Role of panvascular disease in coronary artery surgery patients

Abstract

Introduction: Current records about the association between peripheral and carotid vascular disease with respect to coronary heart disease are at least 20 years old. For a decade there had been awareness that these records were old but were never updated at national level. Materials and methods: single-center, descriptive and observational registry. Primary endpoint: in-hospital and 30-day mortality; secondary endpoints: rate of peripheral and carotid artery disease in pre-coronary artery surgery patients; postoperative atrial fibrillation rate; readmission rate and mean number of days of hospitalization. Results: Total of 239 pre-surgical coronary patients. Carotid artery disease in any of its severities occurred in 82%. The in-hospital mortality rate was 5.1%, and 2.6% at 30 days. A statistically significant relationship was demonstrated with mortality in terms of having any degree of injury in the external carotid (P: 0.01) and internal carotid (P: 0.045) arteries; except in the bulb (P: 0.1) and common carotid artery (P: 0.27). Conclusions: Carotid artery disease in pre-surgical myocardial revascularization patients increases in-hospital mortality. No associations were found between mortality and readmissions with peripheral arterial disease.