February 1, 1984Annals of SurgeryOpen Access

Coronary Artery Disease in Peripheral Vascular Patients

View Full Paper

Ask AI

Bookmark

Why the study?

Does routine coronary angiography and preliminary CABG reduce mortality in patients undergoing elective peripheral vascular reconstruction?

Population

n=1000 patients under consideration for elective peripheral vascular reconstruction since 1978, including…

Design

Cohort

Authors

NHNorman HertzerVascular / Pulmonary Vascular EBEdwin G. BevenCleveland Clinic JYJess R. YoungBrigham and Women's Hospital

Discussion

Member takes

Implication

May support selective CABG before vascular surgery; leaves open whether routine angiography improves outcomes.

Structured PICO

Does routine coronary angiography and preliminary CABG reduce mortality in patients undergoing elective peripheral vascular reconstruction?

Population

n=1000 patients (mean age, 64 years) under consideration for elective peripheral vascular reconstruction since 1978, including those with abdominal aortic aneurysm (n=263), cerebrovascular disease (n=295), and lower extremity ischemia (n=381).

Intervention

Coronary angiography followed by myocardial revascularization (CABG) for patients found to have severe, surgically correctable coronary artery disease, usually preceding other vascular procedures.

Outcome

Early and late mortality caused by myocardial infarction, and operative mortality.hard clinical

Routine coronary angiography and preliminary CABG for severe CAD in patients undergoing peripheral vascular surgery may be associated with low operative mortality during subsequent vascular procedures.

Cite This Study

Hertzer et al. (1984) studied this question.

synapsesocial.com/papers/69fa89e89fa336b96d47d87b https://doi.org/10.1097/00000658-198402000-00016

View Full Paper

Ask AI

Bookmark