Coronary-Artery Revascularization before Elective Major Vascular Surgery

510 patients at increased risk for perioperative cardiac complications and clinically significant coronary artery disease scheduled for elective major vascular surgery (expanding abdominal aortic aneurysm [33%] or arterial occlusive disease of the legs [67%]) at 18 Veterans Affairs medical centers.

Coronary-artery revascularization (percutaneous coronary intervention [59%] or bypass surgery [41%]) before elective major vascular surgery.

No coronary-artery revascularization before elective major vascular surgery.

Long-term mortality at 2.7 years after randomization.hard clinical