Preoperative Cardiac Assessment before Carotid Surgery: Should Perhaps Things Change?

Galyfos, George; Aggeli, Konstantina; Sigala, Fragiska; Karanikola, Evridiki; Zografos, Georgios; Filis, Konstantinos

doi:10.1016/j.avsg.2015.07.008

Cited by 6 publications

(2 citation statements)

References 28 publications

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“…In contrast, two large randomized sham controlled trials in patients undergoing cardiac surgery did not show any benefit for remote ischemic preconditioning. 4,5 In the light of this and as stated in the conclusion by Er et al, 1 we suggest that further research should be performed. As stated in the literature we do expect several large randomized controlled trials to be published in this field comparing the possible risks of remote ischemic preconditioning with the possible advantages, and then comparing them with other interventions to prevent acute renal failure post-operatively.…”

mentioning

confidence: 51%

Response to Commentary on ‘Remote Ischemic Preconditioning to Reduce Contrast Induced Nephropathy: A Randomized Controlled Trial’

Sigterman

2016

European Journal of Vascular and Endovascular Surgery

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Re. "Contrast Induced Nephropathy and Long-term Renal Decline After Percutaneous Transluminal Angioplasty for Symptomatic Peripheral Arterial Disease" We read with interest the paper by Sigterman et al. about the incidence and consequences of contrast induced nephropathy (CIN) in symptomatic peripheral arterial disease (PAD) patients who were treated by endovascular procedures. 1 To limit the recurrence of CIN, the authors suggest increasing research into potential alternatives that would remove the need for contrast administration. We would like to underscore that remote ischemic preconditioning (RIPC), performed by cycles of alternating 5 minute inflation and 5 minute deflation of a standard upper arm blood pressure cuff before the injection of contrast is an interesting prophylactic method. 2 Indeed, studies have shown that RIPC prevents CIN in patients at high or moderate CIN risk based on Mehran score (12 vs. 40%, p ¼ .002, and 10 vs. 36%, p ¼ .003, respectively). 3,4 In our opinion, future research should also focus on RIPC for the prevention of acute kidney injury and improved PAD patient outcomes as RIPC is a non-invasive, cheap, easy, and safe method.

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mentioning

confidence: 51%

Response to Commentary on ‘Remote Ischemic Preconditioning to Reduce Contrast Induced Nephropathy: A Randomized Controlled Trial’

Sigterman

2016

European Journal of Vascular and Endovascular Surgery

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“…Secondly, pre-operative risk assessment for CEA is another essential issue regarding cardiac damage prediction and early management. As shown recently, 5 the commonly recommended clinical risk indices perform poorly in predicting cardiac risk for vascular surgery patients. Moreover, myocardial ischemia post-CEA seems to occur irrespective of cardiac risk stratification.…”

Section: Re: 'Clinical Relevance Of Cardiac Troponin Assessment In Pamentioning

confidence: 95%

Re: ‘Clinical Relevance of Cardiac Troponin Assessment in Patients Undergoing Carotid Endarterectomy’

Filis

Vavuranakis

Galyfos

2016

European Journal of Vascular and Endovascular Surgery

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Cardiac Troponin I Increase and Intensified Medical Treatment After Vascular Surgery: Is There Really a Relation?

Filis¹,

Galyfos²

2017

The American Journal of Cardiology

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Preoperative Cardiac Assessment before Carotid Surgery: Should Perhaps Things Change?

Cited by 6 publications

References 28 publications

Response to Commentary on ‘Remote Ischemic Preconditioning to Reduce Contrast Induced Nephropathy: A Randomized Controlled Trial’

Response to Commentary on ‘Remote Ischemic Preconditioning to Reduce Contrast Induced Nephropathy: A Randomized Controlled Trial’

Re: ‘Clinical Relevance of Cardiac Troponin Assessment in Patients Undergoing Carotid Endarterectomy’

Cardiac Troponin I Increase and Intensified Medical Treatment After Vascular Surgery: Is There Really a Relation?

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