Update in preoperative risk assessment in vascular surgery patients

Preoperative cardiac risk assessment in vascular surgery patients: seeing beyond the perioperative period.

Patients scheduled for non-cardiac vascular surgery are at significant risk of cardiovascular morbidity and mortality due to underlying symptomatic or asymptomatic coronary artery disease (CAD). As was shown by Hertzer et al. in their landmark study in 1984 using coronary angiography in 1000 patients undergoing non-cardiac vascular surgery, 61% of all patients did have at least one significant ...

Preoperative cardiovascular assessment in noncardiac surgery: an update.

Cardiac complications are a major cause of perioperative morbidity and mortality. These are caused by either myocardial ischaemia or acute coronary thrombosis. The preoperative assessment aims to collect information on the extent and the stability of the cardiovascular disease in order to predict the patient's risk for developing perioperative cardiac complications. This assessment allows measu...

Preoperative Evaluation Prior to High-Risk Vascular Surgery

Vascular surgery: an update.

Caring for patients with vascular illnesses has become increasingly more complex and has changed dramatically over the past 10 years, with a widening array of diagnostic and treatment options. Carotid artery stenting has the potential to become a viable alternative to open surgery in high-risk patients with carotid artery disease (i.e., patients older than 80 years and those with previous neck ...

Preoperative assessment of surgical risk in oncogeriatric patients.

Cancer is a prevalent disease in our aging population; however, few oncologists are familiar with caring for oncogeriatric patients. Surgery is presently the treatment of choice for most solid tumors, but it is frequently delivered in a suboptimal way in this patient subsetting. Undertreatment is often justified with the concern of an unsustainable toxicity, while overtreatment can be related t...