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
- 발행연도
- 2015.1
- 수록면
- 364 - 371 (8page)
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초록· 키워드
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Background and Purpose Te beneft of carotid endarterectomy (CEA) is directly infuenced by the risk of perioperative adverse outcomes. However, patient-level risks and predictors including coronary stenosis are rarely evaluated, especially in Asian patients. Te aim of this study was to determine the relationship between the vascular risk factors underlying CEA, including coronary stenosis, and postoperative outcome.
Methods One hundred and ffy-three consecutive CEAs from our hospital records were included in this analysis. All patients underwent coronary computed tomography angiography before CEA. Data were analyzed to determine the vascular outcomes in patients with mild-tomoderate vs. severe coronary stenosis and high vs. standard operative risk, based on the criteria for high operative risk defned in the Stenting and Angioplasty with Protection in Patients at High Risk for Endarterectomy (SAPPHIRE) trial. Te vascular outcome was defned as the occurrence of postoperative (≤30 days) stroke, myocardial infarction (MI), or death.
Results An adverse vascular outcome occurred in 8 of the 153 CEAs, with 6 strokes, 2 MIs, and 3 deaths. The vascular outcome differed significantly between the groups with mild-tomoderate and severe coronary stenosis (p=0.024), but not between the high- and standard-operative-risk groups (stratifed according to operative risk as defned in the SAPPHIRE trial).
Multivariable analysis adjusting for potent predictors revealed that severe coronary stenosis (odds ratio, 6.87; 95% confdence interval, 1.20–39.22) was a signifcant predictor of the early vascular outcome.
Conclusions Severe coronary stenosis was identifed herein as an independent predictor of an adverse early vascular outcome.
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참고문헌 (21)
참고문헌 신청
[학술지(정기간행물
Abbott AL / 2009 / Medical (nonsurgical) intervention alone is now best for prevention of stroke associated with asymptomatic severe carotid stenosis: results of a systematic
Barnett HJ / 1998 / Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collab
Bekelis K / 2013 / A risk factor-based predictive model of outcomes in carotid endarterectomy: the National Surgical Quality Improvement Program 2005-2010 / Stroke 44 : 1085
Brott TG / 2010 / Stenting versus endarterectomy for treatment of carotid-artery stenosis / N Engl J Med 363 : 11 ~ 23
Abbott AL / 2009 / Medical (nonsurgical) intervention alone is now best for prevention of stroke associated with asymptomatic severe carotid stenosis: results of a systematic
Barnett HJ / 1998 / Benefit of carotid endarterectomy in patients with symptomatic moderate or severe stenosis. North American Symptomatic Carotid Endarterectomy Trial Collab
Bekelis K / 2013 / A risk factor-based predictive model of outcomes in carotid endarterectomy: the National Surgical Quality Improvement Program 2005-2010 / Stroke 44 : 1085
Brott TG / 2010 / Stenting versus endarterectomy for treatment of carotid-artery stenosis / N Engl J Med 363 : 11 ~ 23
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