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The interval between carotid artery stenting and open heart surgery is related to perioperative complications
The interval between carotid artery stenting and open heart surgery is related to perioperative complications
- Source :
- Catheterization and Cardiovascular Interventions. 87:564-569
- Publication Year :
- 2016
- Publisher :
- Wiley, 2016.
-
Abstract
- Objectives To assess 30-day outcomes and the optimal interval between carotid artery stenting (CAS) and open heart surgery (OHS). Background Whether or not they show symptoms of carotid atherosclerosis, patients with significant carotid stenosis who underwent OHS face a high risk of perioperative stroke. Planning appropriate treatment for carotid stenosis before OHS has become an important clinical issue. Methods From January 2005 to June 2010, 154 inpatients scheduled for CAS and OHS were recruited and followed up for 30 days after OHS. The primary end point was a composite of major stroke or neurological death. The secondary end points included a composite of major stroke, myocardial infarction (MI) or any death, minor stroke, and acute kidney injury (AKI). Results The incidence of the primary end point, the composite of major stroke, MI or any death, minor stroke and AKI was 3.2%, 5.8%, 2.6%, and 4.5%, respectively. Only an interval between CAS and OHS of ≤5 days could independently predict the incidence of the primary end point (OR, 14.06, 95% CI, 1.52-130.13; P=0.020). Moreover, congestive heart failure (OR, 7.07, 95% CI, 1.55-21.27; P=0.012) and an interval between CAS and OHS of ≤5 days (OR, 7.05, 95% CI, 1.58-31.40; P=0.010) were identified as independent risk factors for the composite of major stroke, MI, or any death. Conclusions Our findings indicate that CAS followed by OHS is safe and feasible. More importantly, an interval between CAS and OHS of >5 days may decrease periprocedural complications, especially major stroke and neurological death.
- Subjects :
- medicine.medical_specialty
business.industry
Incidence (epidemiology)
Acute kidney injury
General Medicine
Perioperative
030204 cardiovascular system & hematology
medicine.disease
Surgery
03 medical and health sciences
Stenosis
0302 clinical medicine
Internal medicine
Heart failure
medicine
Clinical endpoint
Cardiology
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
Myocardial infarction
Cardiology and Cardiovascular Medicine
business
Stroke
030217 neurology & neurosurgery
Subjects
Details
- ISSN :
- 15221946
- Volume :
- 87
- Database :
- OpenAIRE
- Journal :
- Catheterization and Cardiovascular Interventions
- Accession number :
- edsair.doi...........44f2131ee115465f0a2825fc787ab2af
- Full Text :
- https://doi.org/10.1002/ccd.26408