Screening for left subclavian artery stenosis in patients undergoing coronary artery bypass graft surgery

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dc.authorid0000-0002-8782-7603
dc.contributor.authorDiken, Adem İlkay
dc.contributor.authorAltıntaş, Garip
dc.contributor.authorYalçınkaya, Adnan
dc.contributor.authorLafçı, Gökhan
dc.contributor.authorTaşoğlu, İrfan
dc.contributor.authorTola, Muharrem
dc.contributor.authorHanedan, Onur
dc.contributor.authorÇiçek, Ömer Faruk
dc.contributor.authorErkengel, İbrahim
dc.contributor.authorÇağlı, Kerim
dc.date.accessioned2019-05-13T09:07:10Z
dc.date.available2019-05-13T09:07:10Z
dc.date.issued2014
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Cerrahi Tıp Bilimleri Bölümü
dc.description.abstractAim. Stenosis of the left subclavian artery may decrease the clinical benefit of the surgery and result in the coronarysubclavian steal syndrome. This study sought to evaluate the frequency of the subclavian artery stenosis via color Doppler ultrasonography (CDU) and determine the risk factors for subclavian artery stenosis. Methods. Three hundred and twenty consecutive patients who were referred for coronary artery bypass graft surgery were included in the study. All patients underwent subclavian artery color Doppler ultrasonographic evaluation while routine carotid artery examination was performed during the preoperative period. Patient characteristics including demographic, echocardiographic, operative, clinical and laboratory parameters were recorded. Results. Twenty-three of the 320 patients (7.18%) had stenosis of the left subclavian artery while 7 patients (2.18%) also had right subclavian artery stenosis. Age, dyslipidemia, chronic renal failure, peripheral artery disease (PAD), proximal right coronary artery (RCA) stenosis and carotid artery stenosis were all significantly associated with subclavian stenosis. In multivariate regression modeling; age, PAD, proximal RCA stenosis and carotid artery stenosis independently predicted subclavian stenosis. Conclusion. We recommend routine preoperative screening with CDU for those coronary artery bypass grafts patients at high risk for subclavian artery stenosis.
dc.identifier.citationDiken, A. İ., Altıntaş, G., Yalçınkaya, A., Lafçı, G., Taşoğlu, I., Tola, M., Çiçek, Ö. F., [et.al.]. (2014). Screening for left subclavian artery stenosis in patients undergoing coronary artery bypass graft surgery. Peripheral Vascular Diseases, 21(1), 43-47.
dc.identifier.endpage47en_US
dc.identifier.issn1824-4777
dc.identifier.issue1en_US
dc.identifier.scopusqualityQ3
dc.identifier.startpage43en_US
dc.identifier.urihttps://hdl.handle.net/11491/1738
dc.identifier.volume21en_US
dc.indekslendigikaynakScopus
dc.language.isoen
dc.publisherEdizioni Minerva Medica
dc.relation.ispartofItalian Journal of Vascular and Endovascular Surgery
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/closedAccess
dc.subjectPeripheral Vascular Diseasesen_US
dc.subjectStentsen_US
dc.subjectUltrasonography, Doppler, Coloren_US
dc.titleScreening for left subclavian artery stenosis in patients undergoing coronary artery bypass graft surgery
dc.typeArticle

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