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

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

Research output: Contribution to journalComment/debatepeer-review

Abstract

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.

Original languageEnglish (US)
Pages (from-to)693-695
Number of pages3
JournalJournal of Cardiac Surgery
Volume36
Issue number2
DOIs
StatePublished - Feb 2021

Keywords

  • aneurysm
  • cardiac surgery
  • heart failure
  • surgical ventricular reconstruction

ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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