Coronary and major vascular disease: Aggressive screening and priority-based therapy

摘要: Abstract It is well know that atherosclerosis can simultaneously affect different vascular subsystems, and patients with diffuse be a major management problem both for preoperative evaluation intraoperative management. The authors have conducted prospective study to evaluate the prevalence of coronary artery disease in arteriopathic patients, vice versa, assess effectiveness aggressive screening together priority-based approach. Study 1 consisted 1000 consecutive non-emergent who were affected by abdominal aortic or carotid screened presence before surgery newly developed clinical risk assessment. They stratified into three categories strategies. When was concomitantly demonstrated these choice surgical method based on priorities, use combined procedures as required. In 2, required angiography suspected pathology, directly cardiac catheter laboratory during angiography, obtaining views arch aorta. Surgical approaches paralleled those 1. results showed 720 (72%) disease, 238 (24%) 42 (4%) pathologies. Significant found 152 (15%), 123 (81.5%) 29 (18.5%) disease. Abdominal performed after myocardial revascularization, an overall mortality rate 4/718 (0.6%), perioperative infarction 10/718 (1.4%). For completed possible therapy resulted in-hospital 2/238 (0.8%), (0.8%). There no significant differences rates between without Results 2 enrolled suspicion 767 (77%) Among these, 38 (4.9%) had surgically correctable 31 which monolateral bilateral 22 (74%) nine (26%) respectively, four (0.5%) diagnosed These treated their nor infarction. multiple involvement, low when are adopted.