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Information Journal Paper

Title

SCREENING OF CAROTID ARTERY STENOSIS IN CORONARY ARTERY BYPASS GRAFTING PATIENTS

Pages

  25-28

Abstract

 Background: We sought to evaluate the routine echo-Doppler screening of carotid artery stenosis in patients undergoing coronary artery bypass grafting.Methods: A total of 2179 consecutive patients who underwent coronary artery bypass grafting alone or with other cardiac surgery at Tehran Heart Center, Tehran-Iran, between January 2005 and January 2006 were included in this retrospective study. Carotid DOPPLER was performed for 1604 (81.48%) of these patients.Results: The patients’ age ranged between 20 and 84 years (mean: 58.33, SD: 10.08 years). Of the 1604 patients studied, 1186 (73.9%) were men, 592 (36.9%) had diabetes, 598 (37.3%) were smokers, and 194 (12.1%) cases had significant left main stenosis. Twenty-one (1.3%) patients had significant CAROTID STENOSIS (> 60% stenosis), which constituted 0.9% of all the bypass surgery candidates. Post-operative cerebrovascular accident was not detected in any of the patients with significant CAROTID STENOSIS, but cerebrovascular accident occurred in 22 (1.4%) of the patients without CAROTID STENOSIS. Magnetic resonance angiography (MRA) was conducted in 15 patients. In our univariate analysis, female gender (p value = 0.023), hypertension (p value = 0.055), peripheral vascular disease (p value < 0.001), and age (p value = 0.001) were significant in the development of CAROTID STENOSIS.Conclusion: Pre-operative duplex carotid screening seems to be necessary in patients when there is hypertension, peripheral vascular disease, female gender, and advanced age.

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    Cite

    APA: Copy

    SALEHI OMRAN, A., SHIRANI, SH., KARIMI, ABAS ALI, AHMADI, HOSSEIN, MARZBAN, M., MOVAHEDI, N., MOSHTAGHI, NAGHMEH, & ABBASI, SEYED HESAM ALDIN. (2010). SCREENING OF CAROTID ARTERY STENOSIS IN CORONARY ARTERY BYPASS GRAFTING PATIENTS. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, 5(1), 25-28. SID. https://sid.ir/paper/301931/en

    Vancouver: Copy

    SALEHI OMRAN A., SHIRANI SH., KARIMI ABAS ALI, AHMADI HOSSEIN, MARZBAN M., MOVAHEDI N., MOSHTAGHI NAGHMEH, ABBASI SEYED HESAM ALDIN. SCREENING OF CAROTID ARTERY STENOSIS IN CORONARY ARTERY BYPASS GRAFTING PATIENTS. THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER[Internet]. 2010;5(1):25-28. Available from: https://sid.ir/paper/301931/en

    IEEE: Copy

    A. SALEHI OMRAN, SH. SHIRANI, ABAS ALI KARIMI, HOSSEIN AHMADI, M. MARZBAN, N. MOVAHEDI, NAGHMEH MOSHTAGHI, and SEYED HESAM ALDIN ABBASI, “SCREENING OF CAROTID ARTERY STENOSIS IN CORONARY ARTERY BYPASS GRAFTING PATIENTS,” THE JOURNAL OF TEHRAN UNIVERSITY HEART CENTER, vol. 5, no. 1, pp. 25–28, 2010, [Online]. Available: https://sid.ir/paper/301931/en

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