The Beat With Joel Dunning Ep. 125: Ticagrelor vs Aspirin Post-Coronary Surgery

This week on The Beat, CTSNet Editor-in-Chief Joel Dunning speaks with Dr. Anders Jeppsson, a cardiothoracic surgeon at Sahlgrenska University Hospital in Gothenburg, Sweden, about his paper on “Ticagrelor and Aspirin or Aspirin Alone After Coronary Surgery for Acute Coronary Syndrome,” published in The New England Journal of Medicine.

Chapters

00:00 Intro 

01:54 Ghana Mission Trip 

06:23 JANS 1, Pig-to-Human Transplant 

08:08 JANS 2, CABG Acute Type A AD 

10:06 JANS 3, Chylothorax Lymph Node Management 

11:22 JANS 4, ICU Resternotomy Adoption 

13:38 JANS 5, Octogenarians Repair vs MV Surgery 

15:10 Career Center 

15:31 Video 1, MVR Patent Bilateral IMammary Grafts 

16:36 Video 2, Repeat RA Thoracotomy 

17:39 Video 3, Vascular Injuries in Robotics 

19:12 Dr. Jeppsson Interview 

33:30 EACTS 2025 & Upcoming Events 

They began by providing an overview of the study, including the reason for conducting it, the expansion of the study to other Nordic countries, and its results. They also discuss the funding for the research and the recruitment process. Additionally, they cover dual antiplatelet therapy and compare this study with similar research. Finally, they explore registry-based studies and future research on ticagrelor and aspirin, or aspirin alone, following coronary surgery for acute coronary syndrome. 

Joel also highlights recent JANS articles exploring whether protective coronary artery bypass grafting improves surgical outcomes in acute type A aortic dissection with coronary ostial involvement, the association of chylothorax with aggressiveness of lymph node management during pulmonary resection, if intensive care unit resternotomy should be practiced in all facilities that perform cardiac surgery, transcatheter edge-to-edge repair vs mitral valve surgery in octogenarians, and research using pig-to-human lung xenotransplantation into a brain-dead recipient. 

In addition, Joel explores robotic mitral valve replacement in a patient with patent bilateral internal mammary grafts, repeat right axillary thoracotomy as a safe and feasible approach for repair of recurrent LAVVR after previous AVSD repair, and handling vascular injuries in robotic thoracic surgery. Before closing, Joel highlights upcoming events in CT surgery.   

JANS Items Mentioned 

1.) Protective Coronary Artery Bypass Grafting Improves Surgical Outcomes in Acute Type A Aortic Dissection With Coronary Ostial Involvement 

2.) The Association of Chylothorax With Aggressiveness of Lymph Node Management During Pulmonary Resection 

3.) Expert Opinion: Intensive Care Unit Resternotomy Should Be Practiced in All Facilities That Perform Cardiac Surgery 

4.) Transcatheter Edge-to-Edge Repair Versus Mitral Valve Surgery in Octogenarians: Comparative Analysis of Safety, Durability, and Survival 

5.) Pig-to-Human Lung Xenotransplantation Into a Brain-Dead Recipient 

CTSNet Content Mentioned 

1.) Robotic Mitral Valve Replacement in a Patient With Patent Bilateral Internal Mammary Grafts: A Case Video 

2.) Repeat Right Axillary Thoracotomy Is a Safe and Feasible Approach for Repair of Recurrent LAVVR After Previous AVSD Repair  

3.) Handling Vascular Injuries in Robotic Thoracic Surgery: Real-Life Cases Using a Fibrin-Based Hemostatic Technique 

Other Items Mentioned 

1.) Ticagrelor and Aspirin or Aspirin Alone After Coronary Surgery for Acute Coronary Syndrome  

2.) Perfecting TAVR Removal | Skills Sharpening With Vince Gaudian