Preoperative coronary revascularization in high-risk patients undergoing vascular surgery: a core review.
Patients undergoing vascular surgery are at increased risk for cardiac complications related to the presence of underlying coronary artery disease. Preoperative cardiac evaluation may help to identify high-risk patients in whom coronary angiography may be planned with subsequent coronary revascularization for the purpose of improving perioperative and long-term cardiac outcomes. However, the indications and efficacy for type of revascularization for the reduction of cardiac complications compared to medical therapy has been controversial. My aim in this review is to summarize the role of preoperative revascularization compared to conservative medical therapy before elective vascular surgery using current evidence from published studies.
Kertai
Miklos D
MD
Department of Cardiothoracic Anaesthesia, Semmelweis University, Budapest, Hungary. mkertai@hotmail.com
D015906:Angioplasty, Balloon, Coronary; D002317:Cardiovascular Agents / Q000627:therapeutic use*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D004452:Echocardiography; D017558:Elective Surgical Procedures / Q000009:adverse effects; D006331:Heart Diseases / Q000209:etiology / Q000517:prevention & control*; D006801:Humans; D018579:Patient Selection; D017410:Practice Guidelines as Topic; D011300:Preoperative Care / Q000379:methods*; D016032:Randomized Controlled Trials as Topic; D018570:Risk Assessment; D012307:Risk Factors; D012720:Severity of Illness Index; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures / Q000009:adverse effects*
D002317:Cardiovascular Agents