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Coronary Artery Revascularization Before Elective Major Vascular Surgery

Department of Vascular Surgery, Ochsner Clinic Foundation, Ochsner Clinic Foundation, 1516 Jefferson Hwy, New Orleans, LA 70121

Samuel R. Money, MD, MBA

Department of Vascular Surgery, Ochsner Clinic Foundation, Ochsner Clinic Foundation, 1516 Jefferson Hwy, New Orleans, LA 70121 smonev{at}ochsner.org

The authors conducted a study of 510 patients at 18 Veterans Affairs medical centers to determine the benefit of coronary artery revascularization before elective major vascular surgery. hndications for operatior. were abdominal aortic aneurysm or arteria occlusive disease of the legs. Patients were randomzed to either revascularization before surgery or no revascular zation before surgery. Percutaneous procedures were performed in 593% and bypass surgery was performed n 41%b. At 30 days after ooeration, 120,,-of the revascularization group and 142 of the no-revascularization grouo had a myocardial in- farction and at 2.7 years after random.zation. 22% in the revascula izatior group and 23% in the no-revascularizat on grouu had d ed. The authors concluded that coronary artery revascularization before elective vascular surgery does not s gn fiantly al e-the ong-term outcome.

Key Words: coronary arter revascularization • abdominal aortic aneurysm • arterial occlusive disease

Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 17, No. 2, 182-1-183 (2005)
DOI: 10.1177/153100350501700230


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