Ischemia-Guided Coronary Revascularization Following Lower-Extremity Revascularization Improves 5-Year Survival of Patients With Chronic Limb-Threatening Ischemia.
Gustavs LatkovskisDainis KrievinsEdgars ZellansIndulis KumsarsAgate KrievinaAnna AngenaSanda JegereAndrejs ErglisAigars LacisChristopher ZarinsPublished in: Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists (2024)
Silent coronary ischemia in patients with chronic limb-threatening ischemia (CLTI) is common even in the absence of cardiac history or symptoms. FFRCT is a convenient tool to diagnose silent coronary ischemia perioperatively. Our data suggest that post-surgery elective FFRCT-guided coronary revascularization reduces adverse cardiac events and improves long-term survival in this very-high risk patient group. Randomized study is warranted to finally test this concept.
Keyphrases
- coronary artery disease
- coronary artery
- percutaneous coronary intervention
- coronary artery bypass grafting
- left ventricular
- minimally invasive
- aortic stenosis
- heart failure
- emergency department
- coronary artery bypass
- atrial fibrillation
- electronic health record
- transcatheter aortic valve replacement
- aortic valve
- drug induced
- surgical site infection