The Value of Routine Non-Selective Peripheral Vascular Screening and Its Potential Impact on Coronary Bypass Surgery Patients | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 106, Volume 93, Issue 1, October 2023, Pages 7610-7615 PDF (753.99 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2023.327580 | ||
| Abstract | ||
| Background: Coronary artery disease and other peripheral vascular diseases often coexist. Therefore, we sought to determine how frequently routine peripheral vascular screening can influence the surgical decision-making in the patients undergoing coronary artery bypass graft surgery. Additionally, whether the prospective alteration would be valuable or necessary. Objectives: To assess the role of non-selective peripheral vascular screening and its potential impact on coronary bypass surgery patients. Patients and Methods: A retrospective analysis for the patients, who underwent coronary bypass grafting surgery with no prior diagnosis of other vessel diseases, between the years 2021 and 2023. The patients were examined using a routine sonographic vascular screening strategy that included Doppler sonography on both carotids. Additionally, Doppler scans of the lower and upper extremities for both the arterial and venous system were done. Results: 216 patients were conducted for the screening program. 44 patients (20.4%) had their surgical choice changed. The vein harvesting was compromised in 35 patients (16.2%). Carotid intervention was planned for 6 individuals (2.8%) in total. 3 patients (1.4%) had their surgical choice impacted in terms of both the saphenous vein and the carotids. Additionally, 34 patients (15.7%) required additional, specialized investigations. Conclusions: Non-selective regular peripheral vascular screening can have a substantial impact on the surgical decisions and maximize the utility of the patients' hospital stay through noninvasive radiological studies. | ||
| Keywords | ||
| Coronary artery disease; Peripheral artery disease; Carotid; Endarterectomy; Coronary bypass grafting surgery | ||
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