New Clinical Practice Guidelines Recommend Use of Arteries Rather than Veins in Heart Bypass Surgery
Arterial grafts appear to offer improved outcomes over venous grafts in
Chicago (December 8, 2015) – The Society of Thoracic Surgeons has released new clinical practice guidelines that recommend expanding the use of arteries from the chest and forearm rather than using veins from the leg when performing coronary artery bypass grafting (CABG) surgery in certain patients. The guidelines, posted online today, will appear in the February 2016 issue of The Annals of Thoracic Surgery.
The left internal thoracic artery (chest artery) is considered the gold standard conduit in CABG surgery and has been associated with improved survival, graft patency (unobstructed blood flow), and freedom from cardiac events when compared with saphenous vein (leg vein) grafts.
“Despite this, our review of the STS National Database showed that less than 10% of patients undergoing CABG surgery in the US received two or more arterial grafts,” explained guidelines co-author Gabriel Aldea, MD, (pictured right-top) from the University of Washington in Seattle. “The goal of our writing group was to review and update all current data to assess how the choice of arterial conduit affects patient outcomes following surgery.”Read More
News conference upon Daniel Lyon's hospital departure also includes comments from his parents, UW Medicine burn specialistRead More
Outside of Operating Room 12 at UW Medical Center, the surgical nurse is entering information about Jaime McClanahan Cuzick.
She asks a visitor, "What is her relation to the recipient?”
A quick double take, then a smile.
That’s a typical reaction when people learn about Cuzick and her best friend, Kailyn McIrvin. They grew up side-by-side on farms in Shelton, Wash. When the nurse asked this question Oct. 14, surgical teams were already taking 60 percent of Cuzick’s liver to transplant it into her friend.
It was the Pacific Northwest's first living-donor liver transplant between unrelated adults, according to the U.S. Organ Procurement and Transplantation Network.
Modified October 28, 2015 - MDHRead More
UW Medicine is one of 39 healthcare collaborative networks that will participate in the Transforming Clinical Practice Initiative (TCPI) announced by U.S. Health and Human Services Secretary Sylvia Burwell. UW Medicine will receive up to 5.5 million for the first year, and then up to 30.2 million over a four-year period to provide technical assistance support to help equip clinicians in Alaska, Montana, Idaho, Wyoming and Washington (WWAMI) with tools, information, and network support needed to improve quality of care, increase patients’ access to information, and spend health care dollars more wisely. The initiative will be led by Dr. David Flum (pictured left), Professor in the Division of General Surgery, and Dr. David C. Dugdale (pictured below), Professor of Medicine, and will be multidisciplinary in nature, involving collaborations from numerous departments and personnel across the School of Medicine including Psychiatry, Family Medicine, Biomedical Informatics and Medical Education, and others. Department of Surgery collaborators include Giana Davidson, MD, MPH, Heather Evans, MD,MS, Farhood Farjah, MD, MPH, Sara Kim, PhD, and Danielle Lavallee, PharmD, PhD.
Dr. Carlos Pellegrini, the Henry N. Harkins Endowed Professor and Chair of the UW Department of Surgery, will be taking on the newly created role of chief medical officer for UW Medicine. As the chief medical officer, he will provide executive leadership and strategic guidance for integration of clinical practice with education and research activities across all UW Medicine sites of practice and will report directly to Paul Ramsey, CEO of UW Medicine. The chief medical officer will also oversee all physician-led activities within UW Medicine and will have leadership responsibilities for transforming clinical practice and performance for the UW Medicine accountable care network.
Dr. Pellegrini will step down as chair December 1st and Dr. Douglas Wood, vice chair of the UW Department of Surgery and chief of the UW Division of Cardiothoracic Surgery, will serve as acting chair.
Modified October 5, 2015 - MDHRead More
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