcomes after coronary artery bypass grafting... - New-onset atrial fibrillation predicts long-term mortality after coronary artery bypass graftMikhael F El-Chami
Division of Cardiology, Emory University School of Medicine, Atlanta, Georgia 30308, USA
J Am Coll Cardiol 55:1370-6. 2010..We sought to investigate the association between new-onset atrial fibrillation after coronary artery bypass graft (CABG) (post-operative atrial fibrillation [POAF]) and long-term mortality in patients with no history of atrial fibrillation... - Pretreatment with phenoxybenzamine attenuates the radial artery's vasoconstrictor response to alpha-adrenergic stimuliJoel S Corvera
Cardiothoracic Research Laboratroy, Division of Cardiothoracic Surgery, Carlyle Fraser Heart Center at Crawford Long Hospital, Emory University School of Medicine, Atlanta, GA 30308, USA
J Thorac Cardiovasc Surg 126:1549-54. 2003..Papaverine/lidocaine alone did not block vasoconstriction to these alpha-adrenergic agonists... - Off-pump coronary artery bypass disproportionately benefits high-risk patientsJohn D Puskas
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University, Atlanta, Georgia 30308, USA
Ann Thorac Surg 88:1142-7. 2009..It is not known which patient subgroups may benefit most from off-pump coronary artery bypass grafting (OPCAB) rather than coronary artery bypass grafting on cardiopulmonary bypass (CPB)... - Hemiarch replacement at 28°C: an analysis of mild and moderate hypothermia in 500 patientsBradley G Leshnower
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Rollins School of Public Health, Atlanta, Georgia 30322, USA
Ann Thorac Surg 93:1910-5; discussion 1915-6. 2012..This study examined the use of mild hypothermia in conjunction with unilateral selective antegrade cerebral perfusion (uSACP) for hemiarch replacement for proximal aortic arch reconstruction... - Influence of on-pump versus off-pump techniques and completeness of revascularization on long-term survival after coronary artery bypassOmar M Lattouf
Joseph B Whitehead Department of Surgery, Division of Cardiothoracic Surgery, Carlyle Fraser Heart Center, Cardiothoracic Surgery Clinical Research Unit, Atlanta, Georgia, USA
Ann Thorac Surg 86:797-805. 2008..In this study, we report the influence of surgery type, number of grafts, and the Index of Completeness of Revascularization (ICOR), namely, the number of grafts/number diseased vessel systems, on long-term survival... - Does the number of grafts influence surgeon choice and patient benefit of off-pump over conventional on-pump coronary artery revascularization in multivessel coronary artery disease?Omar M Lattouf
Joseph B Whitehead Department of Surgery, Division of Cardiothoracic Surgery, Carlyle Fraser Heart Center, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Ann Thorac Surg 84:1485-94; discussion 1494-5. 2007.... - Intraoperative radiofrequency ablation for the treatment of atrial fibrillation during concomitant cardiac surgeryMichael E Halkos
Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University, Atlanta, Georgia, USA
Ann Thorac Surg 80:210-5; discussion 215-6. 2005..The elimination of AF using radiofrequency ablation is most successful in patients undergoing isolated mitral valve surgery with preoperative left atrial diameter less than 6.0 cm... - The impact of specific preoperative organ dysfunction in patients undergoing aortic valve replacementVinod H Thourani
Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA 30308, USA
Ann Thorac Surg 95:838-45. 2013..This study sought to determine the relative effect that OD in particular systems has on short- and long-term outcomes... - Propensity-score analysis of early outcomes after bilateral versus single internal thoracic artery graftingSorin V Pusca
From the Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine and Department of Biostatistics, Rollins School of Public Health, Emory University, Atlanta, Georgia
Innovations (Phila) 3:19-24. 2008..It is controversial whether BITA grafting alters in-hospital adverse events after CABG... - Heparin anticoagulation in patients undergoing off-pump and on-pump coronary bypass surgeryKenichi A Tanaka
