The utility of preoperative routine carotid artery duplex scanning in patients undergoing aortic valve replacement
| Autor: | Thomas T. Terramani, Ismael N. Nuño, Steven G. Katz, Roy D. Kohl, Douglas B. Hood, Fred A. Weaver, Vincent L. Rowe, Vaughn A. Starnes, Christian G. Peyre |
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| Rok vydání: | 2002 |
| Předmět: |
Aortic valve
Adult Male medicine.medical_specialty Heart Valve Diseases Coronary Artery Disease Asymptomatic Preoperative care Coronary artery disease Duplex scanning Aortic valve replacement Risk Factors Internal medicine medicine.artery Preoperative Care medicine Odds Ratio Prevalence Humans Carotid Stenosis Aged Aged 80 and over Ultrasonography Doppler Duplex Heart Murmurs business.industry General Medicine Middle Aged medicine.disease Stenosis medicine.anatomical_structure Aortic Valve cardiovascular system Cardiology Surgery Female medicine.symptom Internal carotid artery Cardiology and Cardiovascular Medicine business Carotid Artery Internal |
| Zdroj: | Annals of vascular surgery. 16(2) |
| ISSN: | 0890-5096 |
| Popis: | Patients with aortic valve disease (AVD) typically have a cardiac murmur that radiates to the neck and may be indistinguishable from a cervical bruit secondary to carotid artery occlusive disease. The purpose of this report was to determine the prevalence of significant asymptomatic carotid artery occlusive disease in patients undergoing aortic valve replacement (AVR). All patients scheduled for AVR were prospectively studied. Preoperative carotid artery color-flow duplex was performed in all patients. A total of 204 patients were included in the study and significant carotid disease (>50% stenosis of the internal carotid artery) was found in 17 (8%). In patients with isolated aortic valve disease, 4/129 (3%) had significant stenosis. Of the patients with concurrent aortic valve and coronary artery disease, 13/75 (17%) had significant stenosis. The incidence of significant carotid stenosis in patients with aortic valve disease was over five fold higher in patients with concurrent coronary artery disease (3% vs. 17%, p |
| Databáze: | OpenAIRE |
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