Hertzer N R, Young J R, Kramer J R, Phillips D F, deWolfe V G, Ruschhaupt W F, Beven E G
Arch Surg. 1979 Nov;114(11):1336-44. doi: 10.1001/archsurg.1979.01370350138018.
Routine coronary angiography to determine the prevalence of severe coronary artery disease (CAD) has been recommended to all patients under consideration for elective peripheral vascular reconstruction at the Cleveland (Ohio) Clinic since April 1978. Those found to have severe, correctable CAD have been advised to undergo myocardial revascularization prior to performance of elective peripheral vascular operations. Forty-one of the 68 patients with abdominal aortic aneurysms (AAA) and 26 of the 71 patients with aortoiliac occlusive arterial disease (AI) had clinical evidence of CAD; coronary angiography demonstrated severe, correctable CAD in 23 patients with AAA and in 14 patients with AI. Twenty-seven patients with AAA and 45 patients with AI had no clinical evidence of CAD; severe, correctable CAD was found in six patients with AAA and in six patients with AI. Ninety-six patients, including 26 who had staged cardiac procedures performed, have had elective aortic reconstruction, with one operative death.
自1978年4月以来，俄亥俄州克利夫兰诊所建议，对所有考虑进行择期外周血管重建术的患者进行常规冠状动脉造影，以确定严重冠状动脉疾病（CAD）的患病率。那些被发现患有严重且可纠正的CAD的患者，被建议在进行择期外周血管手术之前先进行心肌血运重建。68例腹主动脉瘤（AAA）患者中有41例，71例主髂动脉闭塞性疾病（AI）患者中有26例有CAD的临床证据；冠状动脉造影显示，23例AAA患者和14例AI患者患有严重且可纠正的CAD。27例AAA患者和45例AI患者没有CAD的临床证据；6例AAA患者和6例AI患者被发现患有严重且可纠正的CAD。96例患者接受了择期主动脉重建术，其中包括26例接受了分期心脏手术的患者，手术死亡1例。