Division of Cardiothoracic Anesthesia, Department of Anesthesiology, Emory University School of Medicine, 1364 Clifton Road, N E, Atlanta, GA 30322, USA
J Anesth 21:297-303. 2007..The authors analyzed the coagulation data of patients who underwent on-pump coronary artery bypass graft (CABG) or off-pump coronary artery bypass surgery (OPCAB) in a randomized prospective trial... - Off-pump and on-pump coronary artery bypass grafting are associated with similar graft patency, myocardial ischemia, and freedom from reintervention: long-term follow-up of a randomized trialJohn D Puskas
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Emory University Hospital Midtown, Atlanta, Georgia 30308, USA
Ann Thorac Surg 91:1836-42; discussion 1842-3. 2011..The goal of this follow-up study was to compare long-term survival, graft patency, myocardial ischemia, and clinical outcomes among survivors who volunteered to return for clinical evaluation and imaging studies... - Impact of heparin-induced thrombocytopenia on postoperative outcomes after cardiac surgeryFaraz Kerendi
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Rollins School of Public Health, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 84:1548-53; discussion 1554-5. 2007..The objectives of this study are to determine the effect of heparin-induced thrombocytopenia (HIT) on postoperative morbidity and mortality after cardiac surgery and to identify preoperative risk factors for HIT... - Moderate hypothermia and unilateral selective antegrade cerebral perfusion: a contemporary cerebral protection strategy for aortic arch surgeryBradley G Leshnower
Clinical Research Unit, Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA 30322, USA
Ann Thorac Surg 90:547-54. 2010..It is unclear whether unilateral selective antegrade cerebral perfusion (uSACP) in the setting of moderate hypothermic circulatory arrest (MHCA) constitutes an effective cerebral protective strategy during aortic arch reconstruction... - Early administration of clopidogrel is safe after off-pump coronary artery bypass surgeryMichael E Halkos
Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory Crawford Long Hospitals, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 81:815-9. 2006..CONCLUSIONS: When administered according to our postoperative protocol, OPCAB patients can safely receive clopidogrel in the early postoperative period without increased risk for mediastinal hemorrhage... - Off-pump coronary artery bypass grafting--the current stateMarek Polomsky
Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA, USA
Circ J 76:784-90. 2012..The purpose of this review is to outline the recent literature comparing OPCAB with ONCAB, and to demonstrate efficacy of OPCAB as a useful technique for coronary revascularization... - Short- and long-term outcomes in octogenarian patients undergoing off-pump coronary artery bypass grafting compared with on-pump coronary artery bypass graftingEric L Sarin
Clinical Research Unit, Division of Cardiothoracic Surgery, Rollins School of Public Health, Emory University School of Medicine, Atlanta, GA 30308, USA
Innovations (Phila) 6:110-5. 2011..The aim of our study was to compare short- and long-term outcomes in octogenarian patients undergoing off-pump CAB (OPCAB) versus on-pump CAB (ONCAB)... - Controlled intermittent asystole cardiac therapy induced by pharmacologically potentiated vagus nerve stimulation in normal and hibernating myocardiumRussell S Ronson
Cardiothoracic Research Laboratory, Department of Surgery, Division of Cardiothoracic Surgery, Carlyle Fraser Heart Center of Crawford Long Hospital, Atlanta, Georgia 30308-2225, USA
Ann Thorac Surg 75:1929-36. 2003..Controlled intermittent asystole may be useful to facilitate off-pump or endoscopic coronary artery bypass grafting... - Management of patients with a calcified aorta or low ejection fraction undergoing multivessel coronary revascularizationW Brent Keeling
Division of Cardiothoracic Surgery, Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Semin Thorac Cardiovasc Surg 22:250-2. 2010..In patients with left ventricular dysfunction, OPCAB techniques allow for revascularization without the need for global myocardial ischemia associated with cardioplegic arrest... 
