The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgery
Abstract Introduction There is no consensus as to which patients should undergo Non-Contrast Chest Computerized Tomography (NCCCT) and carotid arteries Doppler (CD) prior to cardiac surgery. The objective of this study was to examine whether preoperative imaging modalities provide clinical benefits...
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| Format: | Article |
| Language: | English |
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BMC
2022-07-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-01927-2 |
| _version_ | 1811287123465076736 |
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| author | Ron Nates Mattan Arazi Liza Grosman-Rimon Roy Israel Jacob Gohari Leonid Sternik Erez Kachel |
| author_facet | Ron Nates Mattan Arazi Liza Grosman-Rimon Roy Israel Jacob Gohari Leonid Sternik Erez Kachel |
| author_sort | Ron Nates |
| collection | DOAJ |
| description | Abstract Introduction There is no consensus as to which patients should undergo Non-Contrast Chest Computerized Tomography (NCCCT) and carotid arteries Doppler (CD) prior to cardiac surgery. The objective of this study was to examine whether preoperative imaging modalities provide clinical benefits and a change in surgical strategy. Methods We routinely performed NCCCT and CD in all non-urgent cardiac surgery patients. Major NCCCT/CD findings related to cardiovascular findings (aortic calcification/atherosclerosis, carotid artery plaque/stenosis), or other incidental findings (lung kidney, thyroid, adrenal, gastrointestinal sites etc.) were documented. The results were divided into 3 categories: (A) findings requiring both changes in surgical strategy and post-operative evaluation/treatment; (B) findings requiring changes in surgical strategy, but not requiring a specific post-operative evaluation/treatment; (C) findings not requiring changes in surgical strategy but requiring post-operative evaluation/treatment. Results In this cohort, 93 (18.6%) out of 500 patients had significant cardiac and extra-cardiac findings on NCCCT and/or CD. Among the 93 patients with significant findings, 33.33% (31 patients, 6.2% of all patients) were in group A, 7.5% (7 patients, 1.4% of all patients) were in group B, and 59.14% (55 patients, 11% of all patients) were in group C. Change in surgical strategies included, for example, switching from planned on-pump Coronary Artery Bypass Graft surgery (CABG) to off-pump CABG and performing additional procedures to the originally planned heart surgery. Conclusion Routine preoperative NCCCT and CD evaluation in all non-urgent cardiac surgical patients is an effective measure for uncovering cardiac and extra-cardiac findings prior to surgery. |
| first_indexed | 2024-04-13T03:12:02Z |
| format | Article |
| id | doaj.art-7e56fe6e2cef4d11bf849a134c9541e7 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-13T03:12:02Z |
| publishDate | 2022-07-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-7e56fe6e2cef4d11bf849a134c9541e72022-12-22T03:05:00ZengBMCJournal of Cardiothoracic Surgery1749-80902022-07-011711510.1186/s13019-022-01927-2The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgeryRon Nates0Mattan Arazi1Liza Grosman-Rimon2Roy Israel3Jacob Gohari4Leonid Sternik5Erez Kachel6The Lydia and Carol Kittner, Lea and Benjamin Davidai Division of Cardiovascular Medicine and Surgery, Padeh Poriya Medical CenterThe Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of TechnologyThe Lydia and Carol Kittner, Lea and Benjamin Davidai Division of Cardiovascular Medicine and Surgery, Padeh Poriya Medical CenterThe Lydia and Carol Kittner, Lea and Benjamin Davidai Division of Cardiovascular Medicine and Surgery, Padeh Poriya Medical CenterThe Ruth and Bruce Rappaport Faculty of Medicine, Technion-Israel Institute of TechnologyThe Lydia and Carol Kittner, Lea and Benjamin Davidai Division of Cardiovascular Medicine and Surgery, Padeh Poriya Medical CenterThe Lydia and Carol Kittner, Lea and Benjamin Davidai Division of Cardiovascular Medicine and Surgery, Padeh Poriya Medical CenterAbstract Introduction There is no consensus as to which patients should undergo Non-Contrast Chest Computerized Tomography (NCCCT) and carotid arteries Doppler (CD) prior to cardiac surgery. The objective of this study was to examine whether preoperative imaging modalities provide clinical benefits and a change in surgical strategy. Methods We routinely performed NCCCT and CD in all non-urgent cardiac surgery patients. Major NCCCT/CD findings related to cardiovascular findings (aortic calcification/atherosclerosis, carotid artery plaque/stenosis), or other incidental findings (lung kidney, thyroid, adrenal, gastrointestinal sites etc.) were documented. The results were divided into 3 categories: (A) findings requiring both changes in surgical strategy and post-operative evaluation/treatment; (B) findings requiring changes in surgical strategy, but not requiring a specific post-operative evaluation/treatment; (C) findings not requiring changes in surgical strategy but requiring post-operative evaluation/treatment. Results In this cohort, 93 (18.6%) out of 500 patients had significant cardiac and extra-cardiac findings on NCCCT and/or CD. Among the 93 patients with significant findings, 33.33% (31 patients, 6.2% of all patients) were in group A, 7.5% (7 patients, 1.4% of all patients) were in group B, and 59.14% (55 patients, 11% of all patients) were in group C. Change in surgical strategies included, for example, switching from planned on-pump Coronary Artery Bypass Graft surgery (CABG) to off-pump CABG and performing additional procedures to the originally planned heart surgery. Conclusion Routine preoperative NCCCT and CD evaluation in all non-urgent cardiac surgical patients is an effective measure for uncovering cardiac and extra-cardiac findings prior to surgery.https://doi.org/10.1186/s13019-022-01927-2Preoperative non-contrast chest computerized tomographyPreoperative carotid arteries DopplerCardiac surgeryUnexpected findings |
| spellingShingle | Ron Nates Mattan Arazi Liza Grosman-Rimon Roy Israel Jacob Gohari Leonid Sternik Erez Kachel The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgery Journal of Cardiothoracic Surgery Preoperative non-contrast chest computerized tomography Preoperative carotid arteries Doppler Cardiac surgery Unexpected findings |
| title | The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgery |
| title_full | The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgery |
| title_fullStr | The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgery |
| title_full_unstemmed | The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgery |
| title_short | The routine use of preoperative non-contrast chest computerized tomography and carotid arteries Doppler prior to cardiac surgery |
| title_sort | routine use of preoperative non contrast chest computerized tomography and carotid arteries doppler prior to cardiac surgery |
| topic | Preoperative non-contrast chest computerized tomography Preoperative carotid arteries Doppler Cardiac surgery Unexpected findings |
| url | https://doi.org/10.1186/s13019-022-01927-2 |
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