2022, Number 3
Carotid atherosclerotic lesion in patients with coronary surgery
Language: Spanish
References: 13
Page: 1-13
PDF size: 254.74 Kb.
ABSTRACT
Introduction: Ischemic cardiovascular diseases are the leading cause of death in the developed world or in the process of becoming so, above oncological ones, traffic accidents and vascular-cerebral diseases. The early diagnosis of a coronary lesion allows to achieve the prevention of acute ischemic attack, and to perform the appropriate revascularization treatment with surgical risk assessment, which allows to obtain acceptable morbidity and mortality figures.Objective: To describe the ultrasonographic characteristics of carotid arteries as a risk of stroke in patients with myocardial revascularization.
Methods: An observational, descriptive and longitudinal study was conducted in 208 coronary sector´s revascularized patients, with pre-surgical ultrasonographic study of the carotid arteries as a predictive method of ischemic cerebral vascular disease.
Results: In 20 patients there were brain symptoms that were classified into minor and major. There was a predominance of minors and, among them, of agitation. The primary risk factors were evaluated and the degree of irregularity was highlighted in the characteristics of the atherosclerotic plaques.
Conclusions: The ultrasonographic study of the carotid arterial tree should be an essential part of the predictive study of the patient who is undergoing coronary revascularization.
REFERENCES
Shishehbor MH, Venkatachalam S, Sun Zh, Rajeswaran J, Kapadia SR, Bajzer Ch, et al. A direct comparison of early and late outcomes with three approaches to carotid revascularization and open heart surgery. Journal of the American College of Cardiology. 2013 Nov 19;62(21):1948-56. DOI: https://doi.org/10.1016/j.jacc.2013.03.0942.
Illuminati G, Schneider F, Greco C, Mangieri E, Schiariti M, Tanzilli G, et al. Long-term Results of a Randomized Controlled Trial Analyzing the Role of Systematic Pre-operative Coronary Angiography before Elective Carotid Endarterectomy in Patients with Asymptomatic Coronary Artery Disease. Eur J Vasc Endovasc Surg. 2015 Feb 18. DOI: https://doi.org/10.1016/j.ejvs.2014.12.0306.
Kleindorfer DO, Towfighi A, Chaturvedi S, Cockroft KM, Gutierrez J, Lombardi-Hill D, et al. Guideline for the Prevention of Stroke in Patients with Stroke and Transient Ischemic Attack: A Guideline From the American Heart Association/American Stroke Association. Stroke. 2021 Jul;52(7):e364- e467. DOI: https://doi.org/10.1161/STR.00000000000003757.
Sandset EC, Anderson CS, Bath PM, Christensen H, Fischer U, Gasecki D, et al. European Stroke Organisation (ESO) guidelines on blood pressure management in acute ischaemic stroke and intracerebral haemorrhage. European Stroke Journal. 2021;6(2):X48-L89. DOI: https://doi.org/10.1177/239698732110121338.
Falconi M, Barisani JL, Levín R, Sampó E, Vidal L, Amuchástegui LM, et al. Consenso de evaluación del riesgo cardiovascular en cirugía no cardíaca. Rev. argent. cardiol. 2005 Oct [acceso 29/08/2022];73(5):381-96. Disponible en: http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S1850-37482005000500014&lng=es9.
López Ibarra FCC, Brítez R, Zayas L, Ríos B, Segovia B, Sánchez V. Valor predictivo pre quirúrgico del Euro SCORE I, Euro SCORE II y STS score en pacientes sometidos a cirugía cardíaca: informe preliminar. Revista Nacional (Itauguá). 2021;13(2). DOI: https://doi.org/10.1800/rdn2021.dic.02.005.01712.