Avoiding the clamp during off-pump coronary artery bypass reduces cerebral embolic events: results of a prospective randomized trialHisham El Zayat
Division of Cardiothoracic Surgery, Emory University School of Medicine, Clinical Research Unit, Atlanta, GA, USA
Interact Cardiovasc Thorac Surg 14:12-6. 2012..Among patients with a low burden of aortic atherosclerosis, partial clamping of the ascending aorta during OPCAB was associated with more cerebral embolic events compared with an anastomosis with a CFD...- Pulmonary outcomes of off-pump vs on-pump coronary artery bypass surgery in a randomized trialGerald W Staton
Department of Medicine, Division of Pulmonary and Critical Care Medicine, Emory University School of Medicine, Medical Director, Wesley Woods Long Term Hospital, 1821 Clifton Rd NE, Atlanta, GA 30329, USA
Chest 127:892-901. 2005.... - Emergency coronary artery bypass grafting can be performed safely without cardiopulmonary bypass in selected patientsFaraz Kerendi
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 79:801-6. 2005..CONCLUSIONS: Off-pump coronary artery bypass can be performed safely and effectively and should be considered in selected patients with acceptable hemodynamics undergoing emergency coronary revascularization... - Hybrid coronary revascularization versus off-pump coronary artery bypass grafting for the treatment of multivessel coronary artery diseaseMichael E Halkos
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA 30308, USA
Ann Thorac Surg 92:1695-701; discussion 1701-2. 2011..We compared outcomes of HCR versus traditional off-pump coronary artery bypass grafting (OPCAB) for the treatment of multivessel coronary artery disease (CAD)... - Neurocognitive and neuroanatomic changes after off-pump versus on-pump coronary artery bypass grafting: long-term follow-up of a randomized trialJohn D Puskas
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, GA 30342, USA
J Thorac Cardiovasc Surg 141:1116-27. 2011..It is unknown whether avoidance of cardiopulmonary bypass during coronary artery bypass grafting affects cerebral injury or long-term neuropsychological function... - Long-term left internal mammary artery graft patency for coronary artery disease associated with pseudoxanthoma elasticumHoward K Song
Section of Cardiothoracic Surgery and Division of Cardiology, Emory University, Atlanta, Georgia, USA
Ann Thorac Surg 78:691-3. 2004..We present a patient with PXE-related coronary artery disease who has had long-term patency of a left internal mammary artery (LIMA) graft after an off-pump CABG procedure in which LIMA and bilateral radial artery conduits were used... - Off-pump versus on-pump coronary artery bypass graftingMichael E Halkos
Division of Cardiothoracic Surgery, Emory University Hospital Midtown, Emory University School of Medicine, 550 Peachtree Street, Medical Office Tower, Atlanta, GA 30308, USA
Surg Clin North Am 89:913-22, ix. 2009..This article reviews the available literature comparing outcomes of patients undergoing on- and off-pump coronary artery bypass surgery... - Long-term results of the endoscopic atraumatic coronary artery bypassThomas A Vassiliades
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 83:979-84; discussion 984-5. 2007..This retrospective study was undertaken to determine the long-term angiographic patency and clinical outcomes of the endoscopic atraumatic coronary artery bypass (endoACAB) procedure... - Antifibrinolytic agents in cardiac surgery: current controversiesDaniel L Serna
Carlyle Fraser Heart Center, Division of Cardiothoracic Surgery, Joseph B. Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, GA 30308, USA
Semin Thorac Cardiovasc Surg 17:52-8. 2005..In addition, the issues of vein graft patency and hypersensitivity reaction in the presence of antifibrinolytic agents are examined... - Preoperative hemoglobin a1c predicts sternal wound infection after coronary artery bypass surgery with bilateral versus single internal thoracic artery graftsMichael E Halkos
