Preoperative revascularization in high-risk patients undergoing vascular surgery

Patients with positive preoperative stress tests undergoing vascular surgery.

OBJECTIVE To examine the perioperative cardiac morbidity and mortality in patients undergoing major vascular surgery with beta-blockade after a positive stress test or cardiac catheterization. DESIGN Retrospective review of a quality assurance database. SETTING A university teaching hospital. PARTICIPANTS A consecutive series of 31 patients undergoing peripheral vascular or aortic surgery...

Preoperative IABP in high risk patients undergoing CABG

A recent international consensus conference on the reduction in mortality in cardiac anesthesia and intensive care included intraoperative aortic balloon pump among the ancillary (i.e. non-surgical) drugs/techniques/strategies that might influence survival rates in patients undergoing cardiac surgery. The consensus conferences state that "Pre-operative intraoperative aortic balloon pump might r...

Preoperative Evaluation Prior to High-Risk Vascular Surgery

Risk factors for mortality in octogenarians undergoing myocardial revascularization surgery.

BACKGROUND Age over 80 years, by itself, is not the only risk factor for mortality in coronary artery bypass grafting. OBJECTIVE To identify risk factors for mortality in octogenarian patients undergoing CABG. METHODS We studied 164 patients aged 80 years and over. The variables studied were: gender; age (in years); ejection fraction (LVEF); reoperation; emergency surgery; number of revascu...

Indications of prophylactic coronary revascularization in patients undergoing major vascular surgery: the saga continues.

When considering a patient for major vascular surgery, a careful pre-operative clinical risk evaluation and subsequent risk-reduction strategies are essential to improve postoperative outcome. The ACC/AHA TaskForce published therefore Practice Guidelines for Perioperative Cardiovascular Evaluation for Non-cardiac Surgery in 1996 and an update in 2002. Furthermore, due to increasing evidence of ...