Preoperative Evaluation of the Vascular Surgery Patient


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        • Feringa H.H.
        • Karagiannis S.E.
        • Vidakovic R.
        • et al.
        The prevalence and prognosis of unrecognized myocardial infarction and silent myocardial ischemia in patients undergoing major vascular surgery.
        Coron Artery Dis. 2007; 18: 571-576
        • Schwarze M.L.
        • Shen Y.
        • Hemmerich J.
        • et al.
        Age-related trends in utilization and outcome of open and endovascular repair for abdominal aortic aneurysm in the United States, 2001-2006.
        J Vasc Surg. 2009; 50: 722-729.e2
        • Fleisher L.A.
        • Beckman J.A.
        • Brown K.A.
        • et al.
        ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery: executive summary: a report of the American College of Cardiology/American Heart Association task force on practice guidelines (Writing Committee to revise the 2002 guidelines on perioperative cardiovascular evaluation for noncardiac surgery) developed in Collaboration With the American Society of Echocardiography, American Society of Nuclear Cardiology, Heart Rhythm Society, Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, Society for Vascular Medicine and Biology, and Society for Vascular Surgery.
        J Am Coll Cardiol. 2007; 50: 1707-1732
        • Grines C.L.
        • Bonow R.O.
        • Casey D.E.
        • et al.
        Prevention of premature discontinuation of dual antiplatelet therapy in patients with coronary artery stents: a science advisory from the American Heart Association, American College of Cardiology, Society for Cardiovascular Angiography and Interventions, American College of Surgeons, and American Dental Association, with representation from the American College of Physicians.
        J Am Coll Cardiol. 2007; 49: 734-739
        • Hawn M.T.
        • Graham L.A.
        • Richman J.S.
        • et al.
        Risk of major adverse cardiac events following noncardiac surgery in patients with coronary stents.
        JAMA. 2013; 310: 1462-1472
        • Clerico A.
        • Emdin M.
        • Passino C.
        Cardiac biomarkers and risk assessment in patients undergoing major non-cardiac surgery: time to revise the guidelines?.
        Clin Chem Lab Med. 2014; 52: 959-963
        • Causey M.W.
        • Mcvay D.P.
        • Oguntoye M.
        • et al.
        Application of preoperative brain natriuretic peptide levels in clinical practice.
        Vascular. 2013; 21: 225-231
        • Biccard B.M.
        • Naidoo P.
        • De vasconcellos K.
        What is the best pre-operative risk stratification tool for major adverse cardiac events following elective vascular surgery? A prospective observational cohort study evaluating pre-operative myocardial ischaemia monitoring and biomarker analysis.
        Anaesthesia. 2012; 67: 389-395
        • Fleisher L.A.
        • Beckman J.A.
        • Brown K.A.
        • et al.
        2009 ACCF/AHA focused update on perioperative beta blockade incorporated into the ACC/AHA 2007 guidelines on perioperative cardiovascular evaluation and care for noncardiac surgery.
        J Am Coll Cardiol. 2009; 54: e13-e118
        • White C.M.
        • Talati R.
        • Phung O.J.
        • et al.
        Benefits and risks associated with beta-blocker prophylaxis in noncardiac surgery.
        Am J Health Syst Pharm. 2010; 67: 523-530
        • Devereaux P.J.
        • Yang H.
        • Yusuf S.
        • et al.
        Effects of extended-release metoprolol succinate in patients undergoing non-cardiac surgery (POISE trial): a randomized controlled trial.
        Lancet. 2008; 371: 1839-1847
        • Foex P.
        • Sear J.W.
        II. β-Blockers and cardiac protection: 5 yr on from POISE.
        Br J Anaesth. 2014; 112: 206-210
        • Heidbuchel H.
        • Verhamme P.
        • Alings M.
        • et al.
        EHRA practical guide on the use of new oral anticoagulants in patients with non-valvular atrial fibrillation: executive summary.
        Eur Heart J. 2013; 34: 2094-2106
        • Spyropoulos A.C.
        • Douketis J.D.
        How I treat anticoagulated patients undergoing an elective procedure or surgery.
        Blood. 2012; 120: 2954-2962
        • Nitzki-george D.
        • Wozniak I.
        • Caprini J.A.
        Current state of knowledge on oral anticoagulant reversal using procoagulant factors.
        Ann Pharmacother. 2013; 47: 841-855
        • Harrison R.W.
