American Journal of Cardiology
Volume 102, Issue 7 , Pages 809-813 , 1 October 2008

Usefulness of Revascularization of Patients With Multivessel Coronary Artery Disease Before Elective Vascular Surgery for Abdominal Aortic and Peripheral Occlusive Disease

  • Santiago Garcia, MD

      Affiliations

    • Cardiology Section, Veterans Affairs Medical Center, University of Minnesota, Minneapolis, Minnesota
    • ,
  • Thomas E. Moritz, MS

      Affiliations

    • Cooperative Studies Program Coordinating Center, Hines Illinois
    • ,
  • Herbert B. Ward, MD, PhD

      Affiliations

    • Cardiology Section, Veterans Affairs Medical Center, University of Minnesota, Minneapolis, Minnesota
    • ,
  • Gordon Pierpont, MD, PhD

      Affiliations

    • Cardiology Section, Veterans Affairs Medical Center, University of Minnesota, Minneapolis, Minnesota
    • ,
  • Steve Goldman, MD

      Affiliations

    • Southern Arizona Veterans Affairs Health Care Center, University of Arizona, Tucson, Arizona
    • ,
  • Greg C. Larsen, MD

      Affiliations

    • Portland Veterans Affairs Medical Center and Oregon Health Science University, Portland, Oregon
    • ,
  • Fred Littooy, MD

      Affiliations

    • Hines Veterans Affairs Hospital, Hines Illinois
    • ,
  • William Krupski, MD

      Affiliations

    • Denver Veterans Affairs Medical Center, University of Colorado, Denver, Colorado
    • Deceased.
    • ,
  • Lizy Thottapurathu, MS

      Affiliations

    • Cooperative Studies Program Coordinating Center, Hines Illinois
    • ,
  • Domenic J. Reda, PhD

      Affiliations

    • Cooperative Studies Program Coordinating Center, Hines Illinois
    • ,
  • Edward O. McFalls, MD, PhD

      Affiliations

    • Cardiology Section, Veterans Affairs Medical Center, University of Minnesota, Minneapolis, Minnesota
    • Corresponding Author InformationCorresponding author: Tel: 612-467-3664; fax: 612-970-5899

Received 21 March 2008 ,Revised 7 May 2008 ,Accepted 7 May 2008.

References 

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  2. McFalls E, Ward H, Moritz T, Goldman S, Krupski W, Littooy F, et al Coronary artery revascularization before elective major vascular surgery. N Engl J Med. 2004;351:2795–2804
  3. Eagle K, Coley C, Newell J, Brewster D, Darling C, Strauss W, et al. Combining clinical and thallium data optimizes preoperative assessment of cardiac risk before major vascular surgery. Ann Intern Med. 1989;110:859–866
  4. Lee T, Marcantonio E, Mangione C, Thomas E, Polanczyk C, Cook E, et al Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery. Circulation. 1999;100:1043–1049
  5. Landesberg G, Mosseri M, Wolf Y, Bocher M, Basebitch A, Rudis E, et al. Preoperative thallium scanning, selective coronary revascularization, and long-term survival after major vascular surgery. Circulation. 2003;108:177–183
  6. Landesberg G, Berlatzky Y, Bocher M, Alcalai R, Anner H, Ganon-Rozental T, et al. A clinical survival score predicts the likelihood to benefit from preoperative thallium scanning and coronary revascularization before major vascular surgery. Eur Heart J. 2007;28:533–539
  7. Criqui M, Langer R, Fronek A, Feigelson H, Klauber M, McCann T, et al. Mortality over a period of 10 years in patients with peripheral arterial disease. N Engl J Med. 1992;326:381–386
  8. Eagle K, Rihal C, Foster E, Mickel M, Gersh B Coronary Artery Surgery Study (CASS) Investigators. Long-term survival in patients with coronary artery disease: Importance of peripheral vascular disease. J Am Coll Cardiol. 1994;23:1091–1095
  9. Jamieson W, Janusz M, Miyagishima R, Gerein A. Influence of ischemic heart disease on early and late mortality after surgery for peripheral occlusive vascular disease. Circulation. 1982;66:I-92–I-97
  10. McFalls E, Ward H, Moritz T, Littooy F, Krupski W, Santilli S, et al Clinical factors associated with long-term mortality following vascular surgery: outcomes from the Coronary Artery Revascularization Prophylaxis (CARP) trial. J Vasc Surg. 2007;46:694–700
  11. McFalls E, Ward H, Moritz T, Apple F, Goldman S, Pierpont G, et al Predictors and outcomes of a perioperative myocardial infarction following elective vascular surgery in patients with documented coronary artery disease: results of the Coronary Artery Revascularization Prophylaxis (CARP) trial. Eur Heart J. 2008;29:394–401
  12. Poldermans D, Bax J, Ketai M, Krenning B, Westerhout C, Schinkel A, et al Statins are associated with a reduced incidence of perioperative mortality in patients undergoing major noncardiac vascular surgery. Circulation. 2003;107:1848–1851
  13. Poldermans D, Schouten O, Vidakovic R, Bax J, Thomson I, Hoeks S, et al A clinical randomized trial to evaluate the safety of a noninvasive approach in high-risk patients undergoing major vascular surgery: the DECREASE-V pilot study. J Am Coll Cardiol. 2007;49:1763–1769
  14. Fleisher L, Beckman J, Brown K, Calkins H, Chaikof E, Fleischmann K, et al ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines. Circulation. 2007;116:1971–1996
  15. Takaro T, Peduzzi P, Detre K, Hultgren H, Murphy M, van der Bel-Kahn J, et al. Survival in subgroups of patients with left main coronary artery disease (Veterans Administration Cooperative Study of Surgery for Coronary Arterial Occlusive Disease). Circulation. 1982;66:14–22
  16. Paul S, Eagle K, Kuntz K, Young J, Hertzer N. Concordance of preoperative clinical risk with angiographic severity of coronary artery disease in patients undergoing vascular surgery. Circulation. 1996;94:1561–1566

 This study was supported by the Cooperative Studies Program of the United States Department of Veterans Affairs, Office of Research and Development, Washington, District of Columbia.

PII: S0002-9149(08)00902-8

doi: 10.1016/j.amjcard.2008.05.022

American Journal of Cardiology
Volume 102, Issue 7 , Pages 809-813 , 1 October 2008

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