지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 저널정보
- 대한외과학회 Annals of Surgical Treatment and Research Journal of the Korean Surgical Society Vol.84 No.3
- 발행연도
- 2013.3
- 수록면
- 178 - 184 (7page)
이용수
초록· 키워드
오류제보하기
Purpose: To identify the risk factors of major adverse cardiac event (MACE) in patients with chronic atherosclerotic lower extremity ischemia (CALEI) undergoing revascularization without noninvasive stress testing (NIST). Methods: From January 2007 to January 2012, patients with CALEI who underwent revascularization were retrospectively reviewed. Emergent operations, revision procedures for previous surgery, or patients with active cardiac conditions were excluded. NIST was not performed for patients without active cardiac conditions. Cardiac risk was categorized into low, intermediate and high risk, according to the Lee’s revised cardiac risk index. MACE was defined as acute myocardial infarction or any cardiac death within 30 days after surgery. Results: A total of 459 patients underwent elective lower extremity revascularization procedures (240 open surgeries, 128 endovascular procedures, and 91 hybrid surgeries). The treated lesions comprised of 18% aorto-iliac, 58% infrainguinal, and 24% combined lesions. With regard to cardiac risk, low-, intermediate- and high risks were 67%, 32% and 2%, respectively. MACE was developed in 7 patients (2%). High or intermediate risk group by the Lee’s index was related to postoperative MACE. Subgroup analysis for open surgery or hybrid surgery group identified female gender as an independent risk factor of MACE (P = 0.049; odds ratio, 5.168; confidence interval, 1.011 to 26.423). Conclusion: The Lee’s index was a useful predictor of MACE. MACE is more common in female patients than male patients after open or hybrid surgery. Routine preoperative NIST is not suggested for all patients undergoing revascularization for CALEI, especially for those in the low risk group.
목차
INTRODUCTION
METHODS
RESULTS
DISCUSSION
REFERENCES
참고문헌 (14)
참고문헌 신청
1. [학술지(정기간행물)] - L'Italien GJ / 1995 / Comparative early and late cardiac morbidity among patients requiring different vascular surgery procedures / J Vasc Surg 21 : 935 ~ 944
2. [학술지(정기간행물)] - Fleisher LA / 2007 / ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) developed in collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery / J Am Coll Cardiol 50 : 1707 ~ 1732
3. [학술지(정기간행물)] - Lee TH / 1999 / Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery / Circulation 100 : 1043 ~ 1049
4. [학술지(정기간행물)] - Campeau L / 1976 / Letter: grading of angina pectoris / Circulation 54 : 522 ~ 523
5. [학술지(정기간행물)] - Hirsch AT / 2001 / Peripheral arterial disease detection, awareness, and treatment in primary care / JAMA 286 : 1317 ~ 1324
2. [학술지(정기간행물)] - Fleisher LA / 2007 / ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 2002 Guidelines on Perioperative Cardiovascular Evaluation for Noncardiac Surgery) developed in collaboration with the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery / J Am Coll Cardiol 50 : 1707 ~ 1732
3. [학술지(정기간행물)] - Lee TH / 1999 / Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery / Circulation 100 : 1043 ~ 1049
4. [학술지(정기간행물)] - Campeau L / 1976 / Letter: grading of angina pectoris / Circulation 54 : 522 ~ 523
5. [학술지(정기간행물)] - Hirsch AT / 2001 / Peripheral arterial disease detection, awareness, and treatment in primary care / JAMA 286 : 1317 ~ 1324
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UCI(KEPA) : I410-ECN-0101-2014-510-003019670