Key result
Preoperative coronary revascularization may benefit intermediate-risk vascular surgery patients, whereas recent RCTs opposing it suffer from significant selection bias and methodological limitations.
Why the study?
Does preoperative coronary revascularization improve long-term survival and prevent postoperative myocardial infarction in high-risk patients undergoing vascular surgery?
Population
High-risk patients with significant coronary artery disease undergoing vascular surgery
Comparison
Preoperative coronary revascularization vs Medical therapy without preoperative…
Design
Editorial
Authors
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This editorial highlights the limitations of recent RCTs and argues that preoperative coronary revascularization should still be considered for high-risk vascular surgery patients with extensive ischemia.
Does preoperative coronary revascularization improve long-term survival and prevent postoperative myocardial infarction in high-risk patients undergoing vascular surgery?
This editorial highlights the limitations of recent RCTs and argues that preoperative coronary revascularization should still be considered for high-risk vascular surgery patients with extensive ischemia.
Landesberg et al. (2008) conducted an editorial in Coronary artery disease in vascular surgery patients. Preoperative coronary revascularization vs. No revascularization / medical therapy was evaluated. Preoperative coronary revascularization may benefit intermediate-risk vascular surgery patients, whereas recent RCTs opposing it suffer from significant selection bias and methodological limitations.
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