What does this research mean for the field?

Routine coronary angiography prior to elective aortic reconstruction identifies severe, correctable coronary artery disease in a substantial number of patients, including those without clinical symptoms, allowing for staged revascularization that yields very low operative mortality. Novelty: ClaimNovelty.INCREMENTAL. Consensus alignment: ConsensusAlignment.NEUTRAL.

November 1, 1979Archives of Surgery

Routine Coronary Angiography Prior to Elective Aortic Reconstruction

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Why the study?

Does routine coronary angiography prior to elective aortic reconstruction identify severe CAD and allow for safe surgical outcomes?

Population

139 patients under consideration for elective peripheral vascular reconstruction, including 68 with…

Design

Cohort

Authors

NHNorman HertzerVascular / Pulmonary Vascular

Discussion

Member takes

Implication

May support routine angiography before elective aortic reconstruction to enable staged revascularization; leaves open whether this reduces mortality in randomized trials.

Structured PICO

Does routine coronary angiography prior to elective aortic reconstruction identify severe CAD and allow for safe surgical outcomes?

Population

139 patients under consideration for elective peripheral vascular reconstruction, including 68 with abdominal aortic aneurysms (AAA) and 71 with aortoiliac occlusive arterial disease (AI), at the Cleveland Clinic.

Intervention

Routine coronary angiography prior to elective peripheral vascular operations, with advised myocardial revascularization for those found to have severe, correctable CAD.

Outcome

Prevalence of severe, correctable coronary artery disease and operative mortality.hard clinical

Routine coronary angiography prior to elective aortic reconstruction identifies a significant proportion of patients with severe, correctable CAD, even without clinical evidence, allowing for staged revascularization with low operative mortality.

Cite This Study

Norman Hertzer (1979) studied this question.

synapsesocial.com/papers/6a11dd3af7bd4f5c7da574dc https://doi.org/10.1001/archsurg.1979.01370350138018

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Implication

May support routine angiography before elective aortic reconstruction to enable staged revascularization; leaves open whether this reduces mortality in randomized trials.

Routine Coronary Angiography Prior to Elective Aortic Reconstruction

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Routine Coronary Angiography Prior to Elective Aortic Reconstruction

Discussion

Member takes

Implication

Structured PICO

Cite This Study

Also Consider

Also Consider