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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Main Authors: Sirous Darabian, Maryam Sotoudeh Anvari, Seyed Hesameddin Abbasi, Mohammad Ali Boroumand, Maryam Soleymanzadeh, Madjid Shakiba, Shapour Shirani, Maryam Esfandbod
Format: Article
Language:English
Published: Tehran University of Medical Sciences 2009-09-01
Series:Journal of Tehran University Heart Center
Subjects:
Online Access:http://journals.tums.ac.ir/PdfMed.aspx?pdf_med=/upload_files/pdf/14095.pdf&manuscript_id=14095
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spelling 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
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AT mohammadaliboroumand ultrasonographicscreeningofthecarotidarteryincoronaryarterybypasssurgery
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AT maryamesfandbod ultrasonographicscreeningofthecarotidarteryincoronaryarterybypasssurgery
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