[Preoperative revascularization in high-risk patients undergoing vascular surgery].
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 have been controversial. The aim of the review was to summarize the role of preoperative revascularization compared to conservative medical therapy before elective vascular surgery using current evidence from published studies.
Rácz
Kristóf
K
Semmelweis Egyetem, Altalános Orvostudományi Kar Aneszteziológiai és Intenzív Terápiás Tanszék Budapest, Hungary.
Tiszai-Szucs
Tamás
T
Gál
János
J
Kertai D
Miklós
M
D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000517:prevention & control / Q000601:surgery*; D017558:Elective Surgical Procedures; D019317:Evidence-Based Medicine; D006801:Humans; D009204:Myocardial Revascularization / Q000379:methods; D011300:Preoperative Care / Q000379:methods; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures