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Does routine preoperative computed tomography imaging provide clinical utility in patients undergoing primary cardiac surgery?

Abstract：

:A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was, in patients undergoing primary cardiac surgery, does routine preoperative computed tomography (CT) imaging provide clinical benefit as measured by either a decrease in complications or a change in surgical approach. Altogether, 125 papers were found using the reported search, of which 5 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. All 5 studies reviewed reported change in operative strategy as a result of preoperative imaging, with the most common change being an alternative cannulation site. Two comparative studies reported decreased mortality and decreased perioperative stroke in patients who undergo preoperative CT, when compared to patients who do not. However, the results from these 2 studies are difficult to interpret as they used different imaging modalities and different patient populations. One study selected high-risk patients for preoperative CT, rather than routine use, but the findings were similar. We conclude that preoperative CT, whether non-contrast CT or CT angiography, can help optimize operative strategy and decrease postoperative stroke rate and mortality after primary cardiac surgery.

journal_name

Interact Cardiovasc Thorac Surg

journal_title

Interactive cardiovascular and thoracic surgery

authors

Merlo A,Chen K,Deo S,Markowitz A

doi

10.1093/icvts/ivx098

subject

Has Abstract

pub_date

2017-10-01 00:00:00

pages

659-662

issue

4

eissn

1569-9293

issn

1569-9285

pii

3922674

journal_volume

25

pub_type

杂志文章,评审

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