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January 1, 2001Clinical CardiologyOpen Access

Screening for carotid artery disease before cardiac surgery: Is current clinical practice evidence based?

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Key result

Only 8% of patients undergoing urgent cardiac surgery were screened preoperatively for carotid artery disease, highlighting a gap between clinical practice and literature recommendations.

Why the study?

What is the current clinical practice and yield of screening for carotid artery disease prior to urgent cardiac surgery?

Population

529 patients undergoing urgent cardiac surgery at a tertiary cardiothoracic center between January 1 and…

Design

Cohort

Authors

AAAndrew ArchboldInterventional / Structural CardiologyKBKhalid BarakatSt Bartholomew's HospitalPMPatrick MageeBarts Health NHS Trust

Discussion

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Implication

Low screening rates should not yet change practice; leaves open whether systematic carotid evaluation reduces perioperative stroke in urgent surgery.

Study Design

Type

Observational (n=529)

Multicenter

No

Structured PICO

What is the current clinical practice and yield of screening for carotid artery disease prior to urgent cardiac surgery?

P
Population
529 patients undergoing urgent cardiac surgery at a single tertiary center over a 1-year period.
E
Exposure
Preoperative screening by duplex Doppler ultrasonography for carotid disease
O
Outcome
Proportion of patients screened preoperatively for carotid disease and indications for screening

Screening for carotid artery disease before urgent cardiac surgery is performed infrequently (8%), highlighting a potential gap between clinical practice and the need to identify patients at high risk of perioperative stroke.

Limitations

  • Paucity of data that are specifically pertinent to this patient subgroup

Cite This Study

Archbold et al. (2001) conducted an observational in Urgent cardiac surgery (n=529). Preoperative screening for carotid artery disease was evaluated on Preoperative screening by duplex Doppler ultrasonography for carotid disease. Only 8% of patients undergoing urgent cardiac surgery were screened preoperatively for carotid artery disease, highlighting a gap between clinical practice and literature recommendations.

synapsesocial.com/papers/6a97026f672df19136a6e39dhttps://doi.org/10.1002/clc.4960240105
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Also Consider

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  1. 1Collaborative overview of randomised trials of antiplatelet therapy Prevention of death, myocardial infarction, and stroke by prolonged antiplatelet therapy in various categories of patients1994 · 3,136 citations
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  3. 3Appropriate Use of Carotid Endarterectomy1998 · 105 citations
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