title: Preoperative Cardiac Assessment before Carotid Surgery: Should Perhaps Things Change?
abstract: Carotid endarterectomy has been associated with perioperative symptomatic or asymptomatic myocardial ischemia and cardiac mortality although it has been classified as a procedure of intermediate cardiac risk. Recent data indicate that the Cardiac Risk Index score for preoperative assessment by the latest guidelines is not suitable for vascular surgery procedures in general and carotid procedures in particular. This review aims to present and analyze all these results, concluding that current recommendations for this specific procedure should perhaps be reevaluated.
authors: First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece. Electronic address: georgegalyfos@hotmail.com.
authors: George
authors: G
authors: Galyfos
authors: First Department of Cardiology, University of Athens Medical School, Hippocration Hospital, Athens, Greece.
authors: Konstantina
authors: K
authors: Aggeli
authors: First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece.
authors: Fragiska
authors: F
authors: Sigala
authors: First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece.
authors: Evridiki
authors: E
authors: Karanikola
authors: First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece.
authors: Georgios
authors: G
authors: Zografos
authors: First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece.
authors: Konstantinos
authors: K
authors: Filis
mesh_terms: D016893:Carotid Stenosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D003324:Coronary Artery Disease / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans; D018579:Patient Selection; D011300:Preoperative Care; D018570:Risk Assessment