PMID: 9631888Jun 19, 1998Paper

Safety of endovascular treatment in high-cardiac-risk patients with limb-threatening ischemia

Angiology
E RossiF Loperfido

Abstract

Vascular surgery can be safely performed in approximately 60% of patients with advanced peripheral vascular disease, because of the high frequency of concomitant coronary artery disease and consequent increased risk of perioperative cardiac complications. The aim of this study was to validate the hypothesis that endovascular revascularization could be safely applied to high-cardiac-risk patients with a lower incidence of perioperative cardiac complications. One hundred and fourteen patients with peripheral vascular disease referred for revascularization underwent preoperatively a clinical and echocardiographic evaluation, at rest and under dipyridamole stress test, to assess the cardiac risk. Patients with high clinical score (according to Goldman and Detsky), or low left ventricular ejection fraction at rest, or positive dipyridamole stress test, were considered at high cardiac risk. To record adverse cardiac events, all patients were monitored during surgery, postoperatively, and followed up for 18 months after hospital discharge. Forty-eight patients (42%) were found to be at high cardiac risk. In this high-cardiac-risk group, endovascular surgery was performed in 37/48 patients (77%) (group A), while the remaining 11/48 pat...Continue Reading

References

Oct 20, 1977·The New England Journal of Medicine·L GoldmanE E Slater
Feb 6, 1992·The New England Journal of Medicine·M H CriquiD Browner
Jan 1, 1990·Anesthesiology·D T Mangano
Jul 1, 1986·Journal of General Internal Medicine·A S DetskyJ R Hilliard
Aug 1, 1995·The Surgical Clinics of North America·W C Krupski, D D Bensard
Feb 1, 1993·American Family Physician·S S Ahn, D Eton

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Citations

Nov 27, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·F SerinoA Santini

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