Why the study?
Does preoperative coronary angiography and revascularization improve short-term outcomes in patients undergoing noncardiac vascular surgery?
Population
Patients undergoing elective vascular surgery who had either no angina or mild angina and a positive…
Comparison
Preoperative coronary angiography followed by… vs Proceeding directly to vascular surgery without…
Design
Other
Follow-up
3 months
Authors
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Challenges routine preoperative coronary angiography; leaves open targeted use in patients with high estimated surgical mortality.
Does preoperative coronary angiography and revascularization improve short-term outcomes in patients undergoing noncardiac vascular surgery?
Decision analysis suggests that proceeding directly to vascular surgery without preoperative coronary angiography generally leads to better outcomes, except in patients with substantially higher than average estimated surgical mortality.
Jeff Mason (1995) studied this question.
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