PMID- 26750678
OWN - NLM
STAT- MEDLINE
DCOM- 20161010
LR  - 20181113
IS  - 0974-5181 (Electronic)
IS  - 0971-9784 (Print)
IS  - 0971-9784 (Linking)
VI  - 19
IP  - 1
DP  - 2016 Jan-Mar
TI  - Prevalence of carotid artery stenosis in neurologically asymptomatic patients 
      undergoing coronary artery bypass grafting for coronary artery disease: Role of 
      anesthesiologist in preoperative assessment and intraoperative management.
PG  - 76-83
LID - 10.4103/0971-9784.173024 [doi]
AB  - OBJECTIVE(S): This study aimed to determine the prevalence of carotid artery 
      stenosis (CAS) due to atherosclerosis in neurologically asymptomatic patients 
      undergoing coronary artery bypass grafting (CABG) for coronary artery disease 
      (CAD). It contemplated a greater role for the cardiac anesthesiologist in the 
      perioperative management of such patients with either previously undiagnosed 
      carotid artery disease or towards re-assessment of severity of CAS. DESIGN: 
      Prospective, observational clinical study. SETTING: Operation room of a cardiac 
      surgery centre of a tertiary teaching hospital. PARTICIPANTS: A hundred adult 
      patients with New York Heart Association (NYHA) classification I to III 
      presenting electively for CABG. INTERVENTIONS: All patients included in this 
      study were subjected to ultrasonic examination by means of acarotid doppler scan 
      to access for presence of CAS just prior to induction of general anesthesia. 
      MEASUREMENTS AND MAIN RESULTS: Based on parameters measured using carotid 
      doppler, the presence of CAS was defined using standard criteria. The prevalence 
      of CAS was found to be as high as 38% amongst the patients included in our study. 
      The risk factors for CAS were identified to be advanced age, history of smoking, 
      diabetes mellitus, dyslipidaemia and presence of a carotid bruit. CONCLUSION: 
      This study points towards the relatively wide prevalence of carotid artery 
      disease in neurologically asymptomatic patients undergoing CABG for CAD in the 
      elective setting. It highlights the need to routinely incorporate carotid 
      ultrasonography in the armamentarium of the cardiac anesthesiologist as standard 
      of care for all patients presenting for CABG.
FAU - Taneja, Sameer
AU  - Taneja S
AD  - Department of Cardiac Anesthesiology, All India Institute of Medial Sciences, New 
      Delhi, India.
FAU - Chauhan, Sandeep
AU  - Chauhan S
FAU - Kapoor, Poonam Malhotra
AU  - Kapoor PM
FAU - Jagia, Priya
AU  - Jagia P
FAU - Bisoi, A K
AU  - Bisoi AK
LA  - eng
PT  - Journal Article
PT  - Observational Study
PT  - Research Support, Non-U.S. Gov't
PL  - India
TA  - Ann Card Anaesth
JT  - Annals of cardiac anaesthesia
JID - 9815987
SB  - IM
MH  - Age Factors
MH  - Aged
MH  - Anesthesia, General
MH  - Carotid Stenosis/*diagnosis/diagnostic imaging/*epidemiology
MH  - *Coronary Artery Bypass
MH  - Coronary Artery Disease/*complications/*surgery
MH  - Diabetes Complications/epidemiology
MH  - Dyslipidemias/epidemiology
MH  - Female
MH  - Humans
MH  - Intraoperative Care/methods
MH  - Male
MH  - Middle Aged
MH  - Physician's Role
MH  - Physicians
MH  - Prevalence
MH  - Prospective Studies
MH  - Risk Factors
MH  - Smoking/adverse effects
MH  - Ultrasonography
PMC - PMC4900376
EDAT- 2016/01/12 06:00
MHDA- 2016/10/11 06:00
PMCR- 2016/01/01
CRDT- 2016/01/12 06:00
PHST- 2016/01/12 06:00 [entrez]
PHST- 2016/01/12 06:00 [pubmed]
PHST- 2016/10/11 06:00 [medline]
PHST- 2016/01/01 00:00 [pmc-release]
AID - AnnCardAnaesth_2016_19_1_76_173024 [pii]
AID - ACA-19-76 [pii]
AID - 10.4103/0971-9784.173024 [doi]
PST - ppublish
SO  - Ann Card Anaesth. 2016 Jan-Mar;19(1):76-83. doi: 10.4103/0971-9784.173024.