Key result
This review summarizes current evidence on the role of preoperative coronary revascularization compared to conservative medical therapy for reducing cardiac complications before elective vascular surgery.
Why the study?
Does preoperative coronary revascularization reduce cardiac complications in high-risk patients undergoing elective vascular surgery compared to conservative medical therapy?
Does preoperative coronary revascularization reduce cardiac complications in high-risk patients undergoing elective vascular surgery compared to conservative medical therapy?
This review summarizes current evidence on whether preoperative coronary revascularization improves cardiac outcomes compared to medical therapy in high-risk patients undergoing vascular surgery.
May warrant revascularization consideration in select high-risk vascular surgery patients; extends evidence while underscoring controversy on indications and type.
Patients undergoing vascular surgery are at increased risk for cardiac complications related to the presence of underlying coronary artery disease. Preoperative cardiac evaluation may help to identify high-risk patients in whom coronary angiography may be planned with subsequent coronary revascularization for the purpose of improving perioperative and long-term cardiac outcomes. However, the indications and efficacy for type of revascularization for the reduction of cardiac complications compared to medical therapy has been controversial. My aim in this review is to summarize the role of preoperative revascularization compared to conservative medical therapy before elective vascular surgery using current evidence from published studies.
No takes yet. Share an insight, caveat, or question.
Miklós D. Kertai (2008) conducted a review in High-risk patients undergoing vascular surgery with underlying coronary artery disease. Preoperative coronary revascularization vs. Conservative medical therapy was evaluated on Perioperative and long-term cardiac outcomes. This review summarizes current evidence on the role of preoperative coronary revascularization compared to conservative medical therapy for reducing cardiac complications before elective vascular surgery.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: