The impact of coronary artery disease on carotid endarterectomy
In a series of 531 CENDX, preoperative cardiac risk was categorized by clinical criteria. Patients with CAD (history of previous MI, angina, congestive heart failure, and/or electrocardiographic evidence of CAD were selected for more invasive studies based on clinical criteria. The overall incidence...
Gespeichert in:
| Veröffentlicht in: | Annals of surgery 1983-12, Vol.198 (6), p.705-712 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 712 |
|---|---|
| container_issue | 6 |
| container_start_page | 705 |
| container_title | Annals of surgery |
| container_volume | 198 |
| creator | O'DONNELL, T. F. JR CALLOW, A. D WILLET, C PAYNE, D CLEVELAND, R. J |
| description | In a series of 531 CENDX, preoperative cardiac risk was categorized by clinical criteria. Patients with CAD (history of previous MI, angina, congestive heart failure, and/or electrocardiographic evidence of CAD were selected for more invasive studies based on clinical criteria. The overall incidence of postoperative myocardial infarction was 2.5% and increased slightly to 4% in patients with symptomatic cardiac disease. More importantly, the overall mortality was 0.9% and only 3 of 13 (23%) postoperative myocardial infarctions were fatal. Neurologic complications averaged 1.4% and approximately 70% were related to preceding cardiac events. Twenty-two patients or 4% of the entire series underwent carotid endarterectomy combined with coronary artery bypass graft and this approach was associated with one death and one stroke. Therefore, we conclude that a selective approach to coronary arteriography and subsequent CABG based on clinical criteria is associated with an acceptably low mortality and cardiac morbidity. |
| doi_str_mv | 10.1097/00000658-198312000-00007 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1353218</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>80745657</sourcerecordid><originalsourceid>FETCH-LOGICAL-c510t-2c7adf6a3d62ed0077917b5e7b6556729888dd22b015b41cef46359fe9c894a63</originalsourceid><addsrcrecordid>eNpVUclKBDEUDKLouHyC0Afx1pp9uSgyuIHgRc8hnbzWlu7OmPQI_r0ZHQfN5ZGqepWiglBF8BnBRp3j1ZFC18RoRmi51CtEbaEZEbTAhONtNCsQq7lhdA_t5_yGMeEaq120KyUWipoZunx6haobFs5PVWwrH1McXfqsXJqgjNBlcBmqOFbepTh1oYIxfJPgpzh8HqKd1vUZjtbzAD3fXD_N7-qHx9v7-dVD7QXBU029cqGVjgVJIZSgyhDVCFCNFEKWJFrrEChtMBENJx5aLpkwLRivDXeSHaCLH9_FshkgeBin5Hq7SN1Q4troOvufGbtX-xI_LGGCUaKLwenaIMX3JeTJDl320PduhLjMtvTChRSqCPWP0KeYc4J28wjBdlW-_S3fbsr_hlarx39DbhbXbRf-ZM277F3fJjf6Lm9khitefoh9AfHAjOs</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>80745657</pqid></control><display><type>article</type><title>The impact of coronary artery disease on carotid endarterectomy</title><source>PubMed Central Free</source><source>MEDLINE</source><source>Journals@Ovid Complete</source><source>EZB-FREE-00999 freely available EZB journals</source><creator>O'DONNELL, T. F. JR ; CALLOW, A. D ; WILLET, C ; PAYNE, D ; CLEVELAND, R. J</creator><creatorcontrib>O'DONNELL, T. F. JR ; CALLOW, A. D ; WILLET, C ; PAYNE, D ; CLEVELAND, R. J</creatorcontrib><description>In a series of 531 CENDX, preoperative cardiac risk was categorized by clinical criteria. Patients with CAD (history of previous MI, angina, congestive heart failure, and/or electrocardiographic evidence of CAD were selected for more invasive studies based on clinical criteria. The overall incidence of postoperative myocardial infarction was 2.5% and increased slightly to 4% in patients with symptomatic cardiac disease. More importantly, the overall mortality was 0.9% and only 3 of 13 (23%) postoperative myocardial infarctions were fatal. Neurologic complications averaged 1.4% and approximately 70% were related to preceding cardiac events. Twenty-two patients or 4% of the entire series underwent carotid endarterectomy combined with coronary artery bypass graft and this approach was associated with one death and one stroke. Therefore, we conclude that a selective approach to coronary arteriography and subsequent CABG based on clinical criteria is associated with an acceptably low mortality and cardiac morbidity.