Coronary artery bypass surgery perioperative carotid artery noninvasive screening: Difference between revisions
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==ACCF/AHA Guidelines | ==2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref>== | ||
===The Role of Preoperative Carotid Artery Noninvasive Screening in CABG Patients (DO NOT EDIT)<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= |url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref>=== | |||
{|class="wikitable" | {|class="wikitable" | ||
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| colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | | colspan="1" style="text-align:center; background:LightGreen"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class I]] | ||
|- | |- | ||
| bgcolor="LightGreen"| | | bgcolor="LightGreen"|<nowiki>"</nowiki>'''1.''' A multidisciplinary team approach (consisting of a cardiologist, cardiac surgeon, vascular surgeon, and neurologist) is recommended for patients with clinically significant [[carotid artery disease]] for whom CABG is planned. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
<nowiki>"</nowiki>'''1.''' A multidisciplinary team approach (consisting of a cardiologist, cardiac surgeon, vascular surgeon, and neurologist) is recommended for patients with clinically significant carotid artery disease for whom CABG is planned. (Level of Evidence: C)<nowiki>"</nowiki> | |} | ||
} | |||
{|class="wikitable" | {|class="wikitable" | ||
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]] | | colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIa]] | ||
|- | |- | ||
|bgcolor="LemonChiffon"| | |bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' Carotid artery duplex scanning is reasonable in selected patients who are considered to have high-risk features (ie, age >65 years, left main coronary stenosis, [[peripheral artery disease]], history of [[cerebrovascular disease]] [transient ischemic attack, [[stroke]], etc.], [[hypertension]], [[smoking]], and [[diabetes mellitus]]).<ref name="pmid15223422">{{cite journal| author=Durand DJ, Perler BA, Roseborough GS, Grega MA, Borowicz LM, Baumgartner WA et al.| title=Mandatory versus selective preoperative carotid screening: a retrospective analysis. | journal=Ann Thorac Surg | year= 2004 | volume= 78 | issue= 1 | pages= 159-66; discussion 159-66 | pmid=15223422 | doi=10.1016/j.athoracsur.2004.02.024 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=15223422 }} </ref><ref name="pmid17449747">{{cite journal| author=Sheiman RG, Janne d'Othée B, d'Othée BJ| title=Screening carotid sonography before elective coronary artery bypass graft surgery: who needs it. | journal=AJR Am J Roentgenol | year= 2007 | volume= 188 | issue= 5 | pages= W475-9 | pmid=17449747 | doi=10.2214/AJR.06.1024 | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=17449747 }} </ref> ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
<nowiki>"</nowiki>'''1.''' Carotid artery duplex scanning is reasonable in selected patients who are considered to have high-risk features (ie, age >65 years, left main coronary stenosis, | |||
|- | |- | ||
|bgcolor="LemonChiffon"| | |bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''2.''' In the CABG patient with a previous [[transient ischemic attack]] or [[stroke]] and a significant (50% to 99%) [[carotid artery stenosis]], it is reasonable to consider carotid revascularization in conjunction with [[CABG]]. In such an individual, the sequence and timing (simultaneous or staged) of carotid intervention and CABG should be determined by the patient's relative magnitudes of cerebral and myocardial dysfunction. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
<nowiki>"</nowiki>'''2.''' In the CABG patient with a previous | |||
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| colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]] | | colspan="1" style="text-align:center; background:LemonChiffon"|[[ACC AHA guidelines classification scheme#Classification of Recommendations|Class IIb]] | ||
|- | |- | ||
|bgcolor="LemonChiffon"| | |bgcolor="LemonChiffon"|<nowiki>"</nowiki>'''1.''' In the patient scheduled to undergo CABG who has no history of [[transient ischemic attack]] or [[stroke]], carotid revascularization may be considered in the presence of bilateral severe (70% to 99%) carotid stenoses or a unilateral severe carotid stenosis with a contralateral occlusion. ''([[ACC AHA guidelines classification scheme#Level of Evidence|Level of Evidence: C]])''<nowiki>"</nowiki> | ||
<nowiki>"</nowiki>'''1.''' In the patient scheduled to undergo CABG who has no history of | |||
|} | |} | ||
== | ==Sources== | ||
*2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref> | *2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines<ref name="pmid22064599">{{cite journal| author=Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG et al.| title=2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines. | journal=Circulation | year= 2011 | volume= | issue= | pages= | pmid=22064599 | doi=10.1161/CIR.0b013e31823c074e | pmc= | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22064599 }} </ref> | ||
Latest revision as of 22:17, 7 November 2012
Coronary Artery Bypass Surgery Microchapters | |
Pathophysiology | |
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Diagnosis | |
Treatment | |
Perioperative Monitoring | |
Surgical Procedure | |
Special Scenarios | |
Coronary artery bypass surgery perioperative carotid artery noninvasive screening On the Web | |
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Varun Kumar, M.B.B.S. [2]
2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery (DO NOT EDIT)[1]
The Role of Preoperative Carotid Artery Noninvasive Screening in CABG Patients (DO NOT EDIT)[1]
Class I |
"1. A multidisciplinary team approach (consisting of a cardiologist, cardiac surgeon, vascular surgeon, and neurologist) is recommended for patients with clinically significant carotid artery disease for whom CABG is planned. (Level of Evidence: C)" |
Class IIa |
"1. Carotid artery duplex scanning is reasonable in selected patients who are considered to have high-risk features (ie, age >65 years, left main coronary stenosis, peripheral artery disease, history of cerebrovascular disease [transient ischemic attack, stroke, etc.], hypertension, smoking, and diabetes mellitus).[2][3] (Level of Evidence: C)" |
"2. In the CABG patient with a previous transient ischemic attack or stroke and a significant (50% to 99%) carotid artery stenosis, it is reasonable to consider carotid revascularization in conjunction with CABG. In such an individual, the sequence and timing (simultaneous or staged) of carotid intervention and CABG should be determined by the patient's relative magnitudes of cerebral and myocardial dysfunction. (Level of Evidence: C)" |
Class IIb |
"1. In the patient scheduled to undergo CABG who has no history of transient ischemic attack or stroke, carotid revascularization may be considered in the presence of bilateral severe (70% to 99%) carotid stenoses or a unilateral severe carotid stenosis with a contralateral occlusion. (Level of Evidence: C)" |
Sources
- 2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery : A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines[1]
References
- ↑ 1.0 1.1 1.2 Hillis LD, Smith PK, Anderson JL, Bittl JA, Bridges CR, Byrne JG; et al. (2011). "2011 ACCF/AHA Guideline for Coronary Artery Bypass Graft Surgery: A Report of the American College of Cardiology Foundation/American Heart Association Task Force on Practice Guidelines". Circulation. doi:10.1161/CIR.0b013e31823c074e. PMID 22064599.
- ↑ Durand DJ, Perler BA, Roseborough GS, Grega MA, Borowicz LM, Baumgartner WA; et al. (2004). "Mandatory versus selective preoperative carotid screening: a retrospective analysis". Ann Thorac Surg. 78 (1): 159–66, discussion 159-66. doi:10.1016/j.athoracsur.2004.02.024. PMID 15223422.
- ↑ Sheiman RG, Janne d'Othée B, d'Othée BJ (2007). "Screening carotid sonography before elective coronary artery bypass graft surgery: who needs it". AJR Am J Roentgenol. 188 (5): W475–9. doi:10.2214/AJR.06.1024. PMID 17449747.