Key result
Preoperative screening of 307 cardiac surgery patients identified 20 with significant carotid stenosis, with history of stroke and carotid bruit being the only significant predictors.
Why the study?
Does preoperative carotid screening identify significant carotid artery stenosis and its risk factors in patients undergoing cardiac surgery?
Population
307 patients undergoing cardiac surgery
Design
Cohort
Follow-up
perioperative
Authors
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History of stroke and bruit may identify most significant carotid stenosis preoperatively; supports selective screening but leaves open impact on stroke outcomes.
Observational (n=307)
Does preoperative carotid screening identify significant carotid artery stenosis and its risk factors in patients undergoing cardiac surgery?
Careful clinical examination and history taking can identify most patients with significant carotid artery stenosis prior to cardiac surgery, potentially guiding preoperative intervention to minimize stroke risk.
Anastasiadis et al. (2009) conducted an observational in Carotid artery disease in patients undergoing cardiac surgery (n=307). Preoperative carotid screening was evaluated on Prevalence of significant carotid artery stenosis (> 70%) and perioperative stroke rates. Preoperative screening of 307 cardiac surgery patients identified 20 with significant carotid stenosis, with history of stroke and carotid bruit being the only significant predictors.
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