Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass Surgery
Background: The incidence of stroke after coronary artery bypass grafting (CABG) is between 0.9% and 6.7%, which significantly increases in-hospital and out-hospital costs. This study was designed to evaluate the prevalence of significant carotid stenosis and its risk factors in CABG.Methods: In tot...
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Tehran University of Medical Sciences
2009-09-01
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doaj-a47f6ca71e2242cd8d630a79980d53922020-11-25T04:06:18ZengTehran University of Medical SciencesJournal of Tehran University Heart Center1735-86202009-09-0143181184Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass SurgerySirous DarabianMaryam Sotoudeh AnvariSeyed Hesameddin AbbasiMohammad Ali BoroumandMaryam SoleymanzadehMadjid ShakibaShapour ShiraniMaryam EsfandbodBackground: The incidence of stroke after coronary artery bypass grafting (CABG) is between 0.9% and 6.7%, which significantly increases in-hospital and out-hospital costs. This study was designed to evaluate the prevalence of significant carotid stenosis and its risk factors in CABG.Methods: In total, 2044 consecutive patients undergoing elective CABG were investigated through a pre-operative duplex scanning of the carotid arteries. The relation of age, sex, smoking, hypertension, diabetes, dyslipidemia, and coronary disease with carotid stenosis was evaluated.Results: The prevalence of carotid stenosis was 7.6%. The multivariate analysis showed that age over 55 and left main coronary disease were significant independent risk factors for carotid stenosis. Female gender, smoking, hypertension, and diabetes were the risk factors in the univariate logistic regression model.Conclusion: Carotid stenosis is prevalent in CABG candidates. It seems that age ≥55 years and left main coronary disease are the independent risk factors for carotid stenosis in CABG patients.http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14095.pdf&manuscript_id=14095UltrasonographyCarotid ArteriesCoronary Artery Bypass |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Sirous Darabian Maryam Sotoudeh Anvari Seyed Hesameddin Abbasi Mohammad Ali Boroumand Maryam Soleymanzadeh Madjid Shakiba Shapour Shirani Maryam Esfandbod |
spellingShingle |
Sirous Darabian Maryam Sotoudeh Anvari Seyed Hesameddin Abbasi Mohammad Ali Boroumand Maryam Soleymanzadeh Madjid Shakiba Shapour Shirani Maryam Esfandbod Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass Surgery Journal of Tehran University Heart Center Ultrasonography Carotid Arteries Coronary Artery Bypass |
author_facet |
Sirous Darabian Maryam Sotoudeh Anvari Seyed Hesameddin Abbasi Mohammad Ali Boroumand Maryam Soleymanzadeh Madjid Shakiba Shapour Shirani Maryam Esfandbod |
author_sort |
Sirous Darabian |
title |
Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass Surgery |
title_short |
Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass Surgery |
title_full |
Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass Surgery |
title_fullStr |
Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass Surgery |
title_full_unstemmed |
Ultrasonographic Screening of the Carotid Artery in Coronary Artery Bypass Surgery |
title_sort |
ultrasonographic screening of the carotid artery in coronary artery bypass surgery |
publisher |
Tehran University of Medical Sciences |
series |
Journal of Tehran University Heart Center |
issn |
1735-8620 |
publishDate |
2009-09-01 |
description |
Background: The incidence of stroke after coronary artery bypass grafting (CABG) is between 0.9% and 6.7%, which significantly increases in-hospital and out-hospital costs. This study was designed to evaluate the prevalence of significant carotid stenosis and its risk factors in CABG.Methods: In total, 2044 consecutive patients undergoing elective CABG were investigated through a pre-operative duplex scanning of the carotid arteries. The relation of age, sex, smoking, hypertension, diabetes, dyslipidemia, and coronary disease with carotid stenosis was evaluated.Results: The prevalence of carotid stenosis was 7.6%. The multivariate analysis showed that age over 55 and left main coronary disease were significant independent risk factors for carotid stenosis. Female gender, smoking, hypertension, and diabetes were the risk factors in the univariate logistic regression model.Conclusion: Carotid stenosis is prevalent in CABG candidates. It seems that age ≥55 years and left main coronary disease are the independent risk factors for carotid stenosis in CABG patients. |
topic |
Ultrasonography Carotid Arteries Coronary Artery Bypass |
url |
http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14095.pdf&manuscript_id=14095 |
work_keys_str_mv |
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