The international surgical journal with global reach

This is the Scientific Surgery Archive, which contains all randomized clinical trials in surgery that have been identified by searching the top 50 English language medical journal issues since January 1998. Compiled by Jonothan J. Earnshaw, former Editor-in-Chief, BJS

Long term results from a randomized controlled trial analyzing the role of systematic preoperative coronary angiography before elective carotid endarterectomy in patients with asymptomatic coronary artery disease. Eur J Vasc Endovasc Surg 2015; 49: 366-374.

Published: 27th August 2015

Authors: Illuminati G, Schneider F, Greco C, Mangieri E, Schiariti M, Tanzilli G et al. et al.

Conclusion

Some 426 patients were randomized; 68 (31.5 per cent) of those who had coronary angiography had a coronary stenosis, 66 underwent angioplasty and two had coronary bypass grafting with their endarterectomy. Survival rates at six years were 95.6 per cent in the treatment and 89.7 per cent in the control group (P=0.01), due to fewer myocardial infarctions (1.4 versus 15.7 per cent, P<0.001). 

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