التفاصيل البيبلوغرافية
| العنوان: |
Selective Screening for Asymptomatic Carotid Artery Disease Prior to Isolated Heart Valve Surgery. |
| المؤلفون: |
Zayed, Hany, Ali, Ahmad, Wendler, Olaf, Rashid, Hisham |
| المصدر: |
Angiology. Nov/Dec2009, Vol. 60 Issue 5, p633-636. 4p. |
| مصطلحات موضوعية: |
*CAROTID artery diseases, *MEDICAL screening, *HEART valve surgery, *STENOSIS, *CEREBROVASCULAR disease, *TRANSIENT ischemic attack, *SURGICAL complications |
| مستخلص: |
Objective: To assess the yield of screening for asymptomatic carotid artery disease prior to isolated heart valve surgery (IHVS). Methods: Retrospective analysis of the preoperative carotid duplex scans performed in neurologically asymptomatic patients who underwent IHVS between 2003 and 2006 was performed. Internal carotid artery (ICA) stenosis of 70% was considered significant. Patients with concomitant coronary artery disease were excluded. Results: A total of 177 patients underwent IHVS (one valve in 165 and 2 valves in 12 patients). No or minor ICA disease detected in 172 patients. Four patients (2.25%) had significant unilateral ICA stenosis and 1 patient (0.56%) had unilateral ICA occlusion. Three patients (1.69%) suffered postoperative stroke, while 2 patients (1.1%) suffered transient ischemic attacks. All neurologically affected patients had normal preoperative carotid duplex. The in-hospital mortality was 4.5%. Conclusion: Prevalence of significant ICA disease is low in patients undergoing IHVS. This population does not benefit from preoperative carotid screening. [ABSTRACT FROM AUTHOR] |
| قاعدة البيانات: |
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