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Titolo:
Angiographic prevalence and clinical predictors of left subclavian stenosis in patients undergoing diagnostic cardiac catheterization
Autore:
English, JL; Carell, ES; Guidera, SA; Tripp, HF;
Indirizzi:
W Suburban Cardiologist Ltd, Hinsdale, IL 60521 USA W Suburban Cardiologist Ltd Hinsdale IL USA 60521 Hinsdale, IL 60521 USA Wilford Hall USAF Med Ctr, Dept Cardiol, Lackland AFB, San Antonio, TX 78236 USA Wilford Hall USAF Med Ctr San Antonio TX USA 78236 Antonio, TX 78236 USA
Titolo Testata:
CATHETERIZATION AND CARDIOVASCULAR INTERVENTIONS
fascicolo: 1, volume: 54, anno: 2001,
pagine: 8 - 11
SICI:
1522-1946(200109)54:1<8:APACPO>2.0.ZU;2-J
Fonte:
ISI
Lingua:
ENG
Soggetto:
INTERNAL MAMMARY ARTERIES; TRANSLUMINAL ANGIOPLASTY; BYPASS-SURGERY; GRAFTS; STEAL; SURVIVAL;
Keywords:
peripheral vascular disease; coronary artery bypass grafting;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Carell, ES W Suburban Cardiologist Ltd, 908 N Elm St,Suite 202, Hinsdale, IL 60521 USA W Suburban Cardiologist Ltd 908 N Elm St,Suite 202 Hinsdale ILUSA 60521
Citazione:
J.L. English et al., "Angiographic prevalence and clinical predictors of left subclavian stenosis in patients undergoing diagnostic cardiac catheterization", CATHET C IN, 54(1), 2001, pp. 8-11

Abstract

The angiographic prevalence, clinical predictors, and sensitivity and specificity of a bilateral arm blood pressure differential for predicting proximal left subclavian artery stenosis were established in 492 patients undergoing cardiac catheterization. Seventeen subjects (3.5%) in the overall population and nine subjects (5.3%) with potential surgical coronary disease had proximal left subclavian stenosis. Precatheterization evidence of peripheral vascular disease (PVD) was the only predictor of subclavian stenosis inthe overall population (P < 0.001; OR = 7.9; 95% Cl = 2.6-24.3) and in patients with potential surgical coronary disease (P = 0.04; OR = 5.4; 95% CI = 1.1-27.2). Both a bilateral blood pressure differential of > 10 mm Hg andof greater than or equal to 20 mm Hg had a good specificity but a poor sensitivity for predicting left subclavian stenosis. Thus, left subclavian angiography should be performed in patients with surgical coronary disease with either an arm blood pressure differential of > 10 mm Hg or with other precatheterization evidence of PVD. Published 2001 Wiley-Liss, Inc.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 24/01/20 alle ore 13:08:21