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June 27, 2017Interactive Cardiovascular and Thoracic SurgeryOpen Access

Does routine preoperative computed tomography imaging provide clinical utility in patients undergoing primary cardiac surgery?

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Key result

Based on a review of 5 studies, preoperative CT imaging in primary cardiac surgery can help optimize operative strategy and decrease postoperative stroke rate and mortality.

Why the study?

Does routine preoperative computed tomography (CT) imaging decrease complications or change surgical approach in patients undergoing primary cardiac surgery?

Population

Patients undergoing primary cardiac surgery (based on 5 studies representing best evidence)

Comparison

Routine preoperative computed tomography imaging vs No preoperative CT imaging

Design

Systematic_review

Follow-up

Perioperative/postoperative

Authors

AMAurélie MerloKCKevin ChenSDSalil V. Deo

Discussion

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Member takes

Overview

Preoperative CT may optimize strategy in primary cardiac surgery; leaves open need for randomized trials before routine adoption.

Structured PICO

Does routine preoperative computed tomography (CT) imaging decrease complications or change surgical approach in patients undergoing primary cardiac surgery?

P
Population
Patients undergoing primary cardiac surgery evaluated across 5 studies to determine the clinical utility of routine preoperative CT imaging.
I
Intervention
Routine preoperative computed tomography (CT) imaging (non-contrast CT or CT angiography)
C
Comparator
No preoperative CT imaging
O
Outcome
Clinical benefit as measured by either a decrease in complications or a change in surgical approachcomposite

Routine preoperative CT imaging in primary cardiac surgery can help optimize operative strategy and may decrease postoperative stroke and mortality.

Limitations

  • Results from the comparative studies are difficult to interpret as they used different imaging modalities and different patient populations.
  • Comparative studies used different imaging modalities
  • Comparative studies used different patient populations making results difficult to interpret

Cite This Study

Merlo et al. (2017) conducted a review in Primary cardiac surgery. Preoperative computed tomography (CT) imaging vs. No preoperative CT was evaluated on Decrease in complications or a change in surgical approach. Based on a review of 5 studies, preoperative CT imaging in primary cardiac surgery can help optimize operative strategy and decrease postoperative stroke rate and mortality.

synapsesocial.com/papers/6a93efe8235a0bf22c92cb05https://doi.org/10.1093/icvts/ivx098
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Also Consider

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

  1. 1Does preoperative computed tomography reduce the risks associated with re-do cardiac surgery?2009 · 37 citations
  2. 2Routine preoperative CT: Ready to roll or a step too far?2022 · 2 citations
  3. 3Preoperative computed tomography is associated with lower risk of perioperative stroke in reoperative cardiac surgery2011 · 28 citations
  4. 4Effect of routine preoperative screening for aortic calcifications using noncontrast computed tomography on stroke rate in cardiac surgery: the randomized controlled CRICKET study2021 · 9 citations
  5. 5Prognostic capabilities of coronary computed tomographic angiography before non-cardiac surgery: prospective cohort study2015 · 144 citations