Screening of carotid artery stenosis in coronary artery bypass grafting patients
Journal of Tehran University Heart Center [The]. 2010; 5 (1): 25-28
en Inglés
| IMEMR
| ID: emr-93301
ABSTRACT
We sought to evaluate the routine echo-Doppler screening of carotid artery stenosis in patients undergoing coronary artery bypass grafting. A total of 2179 consecutive patients who underwent coronary artery bypass grafting alone or with other cardiac surgery at Tehran Heart center, Tehran-Iran, between January 2005 and January 2006 were included in this retrospective study. Carotid Doppler was performed for 1604 [81.48%] of these patients. The patients' age ranged between 20 and 84 years [mean 58.33, SD 10.08 years]. Of the 1604 patients studied, 1186 [73.9%] were men, 592 [36.9%] had diabetes, 598 [37.3%] were smokers, and 194 [12.1%] cases had significant left main stenosis. Twenty-one [1.3%] patients had significant carotid stenosis [> 60% stenosis], which constituted 0.9% of all the bypass surgery candidates. Post-operative cerebrovascular accident was not detected in any of the patients with significant carotid stenosis, but cerebrovascular accident occurred in 22 [1.4%] of the patients without carotid stenosis. Magnetic resonance angiography [MRA] was conducted in 15 patients. In our univariate analysis, female gender [p value = 0.023], hypertension [p value 0.055], peripheral vascular disease [p value < 0.001], and age [p value = 0.001] were significant in the development of carotid stenosis. Pre-operative duplex carotid screening seems to be necessary in patients when there is hypertension, peripheral vascular disease, .female gender, and advanced age
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Índice:
IMEMR (Mediterraneo Oriental)
Asunto principal:
Ecocardiografía Doppler
/
Factores Sexuales
/
Tamizaje Masivo
/
Puente de Arteria Coronaria
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Estudios Retrospectivos
/
Factores de Edad
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Accidente Cerebrovascular
Tipo de estudio:
Estudio de tamizaje
Límite:
Adulto
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Anciano
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Femenino
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Humanos
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Masculino
Idioma:
Inglés
Revista:
J. Tehran Univ. Heart Cent.
Año:
2010
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