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April 1, 2009Interactive Cardiovascular and Thoracic SurgeryOpen Access

Preoperative CT scans led to surgery cancellation in up to 13% of cases and altered surgical strategy in over two-thirds of patients, resulting in a significantly lower incidence of intra-operative injuries compared to those without prior CT scans.

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Why the study?

Does preoperative computed tomography reduce the risks associated with re-do cardiac surgery?

Population

Patients coming for re-do cardiac surgery (based on a review of 7 relevant papers)

Comparison

Preoperative computed tomography angiography… vs No prior CT scan

Design

Review

Authors

NKNaimat Ullah KhanNYNizar Yonan

Discussion

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Member takes

Overview

May support preoperative CT planning in redo cardiac surgery; leaves open need for prospective trials before changing practice.

Structured PICO

Does preoperative computed tomography reduce the risks associated with re-do cardiac surgery?

P
Population
Patients coming for re-do cardiac surgery (based on a review of 7 relevant papers)
I
Intervention
Preoperative computed tomography (CT) angiography using ECG-gated multi-detector scan
C
Comparator
No prior CT scan
O
Outcome
Risk associated with re-do cardiac surgery (intra-operative injuries to vital structures, previous grafts, heart, or larger vessels)safety

Preoperative ECG-gated multi-slice CT angiography is essential for optimum planning and reducing intra-operative injuries in patients undergoing re-do cardiac surgery.

Cite This Study

Khan et al. (2009) studied this question.

synapsesocial.com/papers/6a892a463fe85f489c1ff96ahttps://doi.org/10.1510/icvts.2008.189506
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Preoperative computed tomography is associated with lower risk of perioperative stroke in reoperative cardiac surgery2011 · 28 citations
  2. 2Does routine preoperative computed tomography imaging provide clinical utility in patients undergoing primary cardiac surgery?2017 · 20 citations
  3. 3Routine preoperative CT: Ready to roll or a step too far?2022 · 2 citations
  4. 4Role of computed tomography in tailoring reoperative procedures and changing trends in reoperative cardiac surgery2014 · 1 citations
  5. 5Three dimensional computed tomographic imaging in planning the surgical approach for redo cardiac surgery after coronary revascularization2005 · 89 citations