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Cost reduction in cardiac surgery.
Hamilton A, Norris C, Wensel R, Koshal A. Hamilton A, et al. Can J Cardiol. 1994 Sep;10(7):721-7. Can J Cardiol. 1994. PMID: 7922827
A cost reduction program was initiated, allowing more cases to be performed on the same budget. Reducing the cost of delivering health care services has become necessary as demands upon the system increase. ...
A cost reduction program was initiated, allowing more cases to be performed on the same budget. Reducing the cost of delivering healt
Characteristics and outcomes of patients bridged to cardiac transplantation on centrifugal ventricular assist devices: a case series of the early experience of one Canadian transplant centre.
Scherr K, Jensen L, Koshal A. Scherr K, et al. Eur J Cardiovasc Nurs. 2004 Jul;3(2):173-81. doi: 10.1016/j.ejcnurse.2004.03.002. Eur J Cardiovasc Nurs. 2004. PMID: 15234321
METHODS: A retrospective health record review was conducted on all adults over a 12 year period (N=20) placed on centrifugal VADs with the intent to bridge to cardiac transplantation at a major Canadian transplant centre. ...
METHODS: A retrospective health record review was conducted on all adults over a 12 year period (N=20) placed on centrifugal V …
A comparative analysis of outcome after heart transplantation in patients aged 60 years and older: the University of Alberta experience.
Nagendran J, Wildhirt SM, Modry D, Mullen J, Koshal A, Wang SH. Nagendran J, et al. J Card Surg. 2004 Nov-Dec;19(6):559-62. doi: 10.1111/j.0886-0440.2004.200372.x. J Card Surg. 2004. PMID: 15548193
Doxycycline reduces cardiac matrix metalloproteinase-2 activity but does not ameliorate myocardial dysfunction during reperfusion in coronary artery bypass patients undergoing cardiopulmonary bypass.
Schulze CJ, Castro MM, Kandasamy AD, Cena J, Bryden C, Wang SH, Koshal A, Tsuyuki RT, Finegan BA, Schulz R. Schulze CJ, et al. Among authors: koshal a. Crit Care Med. 2013 Nov;41(11):2512-20. doi: 10.1097/CCM.0b013e318292373c. Crit Care Med. 2013. PMID: 23928836 Clinical Trial.
Selective antegrade cerebral perfusion during aortic arch surgery confers survival and neuroprotective advantages.
Shihata M, Mittal R, Senthilselvan A, Ross D, Koshal A, Mullen J, MacArthur R. Shihata M, et al. Among authors: koshal a. J Thorac Cardiovasc Surg. 2011 Apr;141(4):948-52. doi: 10.1016/j.jtcvs.2010.06.047. Epub 2010 Aug 2. J Thorac Cardiovasc Surg. 2011. PMID: 20674940 Free article.
Pretransplant diabetes, not donor age, predicts long-term outcomes in cardiac transplantation.
Meyer SR, Modry DL, Norris CM, Pearson GJ, Bentley MJ, Koshal A, Mullen JC, Rebeyka IM, Ross DB, Wang S. Meyer SR, et al. J Card Surg. 2006 Mar-Apr;21(2):117-24. doi: 10.1111/j.1540-8191.2006.00188.x. J Card Surg. 2006. PMID: 16492266
METHODS: A retrospective analysis of all adult cardiac transplants (n = 338) performed at our institution between 1988 and 2002 was conducted. ...Pretransplant diabetes has a significant impact on long-term outcomes in cardiac transplantation and requires further in …
METHODS: A retrospective analysis of all adult cardiac transplants (n = 338) performed at our institution between 1988 and 2002 was c …
Is mitral valve surgery safe in octogenarians?
Nagendran J, Norris C, Maitland A, Koshal A, Ross DB. Nagendran J, et al. Eur J Cardiothorac Surg. 2005 Jul;28(1):83-7. doi: 10.1016/j.ejcts.2004.12.067. Epub 2005 Apr 20. Eur J Cardiothorac Surg. 2005. PMID: 15982591 Clinical Trial.

Octogenarians had a higher incidence of cerebrovascular disease (19.0 versus 7.8%, P = 0.003), urgent in-hospital surgery (55.2 versus 28.6%, P < 0.001), and presence of ischemic disease requiring combined mitral valve plus revascularization surgery (72.4 versus 41.0%,

Octogenarians had a higher incidence of cerebrovascular disease (19.0 versus 7.8%, P = 0.003), urgent in-hospital surgery (55.2 versu …
Saphenous vein harvest with SaphLITE system versus conventional technique: a prospective, randomized study.
Wang S, Tang H, Wilkinson V, Lukat T, Gelfand ET, Koshal A, Modry DL, Mullen JC, Hao C, Finegan BA. Wang S, et al. Ann Thorac Surg. 2005 Jun;79(6):2018-23. doi: 10.1016/j.athoracsur.2004.12.024. Ann Thorac Surg. 2005. PMID: 15919302 Clinical Trial.
CONCLUSIONS: Our study demonstrated that harvesting saphenous vein with SaphLITE retractor system is a good technique which is associated with reduced rate of delayed LWHD, preserved venous structural integrity, and acceptable harvest speed....
CONCLUSIONS: Our study demonstrated that harvesting saphenous vein with SaphLITE retractor system is a good technique which is associ …
Declining need for permanent pacemaker insertion with the bicaval technique of orthotopic heart transplantation.
Meyer SR, Modry DL, Bainey K, Koshal A, Mullen JC, Rebeyka IM, Ross DB, Bowker S, Wang S. Meyer SR, et al. Can J Cardiol. 2005 Feb;21(2):159-63. Can J Cardiol. 2005. PMID: 15729415
PATIENTS AND METHODS: A retrospective analysis was conducted of a consecutive cohort of 105 patients, older than 18 years of age, undergoing heart transplantation with either the standard (n=48) or the bicaval (n=57) technique from December 1998 to December 2001. .. …
PATIENTS AND METHODS: A retrospective analysis was conducted of a consecutive cohort of 105 patients, older than 18 years of a …
Coronary artery bypass surgery with heparin-coated perfusion circuits and low-dose heparinization.
Mullen JC, Bentley MJ, Gelfand ET, Koshal A, Modry DL, Guenther CR, Etches WS, Stang LJ, Lopushinsky SR. Mullen JC, et al. Can J Surg. 2002 Jun;45(3):166-72. Can J Surg. 2002. PMID: 12067167 Free PMC article. Clinical Trial.
SETTING: A primary care institution. PATIENTS: Ninety patients who underwent first-time elective coronary artery bypass grafting were eligible for the study. ...INTERVENTIONS: Perfusion on regular uncoated bypass equipment with a roller pump and full-dose hepariniza …
SETTING: A primary care institution. PATIENTS: Ninety patients who underwent first-time elective coronary artery bypass grafting were …
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