        • Ortel T.L.
        • Becker R.C.
        To bridge or not to bridge: these are the questions.
        J Thromb Thrombolysis. 2012; 34: 31-35
        • Benzon H.T.
        • Avram M.J.
        • Green D.
        • et al.
        New oral anticoagulants and regional anaesthesia.
        Br J Anaesth. 2013; 111: i96-i113
        • Schouten O.
        • Boersma E.
        • Hoeks S.E.
        • et al.
        Fluvastatin and perioperative events in patients undergoing vascular surgery.
        N Engl J Med. 2009; 361: 980-989
        • Feldman L.S.
        • Brotman D.J.
        Perioperative statins: more than lipid-lowering?.
        Cleve Clin J Med. 2008; 75: 654-662
        • Le Manach Y.
        • Ibanez Esteves C.
        • Bertrand M.
        • et al.
        Impact of preoperative statin therapy on adverse postoperative outcomes in patients undergoing vascular surgery.
        Anesthesiology. 2011; 114: 98-104
        • Moulakakis K.G.
        • Matoussevitch V.
        • Borgonio A.
        • et al.
        Evidence that statins protect renal function during endovascular repair of AAAs.
        Eur J Vasc Endovasc Surg. 2010; 40: 608-615
        • Paraskevas K.I.
        • Mikhailidis D.P.
        • Veith F.J.
        Optimal statin type and dosage for vascular patients.
        J Vasc Surg. 2011; 53: 837-844
        • Durazzo A.E.
        • Machado F.S.
        • Ikeoka D.T.
        • et al.
        Reduction in cardiovascular events after vascular surgery with atorvastatin: a randomized trial.
        J Vasc Surg. 2004; 39: 967-975
        • Paraskevas K.I.
        • Veith F.J.
        • Liapis C.D.
        • et al.
        Perioperative/periprocedural effects of statin treatment for patients undergoing vascular surgery or endovascular procedures: an update.
        Curr Vasc Pharmacol. 2013; 11: 112-120
        • Young E.L.
        • Karthikesalingam A.
        • Huddart S.
        • et al.
        A systematic review of the role of cardiopulmonary exercise testing in vascular surgery.
        Eur J Vasc Endovasc Surg. 2012; 44: 64-71
        • Apfelbaum J.L.
        • Connis R.T.
        • Nickinovich D.G.
        • et al.
        Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists task force on preanesthesia evaluation.
        Anesthesiology. 2012; 116: 522-538
        • Bernstein W.K.
        Pulmonary function testing.
        Curr Opin Anaesthesiol. 2012; 25: 11-16
        • Kraiss L.W.
        • Johansen K.
        Pharmacologic intervention to prevent graft failure.
        Surg Clin North Am. 1995; 75: 761-772
        • Wong J.
        • Lam D.P.
        • Abrishami A.
        • et al.
        Short-term preoperative smoking cessation and postoperative complications: a systematic review and meta-analysis.
        Can J Anaesth. 2012; 59: 268-279
        • Young T.
        • Peppard P.E.
        • Gottlieb D.J.
        Epidemiology of obstructive sleep apnea: a population health perspective.
        Am J Respir Crit Care Med. 2002; 165: 1217-1239
        • Seet E.
        • Chung F.
        Obstructive sleep apnea: preoperative assessment.
        Anesthesiol Clin. 2010; 28: 199-215
        • Gross J.B.
        • Bachenberg K.L.
        • Benumof J.L.
        • et al.
        Practice guidelines for the perioperative management of patients with obstructive sleep apnea: a report by the American Society of Anesthesiologists task force on perioperative management of patients with obstructive sleep apnea.
        Anesthesiology. 2006; 104: 1081-1093
        • Mcfalls E.O.
        • Ward H.B.
        • Moritz T.E.
        • et al.
        Clinical factors associated with long-term mortality following vascular surgery: outcomes from the Coronary Artery Revascularization Prophylaxis (CARP) Trial.
        J Vasc Surg. 2007; 46: 694-700
        • Barrett B.
        • Parfrey P.
        Preventing nephropathy induced by contrast medium.
        N Engl J Med. 2006; 354: 379-386
        • Rudnick M.
        • Goldfarb S.
        • Tumlin J.
        Contrast-induced nephropathy: is the picture any clearer?.
        Clin J Am Soc Nephrol. 2008; 3: 261-262
        • Lipshutz A.K.
