Long-term survival after vascular surgery: Specific influence of cardiac factors and implications for preoperative evaluation Martin R. Back, MD, Fabian.

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Presentation transcript:

Long-term survival after vascular surgery: Specific influence of cardiac factors and implications for preoperative evaluation Martin R. Back, MD, Fabian Leo, David Cuthbertson, MS, Brad L. Johnson, MD, Murray L. ShamesMD, Dennis F. Bandyk, MD Journal of Vascular Surgery Volume 40, Issue 4, Pages 752-760 (October 2004) DOI: 10.1016/j.jvs.2004.07.038 Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 1 Significant differences in 5-year survival after vascular operations between age quartile groups favoring younger patients. SE, Standard error for Kaplan-Meier estimates. Journal of Vascular Surgery 2004 40, 752-760DOI: (10.1016/j.jvs.2004.07.038) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 2 Significant differences in 5-year survival between preoperatively determined cardiac risk stratification levels favoring low risk patients. SE, Standard error. Journal of Vascular Surgery 2004 40, 752-760DOI: (10.1016/j.jvs.2004.07.038) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 3 Significant differences in 5-year survival with (univariate) log-rank testing between patients undergoing previous coronary revascularization (R <5 years and R ≥5 years), patients without previous coronary interventions (NR) estimated to be at low, intermediate, or high risk, and patients undergoing urgent vascular operations. Standard error (SE) less than 10% for each group except where indicated. Journal of Vascular Surgery 2004 40, 752-760DOI: (10.1016/j.jvs.2004.07.038) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

Fig 4 Significantly reduced 5-year survival in patients with early adverse cardiac events (myocardial infarction, congestive heart failure, ventricular arrhythmias) after vascular operations, even with censoring of perioperative deaths. Standard error less than 10% in group without complications. Journal of Vascular Surgery 2004 40, 752-760DOI: (10.1016/j.jvs.2004.07.038) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions