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A concise summary of the most important clinical trials in cardiac and thoracic surgery. The focus is on how evidence-based decision making has helped to shape modern practice and guidelines. The key trials are described and an overview of their impact provided.
Much research has been undertaken to study the efficacy of different drugs, techniques, and treatment strategies within cardiothoracic surgery. As a result, many randomised controlled trials have been published which discuss a wide variety of topics and with the intention of improving current practice and patient care. This volume presents a selection of the key trials and assesses their impact. Compact and easy to read, the distillation of core information will enable the reader to understand the importance of the key papers that have influenced best practice across operating theatres, clinics, multi-disciplinary meetings, and inpatient management.
Including full summaries of more than 30 trials and reflecting the clinical scenarios encountered in everyday practice by cardiothoracic surgeons, this concise volume is written for both trainee and more experienced members of the surgical team.
List of contents
Preface. Acknowledgment. Contributors. THORACIC CHAPTERS. Lung Cancer Screening. Surgical Approach. Resection of Lung Cancer: Lobectomy vs. Sublobar Resection. Lung Cancer Surveillance after Definitive Treatment. Management of Primary Spontaneous Pneumothorax. Thymectomy in Non-Thymomatous Myasthenia Gravis. Surgical Treatment of Mesothelioma. Rib Fixation in Rib Fractures. Treatment of Advanced Emphysema. Surgery vs. SABR in Operable Stage I Lung Cancer. Pulmonary Metastasectomy in Colorectal Cancer. Role of Targeted Therapy In Resectable Lung Cancer. Role of Immunotherapy in Lung Cancer Treatment. Management of Prolonged Air Leak. CARDIAC CHAPTERS. On-Pump vs. Off-Pump CABG. TAVI vs. Standard Approach. Surgery in Ischaemic Mitral Valve Regurgitation. Radial Artery Graft Patency. Surgical Prevention of Stroke during Cardiac Surgery in Patients with Atrial Fibrillation. Surgical Treatment of Asymptomatic Severe Aortic Stenosis. Restrictive vs. Liberal Red-Cell Transfusion for Cardiac Surgery. Multivessel Revascularisation in Patients with Diabetes. Early Surgery vs. Conventional Treatment for Infective Endocarditis. LIMA Alone vs. LIMA and RIMA. Percutaneous Coronary Intervention (PCI) vs. Coronary artery bypass graft (CABG). Index.
About the author
Ghaith Isam Qsous, MRCSCardiothoracic Speciality Doctor - Royal Infirmary Edinburgh (UK)
Malcolm Will, FRCS (CTh)Thoracic Surgery Consultant - Royal Infirmary Edinburgh (UK)
Vipin Zamvar, FRCS (CTh)Cardiothoracic Surgery Consultant - Royal Infirmary Edinburgh (UK)
Summary
A concise summary of the most important clinical trials in cardiac and thoracic surgery. The focus is on how evidence-based decision making has helped to shape modern practice and guidelines. The key trials are described and an overview of their impact provided.
