Prognostic Impact of Asymptomatic Carotid Stenosis in Patients Undergoing Coronary Artery Bypass Grafting

Lo screening preoperatorio della stenosi carotidea asintomatica prima di intervento di CABG può non essere giustificato. (Eur J Vasc Endovasc Surg 2018 Sep 6)

12 Settembre Set 2018 3 months ago
  • Zanobini M

The aim of this study was to evaluate the prognostic impact of untreated asymptomatic carotid artery stenosis (CS) in patients undergoing isolated coronary artery bypass grafting (CABG). This was a post hoc analysis of data from a prospective multicentre observational study. A total of 2,813 patients, without history of stroke or transient ischaemic attack from the multicentre E-CABG registry who were screened for CS before isolated CABG were included.

The Authors observed that, among screened patients with untreated asymptomatic patients, CS ≥ 90% was an independent predictor of post-operative stroke. As this condition has a low prevalence and, when left untreated, is associated with a relatively low rate of stroke, pre-operative screening of asymptomatic carotid stenosis before CABG may not be justified.

Reference
1. Santarpino G, Nicolini F, De Feo M, Dalén M, Fischlein T, Perrotti A, Reichart D, Gatti G, Onorati F, Franzese I, Faggian G, Bancone C, Chocron S, Khodabandeh S, Rubino AS, Maselli D, Nardella S, Gherli R, Salsano A, Zanobini M, Saccocci M, Bounader K, Rosato S, Tauriainen T, Mariscalco G, Airaksinen J, Ruggieri VG, Biancari F. Prognostic Impact of Asymptomatic Carotid Artery Stenosis in Patients Undergoing Coronary Artery Bypass Grafting. Eur J Vasc Endovasc Surg 2018 Sep 6. pii: S1078-5884(18)30521-5. doi: 10.1016/j.ejvs.2018.07.042. [Epub ahead of print] Go to PubMed