        • Gropper M.A.
        Perioperative glycemic control: an evidence-based review.
        Anesthesiology. 2009; 110: 408-421
        • Wexler D.J.
        • Nathan D.M.
        • Grant R.W.
        • et al.
        Prevalence of elevated hemoglobin A1c among patients admitted to the hospital without a diagnosis of diabetes.
        J Clin Endocrinol Metab. 2008; 93: 4238-4244
        • Gupta P.K.
        • Sundaram A.
        • Mactaggart J.N.
        • et al.
        Preoperative anemia is an independent predictor of postoperative mortality and adverse cardiac events in elderly patients undergoing elective vascular operations.
        Ann Surg. 2013; 258: 1096-1102
        • Sharifpour M.
        • Moore L.E.
        • Shanks A.M.
        • et al.
        Incidence, predictors, and outcomes of perioperative stroke in noncarotid major vascular surgery.
        Anesth Analg. 2013; 116: 424-434
        • Monk T.G.
        • Saini V.
        • Weldon B.C.
        • et al.
        Anesthetic management and one-year mortality after noncardiac surgery.
        Anesth Analg. 2005; 100: 4-10
        • Price C.C.
        • Garvan C.W.
        • Monk T.G.
        Type and severity of cognitive decline in older adults after noncardiac surgery.
        Anesthesiology. 2008; 108: 8-17
        • Deiner S.
        • Silverstein J.H.
        Postoperative delirium and cognitive dysfunction.
        Br J Anaesth. 2009; 103: i41-i46
        • Pini R.
        • Faggioli G.
        • Fittipaldi S.
        • et al.
        Inflammatory mediators and cerebral embolism in carotid stenting: new markers of risk.
        J Endovasc Ther. 2013; 20: 684-694
        • Touzé E.
        • Trinquart L.
        • Felgueiras R.
        • et al.
        A clinical rule (sex, contralateral occlusion, age, and restenosis) to select patients for stenting versus carotid endarterectomy: systematic review of observational studies with validation in randomized trials.
        Stroke. 2013; 44: 3394-3400
        • Subramaniam K.
        • Park K.W.
        • Subramaniam B.
        Anesthesia and perioperative care for the vascular patient.
        Br J Anaesth. 2013; 111: 682-683
        • Hogendoorn W.
        • Schlösser F.
        • Muhs B.
        • et al.
        Surgical and anesthetic considerations for the endovascular treatment of ruptured descending thoracic aortic aneurysms.
        Curr Opin Anaesthesiol. 2014; 27: 12-20
        • Ghanami R.J.
        • Hurie J.
        • Andrews J.S.
        • et al.
        Anesthesia-based evaluation of outcomes of lower-extremity vascular bypass procedures.
        Ann Vasc Surg. 2013; 27: 199-207
        • Orcutt S.T.
        • Bechara C.F.
        • Pisimisis G.
        • et al.
        Impact of perioperative events on mortality after major vascular surgery in a veteran patient population.
        Am J Surg. 2012; 204: 586-590
        • Shah A.A.
        • Craig D.M.
        • Andersen N.D.
        • et al.
        Risk factors for 1-year mortality after thoracic endovascular aortic repair.
        J Thorac Cardiovasc Surg. 2013; 145: 1242-1247
        • Jones W.S.
        • Patel M.R.
        • Dai D.
        • et al.
        High mortality risks after major lower extremity amputation in Medicare patients with peripheral artery disease.
        Am Heart J. 2013; 165 (815.e1): 809-815
        • Lee T.H.
        • Marcantonio E.R.
        • Mangione C.M.
        • et al.
        Derivation and prospective validation of a simple index for prediction of cardiac risk of major noncardiac surgery.
        Circulation. 1999; 100: 1043-1049
        • Bilimoria K.Y.
        • Liu Y.
        • Paruch J.L.
        • et al.
        Development and evaluation of the universal ACS NSQIP surgical risk calculator: a decision aid and informed consent tool for patients and surgeons.
        J Am Coll Surg. 2013; 217: 833-842.e1–3
        • Payne C.J.
        • Bryce G.J.
        • Gibson S.C.
        • et al.
        The revised cardiac risk index performs poorly in patients undergoing major vascular surgery: a prospective observational study.
        Eur J Anaesthesiol. 2013; 30: 713-715
      1. NSQIP on-line risk calculator. Available at: Accessed February 27, 2013.