Mandatory versus selective preoperative carotid screening: a retrospective analysis

The Annals of Thoracic Surgery
Daniel J DurandDavid D Yuh

Abstract

Extracranial internal carotid artery stenosis is a risk factor for perioperative stroke in coronary artery bypass (CAB) surgery. Although both selective and nonselective methods of preoperative carotid screening have been advocated, it is unclear which approach is most clinically efficacious. Hospital records for 1421 consecutive CAB patients from January 2000 through April 2002 were reviewed. Univariate and multivariate analyses were performed across selected parameters to identify risk factors for significant carotid stenosis (> or = 70%). Patients were retrospectively stratified into high- or low-risk groups based on risk factors common to carotid stenosis and perioperative stroke. The prevalence of carotid stenosis, surgical management, and perioperative stroke rates were determined for each group. One-thousand one-hundred thirty-eight patients out of 1421 patients (80.1%) underwent preoperative carotid screening. The prevalence of significant carotid stenosis was 13.4%. Univariate risk factors for stenosis included an age of more than 65 years, peripheral vascular disease, prior cerebrovascular accident, history of cerebrovascular disease, left main coronary disease, carotid bruit, female gender, and hypertension. Carotid ...Continue Reading

References

Aug 15, 1991·The New England Journal of Medicine·UNKNOWN North American Symptomatic Carotid Endarterectomy Trial CollaboratorsM Eliasziw
Dec 1, 1972·Archives of Surgery·V M BernhardJ J Peterson
Jan 1, 1995·Journal of Vascular Surgery·L B SchwartzS M Scott
Feb 1, 1997·The Annals of Thoracic Surgery·G M McKhannT J Gardner
Jan 13, 2001·The Annals of Thoracic Surgery·I FukudaJ Seita
Apr 12, 2001·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·A I QureshiL R Guterman
Oct 18, 2001·The Annals of Thoracic Surgery·J D SalazarW A Baumgartner
Sep 23, 2003·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Giuseppe D'AnconaFrancois Dagenais
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R NaylorP R Bell

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Citations

Jan 20, 2012·The New England Journal of Medicine·Ola A SelnesGuy M McKhann
Mar 1, 2012·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Franjo SiricBojan Biocina
Aug 30, 2012·Journal of Cardiothoracic Surgery·Kelly M WanamakerGeorge J Magovern
Sep 24, 2013·Internal and Emergency Medicine·Gabriel Assis Lopes CarmoBruno Caramelli
Nov 12, 2013·Annals of Vascular Surgery·Linda J ChunKaushal Kevin Patel
Aug 13, 2014·Anesthesiology Clinics·Daryl A Oakes, Kenneth D Eichenbaum
Feb 27, 2016·Journal of Vascular Surgery·Judith C LinGaetano Paone
Nov 21, 2015·The Journal of Thoracic and Cardiovascular Surgery·Khalil MasabniEugene H Blackstone
Jan 26, 2010·Annals of Vascular Surgery·Stefanie SchreiberMichael Goertler
Oct 19, 2006·Archives of Medical Research·Shapour ShiraniMaryam Esfandbod
Mar 31, 2015·The Journal of Thoracic and Cardiovascular Surgery·Khalil MasabniJoseph F Sabik
Sep 6, 2011·Journal of Vascular Surgery·John J RicottaUNKNOWN Society for Vascular Surgery
Dec 17, 2011·The Journal of Thoracic and Cardiovascular Surgery·L David HillisUNKNOWN American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines
Mar 23, 2010·Journal of Vascular Surgery·Michael C Stoner, Dorian J Defreitas
Oct 11, 2016·The Surgeon : Journal of the Royal Colleges of Surgeons of Edinburgh and Ireland·Ana-Catarina Pinho-Gomes, David P Taggart
Dec 24, 2005·Stroke; a Journal of Cerebral Circulation·Guy M McKhannOla A Selnes
Aug 19, 2006·Stroke; a Journal of Cerebral Circulation·Marco PocarFrancesco Donatelli
Jan 15, 2011·Stroke; a Journal of Cerebral Circulation·Suk Jae KimGyeong-Moon Kim
Oct 11, 2016·Korean Circulation Journal·Anil AvciRamazan Kargın
Jul 18, 2020·Journal of Cardiac Surgery·Sara Volpi, Jason M Ali
Feb 26, 2019·SAGE Open Medicine·Dipannita AdhikaryAsit Baran Adhikary
Feb 17, 2018·Revista da Associação Médica Brasileira·Patrícia Feitosa Frota Dos ReisEduardo Gomes Lima
Oct 2, 2020·Current Opinion in Cardiology·Aaron J WeissFaisal G Bakaeen

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