From the Clinical Research Unit, Division of Cardiothoracic Surgery and Department of Biostatistics, Rollins School of Public Health, Emory University School of Medicine, Atlanta, GA
Innovations (Phila) 3:131-8. 2008..It is unknown whether preoperative hemoglobin A1c (HbA1c), a measure of long-term glucose control, predicts deep sternal wound infection (DSWI) after BITA grafting... - Off-Pump Coronary Artery Bypass Grafting is Associated With Reduced Operative Mortality and In-Hospital Adverse Events in Patients With Left Main Coronary Artery DiseaseEric L Sarin
From the Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Carlyle Fraser Heart Center, Cardiothoracic Surgery Clinical Research Unit and Department of Biostatistics, Rollins School of Public Health, Emory University School of Medicine, Atlanta, GA, USA
Innovations (Phila) 4:80-5. 2009.... - Intraoperative epiaortic ultrasound scanning guides operative strategies and identifies patients at high risk during coronary artery bypass graftingJefferson M Lyons
From the Clinical Research Unit, Division of Cardiothoracic Surgery Emory University School of Medicine, Atlanta, GA, USA
Innovations (Phila) 4:99-105. 2009..Our objective was to delineate if EU-guided intervention improved outcomes... - Long-Term Outcomes After CABG With Concomitant CO2 Transmyocardial Revascularization in Comparison With CABG AloneShady M Eldaif
From the Division of Cardiothoracic Surgery, Clinical Research Unit, Emory University School of Medicine, Atlanta, GA USA
Innovations (Phila) 5:103-8. 2010.... - Safe evolution towards routine off-pump coronary artery bypass: negotiating the learning curveHoward K Song
Division of Cardiothoracic Surgery, Emory University School of Medicine, 1365 Clifton Road, NE Suite 2223, Atlanta, GA 30322, USA
Eur J Cardiothorac Surg 24:947-52. 2003..The development of specialized techniques, coronary stabilizers, and apical suction devices allows the application of OPCAB to virtually all coronary bypass patients, as surgeon experience matures... - "Spot" ECGs Underestimate Atrial Fibrillation Recurrence After Surgical AblationJohn D Puskas
From the Clinical Research Unit, Division of Cardiothoracic Surgery Joseph B Whitehead Department of Surgery, Emory University School of Medicine and Emory Atrial Fibrillation Center, Atlanta, Georgia
Innovations (Phila) 3:7-11. 2008..The concordance of measurements of freedom from AF by these two techniques has not been reported after surgical ablation... - Evaluation of the PAS-Port Proximal Anastomosis System in coronary artery bypass surgery (the EPIC trial)John D Puskas
Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA
J Thorac Cardiovasc Surg 138:125-32. 2009.... - Off-pump techniques disproportionately benefit women and narrow the gender disparity in outcomes after coronary artery bypass surgeryJohn D Puskas
Emory Heart Center, Division of Cardiothoracic Surgery, Clinical Research Unit, Emory University School of Medicine, Atlanta, GA, USA
Circulation 116:I192-9. 2007..The objective of this study was to determine whether off-pump CABG (OPCAB) alters this gender-based disparity... - Off-pump techniques benefit men and women and narrow the disparity in mortality after coronary bypass graftingJohn D Puskas
Emory University School of Medicine, Atlanta, Georgia 30308, USA
Ann Thorac Surg 84:1447-54; discussion 1454-6. 2007..It is controversial whether off-pump CABG (OPCAB) alters this gender-based disparity... - Teaching off-pump coronary artery bypass surgeryMichael E Halkos
Division of Cardiothoracic Surgery, Clinical Research Unit, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Semin Thorac Cardiovasc Surg 21:224-8. 2009.... - The use of the SonoSite ultrasound device for intraoperative evaluation of the aortaJames R Staples
Department of Anesthesiology, Division of Cardiothoracic Anesthesiology, Emory University School of Medicine, Atlanta, GA 30306, USA
J Cardiothorac Vasc Anesth 18:715-8. 2004..This new device was compared with the Hewlett-Packard Sonos 5550 ultrasound device (currently manufactured by Philips, Andover, MA) to determine suitability for this purpose... - Why randomized clinical trials are important to cardiac surgeonsBradley G Leshnower
Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Curr Opin Cardiol 26:536-40. 2011..The purpose of this review is to critically analyze RCTs involving cardiac surgery and demonstrate how RCTs have impacted cardiac surgeons over the past two decades... - Perfusion-assisted direct coronary artery bypass provides early reperfusion of ischemic myocardium and facilitates complete revascularizationWilliam A Cooper
The Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia, USA
Ann Thorac Surg 75:1132-9. 2003..This case series outlines intraoperative findings and clinical outcomes of our first year clinical experience with PADCAB... - Off-pump coronary surgery: where do we stand in 2010?Michael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, Atlanta, Georgia 30308, USA
Curr Opin Cardiol 25:583-8. 2010..In this review, we will highlight recent studies comparing off-pump coronary artery bypass surgery with traditional on-pump coronary artery bypass surgery... - Revascularization in heart failure: coronary bypass or percutaneous coronary intervention?Sorin V Pusca
Emory University School of Medicine, Atlanta, GA 30308, USA
Heart Fail Clin 3:211-28. 2007..This is important for patients who have a limited life span that they could spend with a good functional status rather than being hospitalized for multiple repeat PCIs or symptomatic deterioration... - Off-pump coronary artery bypass grafting through sternotomy: for whom?Joseph Noora
Division of Cardiothoracic Surgery, Joseph B Whitehead Department of Surgery, Emory University, Atlanta, GA, USA
Curr Opin Cardiol 21:573-7. 2006..Both surgeon-specific and patient-related factors are believed to play roles in the success of off-pump coronary artery bypass. This review sought to elucidate these factors... - Are all bileaflet mechanical valves equal?Michael E Halkos
Clinical Research Unit, Division of Cardiothoracic Surgery, Emory University School of Medicine, 550 Peachtree Street, Atlanta, GA 30308, USA
Curr Opin Cardiol 24:136-41. 2009..Four different bileaflet mechanical prostheses are currently utilized for valve replacement in the United States. We reviewed the different designs, hemodynamic features, and long-term outcomes of each of these prostheses... - Current outcomes of simultaneous carotid endarterectomy and coronary artery bypass graft surgery in North AmericaSunil M Prasad
Division of Cardiothoracic Surgery, University of Illinois at Chicago, 840 South Wood, CSB 417, Chicago, IL 60612, USA
World J Surg 34:2292-8. 2010..Although no strict comparison group is available, this study defines current outcomes of SCC, compared qualitatively to two reference categories... - Preserved myocardial blood flow and oxygen supply-demand balance with active coronary perfusion during simulated off-pump coronary artery bypass graftingSatoshi Muraki
Section of Cardiothoracic Surgery, Carlyle Fraser Heart Center, Emory University School of Medicine, Atlanta, GA 30308-2225, USA
J Thorac Cardiovasc Surg 123:53-62. 2002..Active coronary perfusion provides adequate oxygen supply independent of systemic blood pressure... - Would you like some cardiopulmonary bypass with your coronary revascularization?John D Puskas
Circulation 116:1756-8. 2007 - Off-pump coronary revascularization: current state of the artJames C Hart
Capital Area Cardiovascular Surgical Institute, Pinnacle Health System, Harrisburg, PA, USA
Semin Thorac Cardiovasc Surg 14:70-81. 2002..Certain high-risk groups may be better treated with OPCAB, but further studies are necessary to elucidate which patients should be offered OPCAB and which should receive standard CABG... - Recommendations of the National Heart, Lung, and Blood Institute Working Group on Future Direction in Cardiac SurgeryWilliam A Baumgartner
National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, MD, USA
Circulation 111:3007-13. 2005....
Research Grants
- Cardothoracic Surgery NetworkJohn Puskas; Fiscal Year: 2007....