Abstract | BACKGROUND: In the past decade, there has been an increase in the amount of patients with medical co-morbidities referred for coronary artery bypass surgery (CABG). Significant carotid artery disease in patients undergoing CABG procedures increases the risk of neurological complications. We review the results of routine carotid screening in patients undergoing CABG to determine the contemporary incidence and risk factors for carotid artery disease. METHODS: Between 2008 through 2010, 673 patients were referred for isolated coronary artery bypass surgery at a single institution. Patients were identified through a systematic review of The Department of Cardiothoracic Surgery Society of Thoracic Surgery Outcomes Database. A retrospective analysis of prospectively collected demographic, clinical data and outcomes were performed. All patients with screening preoperative carotid duplex were reviewed. We defined the degree of carotid disease as: none to mild stenosis (<50%), moderate stenosis (50-69%), severe stenosis (70-99%). Multivariate analysis was performed to identify risk factors. RESULTS: CONCLUSIONS:
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Authors | Kelly M Wanamaker, Robert J Moraca, Diane Nitzberg, George J Magovern Jr |
Journal | Journal of cardiothoracic surgery
(J Cardiothorac Surg)
Vol. 7
Pg. 78
(Aug 28 2012)
ISSN: 1749-8090 [Electronic] England |
PMID | 22929168
(Publication Type: Journal Article)
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Topics |
- Aged
- Carotid Stenosis
(epidemiology)
- Coronary Artery Bypass
(statistics & numerical data)
- Female
- Humans
- Incidence
- Male
- Middle Aged
- Multivariate Analysis
- Retrospective Studies
- Risk Factors
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