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  11. [preventive Myocardial Revascularization Prior To Abdominal Aortic Repair In Patients Without Cardiac Symptoms: Long-term Results].
  1. Home
  3. Research Domains
  5. Biomedical And Clinical Sciences
  7. Oncology And Carcinogenesis
  9. Predictive And Prognostic Markers
  11. [preventive Myocardial Revascularization Prior To Abdominal Aortic Repair In Patients Without Cardiac Symptoms: Long-term Results].

Related Experiment Video

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
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Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

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[Preventive myocardial revascularization prior to abdominal aortic repair in patients without cardiac symptoms: long-term results].

A V Chupin1,2, A V Abrosimov1, A F Kharazov1,3

  • 1Russian Medical Academy of Continuous Professional Education, Moscow, Russia.

Khirurgiia
|May 24, 2024

View abstract on PubMed

Summary
This summary is machine-generated.

Preoperative coronary screening and revascularization did not improve outcomes for abdominal aortic aneurysm surgery patients without known heart disease. Further follow-up is needed to determine long-term cardiac event differences.

Keywords:
abdominal aortic aneurysmcardiac riskscoronary angiographycoronary artery disease

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A New Murine Model of Endovascular Aortic Aneurysm Repair
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A New Murine Model of Endovascular Aortic Aneurysm Repair

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Related Experiment Videos

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Area of Science:

  • Cardiovascular Surgery
  • Vascular Surgery
  • Interventional Cardiology

Background:

  • Open surgery for abdominal aortic aneurysms (AAA) carries significant cardiovascular risks.
  • The role of routine invasive coronary screening and preventive myocardial revascularization in asymptomatic patients undergoing AAA repair remains unclear.
  • Optimizing perioperative cardiac management is crucial for improving patient outcomes.

Purpose of the Study:

  • To evaluate the long-term impact of preoperative invasive coronary screening and preventive myocardial revascularization on mortality and cardiac complications in patients undergoing open AAA repair.
  • To compare outcomes between patients who underwent routine coronary angiography and those who did not.

Main Methods:

  • A retrospective study comparing long-term outcomes of open AAA repair between 2011 and 2022.
coronary artery stenosis
  • Group 1: Patients (n=45) underwent routine coronary angiography, with 12 receiving prophylactic myocardial revascularization.
  • Group 2: Patients (n=48) underwent repair without invasive coronary screening.

    • Main Results:

    • Median follow-up was 32 months (Group 1) and 79 months (Group 2).
    • Overall 48-month survival rates were 87.3% (Group 1) and 82.1% (Group 2), with no significant difference (p=0.278).
    • Cardiac complications (angina, myocardial infarction) showed no statistically significant difference between groups (p=0.165), though a trend towards more coronary artery disease was noted in the non-screening group.

    Conclusions:

    • Invasive coronary screening and preventive revascularization did not improve 4-year outcomes in asymptomatic patients undergoing open AAA repair.
    • Longer follow-up may be necessary to detect potential differences in cardiac events.
    • A tendency towards increased coronary artery disease necessitates continued cardiac monitoring for these patients.