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CARP NEJM 2004 (Coronary Artery Revascularization Prophylaxis)
Prophylactic revascularisation of male patients with stable coronary artery-disease prior to AAA repair or surgery for lower limb arterial occlusive disease does not reduce short or long term mortality.
dx.doi.org/10.1056/NEJMoa...
Prophylactic revascularisation of male patients with stable coronary artery-disease prior to AAA repair or surgery for lower limb arterial occlusive disease does not reduce short or long term mortality.
dx.doi.org/10.1056/NEJMoa...
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Coronary artery revascularisation in patients at high risk of perioperative cardiac complications before vascular surgery will improve long term mortality.
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Patients undergoing elective AAA repair or operation for lower limb arterial occlusive disease.
Coronary angio if cardiologist considers high risk for periop cardiac complications.
Included if >1 artery >70% stenosed.
Randomised to revasc or not revasc.
Coronary angio if cardiologist considers high risk for periop cardiac complications.
Included if >1 artery >70% stenosed.
Randomised to revasc or not revasc.
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Jan 24, 2013
510 pts randomised (98% male). No difference in primary outcome of long term mortality or secondary outcomes 30 day
mortality, MI, stroke, limb loss, or dialysis.
mortality, MI, stroke, limb loss, or dialysis.
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-- Summary --
Prophylactic revascularisation of male patients with stable coronary artery disease prior to AAA repair or surgery for lower limb arterial occlusive disease does not reduce short or long term mortality.
-- Hypothesis --
Coronary artery revascularisation in patients at high risk of perioperative cardiac complications before vascular surgery will improve long term mortality.
-- Method --
Patients undergoing elective AAA repair or operation for lower limb arterial occlusive disease.
Coronary angio if cardiologist considers high risk for periop cardiac complications. Included if >1 artery >70% stenosed. Randomised to revasc or not revasc.
-- Results --
510 pts randomised (98% male). No difference in primary outcome of long term mortality or secondary outcomes 30 day
mortality, MI, stroke, limb loss, or dialysis.
-- Critique --
98% men
10 of revasc group (vs 1 in control grp) who received "uncomplicated" revasc died before operation ?why
Those with coronary stents taken off antiplatelets, so maybe higher mortality in this group because of this.
Prophylactic revascularisation of male patients with stable coronary artery disease prior to AAA repair or surgery for lower limb arterial occlusive disease does not reduce short or long term mortality.
-- Hypothesis --
Coronary artery revascularisation in patients at high risk of perioperative cardiac complications before vascular surgery will improve long term mortality.
-- Method --
Patients undergoing elective AAA repair or operation for lower limb arterial occlusive disease.
Coronary angio if cardiologist considers high risk for periop cardiac complications. Included if >1 artery >70% stenosed. Randomised to revasc or not revasc.
-- Results --
510 pts randomised (98% male). No difference in primary outcome of long term mortality or secondary outcomes 30 day
mortality, MI, stroke, limb loss, or dialysis.
-- Critique --
98% men
10 of revasc group (vs 1 in control grp) who received "uncomplicated" revasc died before operation ?why
Those with coronary stents taken off antiplatelets, so maybe higher mortality in this group because of this.
Improve to correct grammar or spelling, but do not significantly alter the substance of the original author's text.
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Dec 24, 2012