Asymptomatic carotid artery disease in valvular heart surgery: Impact of systematic screening on surgical strategy and neurological outcome

Amedeo Anselmi, Mario Gaudino, Nicola Risalvato, Giuseppe Lauria, Franco Glieca

Research output: Contribution to journalArticle

Abstract

We evaluated the prevalence of asymptomatic carotid artery disease in patients scheduled for valvular cardiac surgery. Preoperative screening of the carotid arteries was performed. Among 1012 patients scheduled for valvular cardiac surgery, 267 (26.4%) had carotid stenosis graded >50%; 37 had carotid stenosis >70% and underwent combined valvular surgery and carotid endarterectomy (CEA); and 230 (86%) had carotid stenosis >50% to ≥69% and received valvular cardiac surgery under hypothermic cardiopulmonary bypass. Operative mortality and the rate of perioperative adverse neurological events were comparable among the groups. During 6.8 years of follow-up, patients with carotid stenosis not exceeding 69% at the time of surgery had CEA more frequently (P

Original languageEnglish
Pages (from-to)171-177
Number of pages7
JournalAngiology
Volume63
Issue number3
DOIs
Publication statusPublished - Apr 2012

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Keywords

  • carotid artery stenosis
  • heart valve
  • outcomes

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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