</description><identifier>ISSN: 0003-4932</identifier><identifier>EISSN: 1528-1140</identifier><identifier>DOI: 10.1097/00000658-198312000-00007</identifier><identifier>PMID: 6605729</identifier><identifier>CODEN: ANSUA5</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott</publisher><subject>Arteriosclerosis - mortality ; Arteriosclerosis - surgery ; Biological and medical sciences ; Carotid Arteries - surgery ; Cerebrovascular Disorders - etiology ; Coronary Artery Bypass ; Coronary Disease - mortality ; Coronary Disease - surgery ; Endarterectomy - adverse effects ; Endarterectomy - mortality ; Humans ; Medical sciences ; Myocardial Infarction - etiology ; Myocardial Infarction - mortality ; Neurology ; Prognosis ; Risk ; Vascular diseases and vascular malformations of the nervous system</subject><ispartof>Annals of surgery, 1983-12, Vol.198 (6), p.705-712</ispartof><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c510t-2c7adf6a3d62ed0077917b5e7b6556729888dd22b015b41cef46359fe9c894a63</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1353218/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC1353218/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=9474014$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6605729$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'DONNELL, T. F. JR</creatorcontrib><creatorcontrib>CALLOW, A. D</creatorcontrib><creatorcontrib>WILLET, C</creatorcontrib><creatorcontrib>PAYNE, D</creatorcontrib><creatorcontrib>CLEVELAND, R. J</creatorcontrib><title>The impact of coronary artery disease on carotid endarterectomy</title><title>Annals of surgery</title><addtitle>Ann Surg</addtitle><description>In a series of 531 CENDX, preoperative cardiac risk was categorized by clinical criteria. Patients with CAD (history of previous MI, angina, congestive heart failure, and/or electrocardiographic evidence of CAD were selected for more invasive studies based on clinical criteria. The overall incidence of postoperative myocardial infarction was 2.5% and increased slightly to 4% in patients with symptomatic cardiac disease. More importantly, the overall mortality was 0.9% and only 3 of 13 (23%) postoperative myocardial infarctions were fatal. Neurologic complications averaged 1.4% and approximately 70% were related to preceding cardiac events. Twenty-two patients or 4% of the entire series underwent carotid endarterectomy combined with coronary artery bypass graft and this approach was associated with one death and one stroke. Therefore, we conclude that a selective approach to coronary arteriography and subsequent CABG based on clinical criteria is associated with an acceptably low mortality and cardiac morbidity.</description><subject>Arteriosclerosis - mortality</subject><subject>Arteriosclerosis - surgery</subject><subject>Biological and medical sciences</subject><subject>Carotid Arteries - surgery</subject><subject>Cerebrovascular Disorders - etiology</subject><subject>Coronary Artery Bypass</subject><subject>Coronary Disease - mortality</subject><subject>Coronary Disease - surgery</subject><subject>Endarterectomy - adverse effects</subject><subject>Endarterectomy - mortality</subject><subject>Humans</subject><subject>Medical sciences</subject><subject>Myocardial Infarction - etiology</subject><subject>Myocardial Infarction - mortality</subject><subject>Neurology</subject><subject>Prognosis</subject><subject>Risk</subject><subject>Vascular diseases and vascular malformations of the nervous system</subject><issn>0003-4932</issn><issn>1528-1140</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1983</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpVUclKBDEUDKLouHyC0Afx1pp9uSgyuIHgRc8hnbzWlu7OmPQI_r0ZHQfN5ZGqepWiglBF8BnBRp3j1ZFC18RoRmi51CtEbaEZEbTAhONtNCsQq7lhdA_t5_yGMeEaq120KyUWipoZunx6haobFs5PVWwrH1McXfqsXJqgjNBlcBmqOFbepTh1oYIxfJPgpzh8HqKd1vUZjtbzAD3fXD_N7-qHx9v7-dVD7QXBU029cqGVjgVJIZSgyhDVCFCNFEKWJFrrEChtMBENJx5aLpkwLRivDXeSHaCLH9_FshkgeBin5Hq7SN1Q4troOvufGbtX-xI_LGGCUaKLwenaIMX3JeTJDl320PduhLjMtvTChRSqCPWP0KeYc4J28wjBdlW-_S3fbsr_hlarx39DbhbXbRf-ZM277F3fJjf6Lm9khitefoh9AfHAjOs</recordid><startdate>19831201</startdate><enddate>19831201</enddate><creator>O'DONNELL, T. F. JR</creator><creator>CALLOW, A. D</creator><creator>WILLET, C</creator><creator>PAYNE, D</creator><creator>CLEVELAND, R. J</creator><general>Lippincott</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19831201</creationdate><title>The impact of coronary artery disease on carotid endarterectomy</title><author>O'DONNELL, T. F. JR ; CALLOW, A. D ; WILLET, C ; PAYNE, D ; CLEVELAND, R. J</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c510t-2c7adf6a3d62ed0077917b5e7b6556729888dd22b015b41cef46359fe9c894a63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1983</creationdate><topic>Arteriosclerosis - mortality</topic><topic>Arteriosclerosis - surgery</topic><topic>Biological and medical sciences</topic><topic>Carotid Arteries - surgery</topic><topic>Cerebrovascular Disorders - etiology</topic><topic>Coronary Artery Bypass</topic><topic>Coronary Disease - mortality</topic><topic>Coronary Disease - surgery</topic><topic>Endarterectomy - adverse effects</topic><topic>Endarterectomy - mortality</topic><topic>Humans</topic><topic>Medical sciences</topic><topic>Myocardial Infarction - etiology</topic><topic>Myocardial Infarction - mortality</topic><topic>Neurology</topic><topic>Prognosis</topic><topic>Risk</topic><topic>Vascular diseases and vascular malformations of the nervous system</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'DONNELL, T. F. JR</creatorcontrib><creatorcontrib>CALLOW, A. D</creatorcontrib><creatorcontrib>WILLET, C</creatorcontrib><creatorcontrib>PAYNE, D</creatorcontrib><creatorcontrib>CLEVELAND, R. J</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Annals of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'DONNELL, T. F. JR</au><au>CALLOW, A. D</au><au>WILLET, C</au><au>PAYNE, D</au><au>CLEVELAND, R. J</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The impact of coronary artery disease on carotid endarterectomy</atitle><jtitle>Annals of surgery</jtitle><addtitle>Ann Surg</addtitle><date>1983-12-01</date><risdate>1983</risdate><volume>198</volume><issue>6</issue><spage>705</spage><epage>712</epage><pages>705-712</pages><issn>0003-4932</issn><eissn>1528-1140</eissn><coden>ANSUA5</coden><abstract>In a series of 531 CENDX, preoperative cardiac risk was categorized by clinical criteria. Patients with CAD (history of previous MI, angina, congestive heart failure, and/or electrocardiographic evidence of CAD were selected for more invasive studies based on clinical criteria. The overall incidence of postoperative myocardial infarction was 2.5% and increased slightly to 4% in patients with symptomatic cardiac disease. More importantly, the overall mortality was 0.9% and only 3 of 13 (23%) postoperative myocardial infarctions were fatal. Neurologic complications averaged 1.4% and approximately 70% were related to preceding cardiac events. Twenty-two patients or 4% of the entire series underwent carotid endarterectomy combined with coronary artery bypass graft and this approach was associated with one death and one stroke. Therefore, we conclude that a selective approach to coronary arteriography and subsequent CABG based on clinical criteria is associated with an acceptably low mortality and cardiac morbidity.</abstract><cop>Hagerstown, MD</cop><pub>Lippincott</pub><pmid>6605729</pmid><doi>10.1097/00000658-198312000-00007</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0003-4932 |
| ispartof | Annals of surgery, 1983-12, Vol.198 (6), p.705-712 |
| issn | 0003-4932 1528-1140 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_1353218 |
| source | PubMed Central Free; MEDLINE; Journals@Ovid Complete; EZB-FREE-00999 freely available EZB journals |
| subjects | Arteriosclerosis - mortality Arteriosclerosis - surgery Biological and medical sciences Carotid Arteries - surgery Cerebrovascular Disorders - etiology Coronary Artery Bypass Coronary Disease - mortality Coronary Disease - surgery Endarterectomy - adverse effects Endarterectomy - mortality Humans Medical sciences Myocardial Infarction - etiology Myocardial Infarction - mortality Neurology Prognosis Risk Vascular diseases and vascular malformations of the nervous system |
| title | The impact of coronary artery disease on carotid endarterectomy |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-01-01T03%3A57%3A39IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_pubme&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=The%20impact%20of%20coronary%20artery%20disease%20on%20carotid%20endarterectomy&rft.jtitle=Annals%20of%20surgery&rft.au=O'DONNELL,%20T.%20F.%20JR&rft.date=1983-12-01&rft.volume=198&rft.issue=6&rft.spage=705&rft.epage=712&rft.pages=705-712&rft.issn=0003-4932&rft.eissn=1528-1140&rft.coden=ANSUA5&rft_id=info:doi/10.1097/00000658-198312000-00007&rft_dat=%3Cproquest_pubme%3E80745657%3C/proquest_pubme%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=80745657&rft_id=info:pmid/6605729&rfr_iscdi=true |