Unique Aspects of Surgical Revascularization in Women | Dr. Kevin Brady
About Kevin Brady
Kevin Brady, a cardiac surgeon in Phoenix, Arizona, presented at the 2nd Annual Women’s Heart & Vascular Symposium in 2020 on the unique aspects of surgical revascularization in women. He stated that coronary bypass grafting is the most common cardiac surgical procedure in adults and remains the gold standard for revascularization, citing randomized trials that demonstrate its long-term superiority over percutaneous intervention for patients with three-vessel disease or left main coronary involvement. Brady noted that fewer women undergo the procedure than men and that women historically have been thought to have worse outcomes, but he said that in the modern era, propensity-matched populations show equal 30-day mortality and long-term survivability for men and women. He proposed using off-pump bypass grafting more often for women, stating that no trial has shown they do worse than men, and advocated for earlier referral of patients for revascularization. In 2009, Brady, then a U.S. Congressman, spoke at a town hall meeting and in a video explaining his opposition to the Obama health care bill. He argued that the legislation was not about reforming health care but about moving to a single-payer, government-run system, and he attributed that view to a statement by Barney Frank. Brady criticized the bill for what he described as $800 billion in new taxes on professionals and small businesses, $500 billion in Medicare cuts, and new mandates, and he said it would cost small businesses over 4 million jobs. He also claimed the bill would run the country at least $4 trillion in debt in the first 10 years and compared its structure to an adjustable-rate mortgage. Brady encouraged the public to speak out to their elected representatives and to reach out to friends and family in other districts to oppose the legislation)Skip