Preoperative Cardiac Assessment before Carotid Surgery: Should Perhaps Things Change?

George Galyfos; Konstantina Aggeli; Fragiska Sigala; Evridiki Karanikola; Georgios Zografos; Konstantinos Filis

doi:10.1016/j.avsg.2015.07.008

Preoperative Cardiac Assessment before Carotid Surgery: Should Perhaps Things Change?

Ann Vasc Surg. 2016 Jan:30:331-5. doi: 10.1016/j.avsg.2015.07.008. Epub 2015 Aug 22.

Authors

George Galyfos¹, Konstantina Aggeli², Fragiska Sigala³, Evridiki Karanikola³, Georgios Zografos³, Konstantinos Filis³

Affiliations

¹ First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece. Electronic address: georgegalyfos@hotmail.com.
² First Department of Cardiology, University of Athens Medical School, Hippocration Hospital, Athens, Greece.
³ First Department of Propaedeutic Surgery, University of Athens Medical School, Hippocration Hospital, Athens, Greece.

PMID: 26303267
DOI: 10.1016/j.avsg.2015.07.008

Abstract

Carotid endarterectomy has been associated with perioperative symptomatic or asymptomatic myocardial ischemia and cardiac mortality although it has been classified as a procedure of intermediate cardiac risk. Recent data indicate that the Cardiac Risk Index score for preoperative assessment by the latest guidelines is not suitable for vascular surgery procedures in general and carotid procedures in particular. This review aims to present and analyze all these results, concluding that current recommendations for this specific procedure should perhaps be reevaluated.

Publication types

Review

MeSH terms

Carotid Stenosis / complications
Carotid Stenosis / diagnosis
Carotid Stenosis / surgery*
Coronary Artery Disease / complications
Coronary Artery Disease / diagnosis
Coronary Artery Disease / surgery*
Endarterectomy, Carotid*
Humans
Patient Selection
Preoperative Care
Risk Assessment