Evidence map›Paper›PMID 30186634›Full record

ArticleInternational journal of vascular medicine2018

Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience.

Theodor Tirilomis, Dieter Zenker, Tomislav Stojanovic, Stella Malliarou, Friedrich A Schoendube

Open access · goldAbstract read
In one paragraph

Article in International journal of vascular medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.4field-weighted citation impact, top 35% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 4 citations in OpenAlex.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 2 institutions in 1 country.

Theodor TirilomisDepartment for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, Germany.ORCID 0000-0001-8152-2510
Dieter ZenkerDepartment for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, Germany.
Tomislav StojanovicDepartment for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, Germany.
Stella MalliarouDepartment of Neurology and Neurological Rehabilitation, Asklepios Clinics Schildautal, Seesen, Germany.
Friedrich A SchoendubeDepartment for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, Germany.
University of Göttingen · DEAsklepios Kliniken Schildautal · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveCarotid artery stenosis in patients undergoing open-heart surgery may increase risk and deteriorate outcome. The aim of the study was the analysis of risks and outcome after simultaneous carotid and cardiac surgery.

methodsWe retrospectively reviewed the medical records of 100 consecutive patients who underwent simultaneous carotid surgery and open-heart surgery during a 5-year period (from 2006 to 2010). Seventy patients were male and 30 female; the mean age was 70.9±7.9 years (median: 71.8 years). Seventy-three patients underwent coronary bypass grafting (CABG), 18 patients combined CABG and valve procedures, 7 patients CABG combined with other procedures, and 3 patients isolated valve surgery. More than half of patients had had bilateral carotid artery pathology (n=51) including contralateral carotid artery occlusion in 12 cases.

resultsCarotid artery patch plasty was performed in 71 patients and eversion technique in 29. In 75 cases an intraluminal shunt was used. Thirty-day mortality rate was 7% due to cardiac complications (n=5), metabolic disturbance (n=1), and diffuse cerebral embolism (n=1). There were no carotid surgery-related deaths. Postoperatively, transient cerebral ischemia occurred in one patient and stroke with mild permanent neurological deficit (Rankin level 2) in another patient.

conclusionSimultaneous carotid artery surgery and open-heart surgery have low risk. The underlying cardiac disease influences outcome.

Identifiers

PMID30186634
PMCPMC6116460
OpenAlexW2885074801

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.