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September 1, 1980Annals of SurgeryOpen Access

Postoperative Stroke in Cardiac and Peripheral Vascular Disease

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Why the study?

Does the presence of carotid bruits or severe carotid stenosis predict postoperative stroke in patients undergoing coronary or peripheral vascular surgery?

Population

330 patients requiring coronary artery (n=170) or peripheral vascular (n=160) surgery

Design

Cohort

Follow-up

postoperative period

Authors

WTW D TurnipseedHBHerbert A. BerkoffFBF. O. Belzer

Discussion

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Overview

Preoperative carotid findings may not predict perioperative stroke; leaves open utility of routine screening before vascular procedures.

Structured PICO

Does the presence of carotid bruits or severe carotid stenosis predict postoperative stroke in patients undergoing coronary or peripheral vascular surgery?

P
Population
330 patients requiring coronary artery (n=170) or peripheral vascular (n=160) surgery
I
Intervention
Preoperative assessment of carotid bruits and noninvasive screening (Doppler imaging and spectral analysis of flow)
O
Outcome
Postoperative stroke rate and its relationship to carotid lesions and bruitshard clinical

Preoperative carotid bruits and severe carotid stenosis do not directly predict the incidence of perioperative stroke in patients undergoing coronary or peripheral vascular surgery.

Cite This Study

Turnipseed et al. (1980) studied this question.

synapsesocial.com/papers/6a73b181d3d4e530dbfb78b0https://doi.org/10.1097/00000658-198009000-00012
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Also Consider

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  1. 1Degree of Carotid Artery Stenosis in Neurologically Asymptomatic Cardiac Surgical Patients Suffering from Perioperative Stroke: Results of an Observational Study2015 · 2 citations
  2. 2Management of cervical bruits and carotid stenosis in preoperative patients.1983 · 60 citations
  3. 3Asymptomatic carotid disease in the cardiovascular surgical patient: is prophylactic endarterectomy necessary?1981 · 83 citations
  4. 4Hemodynamically Significant Carotid Disease and Prophylactic Carotid Endarterectomy in CABG Patients—Impact on Perioperative Neurologic Events1997 · 1 citations
  5. 5Carotid occlusive disease and stroke risk in coronary artery bypass graft surgery1997 · 69 citations