open access

Vol 7, No 3 (2005)
Published online: 2005-11-07
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Coronary angiography in preoperative assessment of patients prior to scheduled major vascular surgery

Stanisław Molski, Aleksander Łukasiewicz, Adam Sukiennik, Jacek Kubica, Mirosława Rozwodowska
Chirurgia Polska 2005;7(3):139-145.

open access

Vol 7, No 3 (2005)
Published online: 2005-11-07

Abstract

Background: A valuation of coronarography in the preoperative assessment of patients prior to major vascular surgery.
Material and methods: a retrospective analysis of patients with diseases of the abdominal portion of the aorta and iliac arteries, operated on between 2000-2004 was performed. Patients submitted to a preoperative invasive cardiac investigation were then selected. In this group, demographic data, surgical indications, risk factors of cardiac complications and the kinds as well as results of cardiac and cardiovascular procedures were estimated. Vascular intervention results and the outcomes in 30 days of postoperative period were then analyzed.
Results: During the investigated period, 676 major vascular surgical operations were performed. In this group, 53 patients were submitted to a preoperative coronary angiography. There were 43 men and 10 women between them (ratio 4.3:1), at an average age of 61.6 years (SD ± 8.5 years). In the investigated group, the following general disorders were identified: angina in 90.6% (48 patients), previous myocardial infarction in 45.3% (24 patients), hypertension in 60.4% (32 patients), age over 70 in 22.6% (12 patients), diabetes in 15.1% (8 patients), stroke in 5.7% (3 patients). A coronary angiography was performed for the whole group. 39 patients (73.6%) had significant coronary artery lesions, which were revascularized in 19 patients (48.7%). All patients then underwent an operation. The postoperative course was uncomplicated in 45 individuals (84.9%). Surgical complications emerged in 5 patients (9.4%). Two other (3.8%) suffered from cardiac events (myocardial infarction and acute troponin–positive coronary syndrome, each in one patient). A single case of postoperative pneumonia occurred (1.9%).
Conclusions: A preoperative coronarography and coronary artery lesion correction enable the safe operative treatment of arterial disorders of the aortic bifurcation and iliac arteries in patients with ischemic heart disease.

Abstract

Background: A valuation of coronarography in the preoperative assessment of patients prior to major vascular surgery.
Material and methods: a retrospective analysis of patients with diseases of the abdominal portion of the aorta and iliac arteries, operated on between 2000-2004 was performed. Patients submitted to a preoperative invasive cardiac investigation were then selected. In this group, demographic data, surgical indications, risk factors of cardiac complications and the kinds as well as results of cardiac and cardiovascular procedures were estimated. Vascular intervention results and the outcomes in 30 days of postoperative period were then analyzed.
Results: During the investigated period, 676 major vascular surgical operations were performed. In this group, 53 patients were submitted to a preoperative coronary angiography. There were 43 men and 10 women between them (ratio 4.3:1), at an average age of 61.6 years (SD ± 8.5 years). In the investigated group, the following general disorders were identified: angina in 90.6% (48 patients), previous myocardial infarction in 45.3% (24 patients), hypertension in 60.4% (32 patients), age over 70 in 22.6% (12 patients), diabetes in 15.1% (8 patients), stroke in 5.7% (3 patients). A coronary angiography was performed for the whole group. 39 patients (73.6%) had significant coronary artery lesions, which were revascularized in 19 patients (48.7%). All patients then underwent an operation. The postoperative course was uncomplicated in 45 individuals (84.9%). Surgical complications emerged in 5 patients (9.4%). Two other (3.8%) suffered from cardiac events (myocardial infarction and acute troponin–positive coronary syndrome, each in one patient). A single case of postoperative pneumonia occurred (1.9%).
Conclusions: A preoperative coronarography and coronary artery lesion correction enable the safe operative treatment of arterial disorders of the aortic bifurcation and iliac arteries in patients with ischemic heart disease.
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Keywords

major vascular surgery; high risk patients; coronary artery disease; coronarography

About this article
Title

Coronary angiography in preoperative assessment of patients prior to scheduled major vascular surgery

Journal

Chirurgia Polska (Polish Surgery)

Issue

Vol 7, No 3 (2005)

Pages

139-145

Published online

2005-11-07

Bibliographic record

Chirurgia Polska 2005;7(3):139-145.

Keywords

major vascular surgery
high risk patients
coronary artery disease
coronarography

Authors

Stanisław Molski
Aleksander Łukasiewicz
Adam Sukiennik
Jacek Kubica
Mirosława Rozwodowska

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