Extent of Thoracic Aortic Atheroma Burden and Long-Term Mortality After Cardiothoracic Surgery: A Computed Tomography Study

JACC: Cardiovascular Imaging

Volumn 3, Issue 10, 2010, Pages 1020-1029

  Kurra, Vikram ^a   Lieber, Michael L ^a   Sola, Srikanth ^c   Kalahasti, Vidyasagar ^a   Hammer, Donald ^a   Gimple, Stephen ^d   Flamm, Scott D ^a   Bolen, Michael A ^a   Halliburton, Sandra S ^a,b   Mihaljevic, Tomislav ^a   Desai, Milind Y ^a   Schoenhagen, Paul ^a,b  

^a LERNER RESEARCH INSTITUTE   (United States)

^b CLEVELAND STATE UNIVERSITY   (United States)

^c SRI SATHYA SAI INSTITUTE OF HIGHER MEDICAL SCIENCES   (India)

^d Northland Cardiology   (United States)

Author keywords

aorta; atheroma burden; cardiothoracic surgery; computed tomography; mortality

Indexed keywords

CONTRAST MEDIUM; DIAGNOSTIC AGENT;

ADULT; AGED; AORTA DISEASE; AORTOGRAPHY; ARTICLE; ATHEROSCLEROTIC PLAQUE; CHI SQUARE DISTRIBUTION; COMPUTER ASSISTED TOMOGRAPHY; CORONARY ARTERY BYPASS GRAFT; FEMALE; GLOMERULUS FILTRATION RATE; HEART SURGERY; HEART VALVE; HOSPITALIZATION; HUMAN; KAPLAN MEIER METHOD; MALE; METHODOLOGY; MIDDLE AGED; MORTALITY; PERIPHERAL OCCLUSIVE ARTERY DISEASE; PREDICTIVE VALUE; PROPORTIONAL HAZARDS MODEL; RADIOGRAPHY; RISK ASSESSMENT; RISK FACTOR; THORACIC AORTA; TIME; TREATMENT OUTCOME;

ADULT; AGED; AGED, 80 AND OVER; AORTA, THORACIC; AORTIC DISEASES; AORTOGRAPHY; CARDIAC SURGICAL PROCEDURES; CHI-SQUARE DISTRIBUTION; CONTRAST MEDIA; CORONARY ARTERY BYPASS; FEMALE; GLOMERULAR FILTRATION RATE; HEART VALVES; HUMANS; KAPLAN-MEIER ESTIMATE; MALE; MIDDLE AGED; PERIPHERAL ARTERIAL DISEASE; PLAQUE, ATHEROSCLEROTIC; PREDICTIVE VALUE OF TESTS; PROPORTIONAL HAZARDS MODELS; RISK ASSESSMENT; RISK FACTORS; SEVERITY OF ILLNESS INDEX; TIME FACTORS; TOMOGRAPHY, X-RAY COMPUTED; TREATMENT OUTCOME;

EID: 79952200647     PISSN: 1936878X     EISSN: 18767591     Source Type: Journal    
DOI: 10.1016/j.jcmg.2010.08.006     Document Type: Article

References (24)

1. Iribarren, C., Sidney, S., Sternfeld, B., Browner, W.S., Calcification of the aortic arch: risk factors and association with coronary heart disease, stroke, and peripheral vascular disease. JAMA 283 (2000), 2810–2815.
2. Eisen, A., Tenenbaum, A., Koren-Morag, N., et al. Calcification of the thoracic aorta as detected by spiral computed tomography among stable angina pectoris patients: association with cardiovascular events and death. Circulation 118 (2008), 1328–1334.
3. van der Linden, J., Hadjinikolaou, L., Bergman, P., Lindblom, D., Postoperative stroke in cardiac surgery is related to the location and extent of atherosclerotic disease in the ascending aorta. J Am Coll Cardiol 38 (2001), 131–135.
4. Mitusch, R., Doherty, C., Wucherpfennig, H., et al. Vascular events during follow-up in patients with aortic arch atherosclerosis. Stroke 28 (1997), 36–39.
5. Davila-Roman, V.G., Murphy, S.F., Nickerson, N.J., Kouchoukos, N.T., Schechtman, K.B., Barzilai, B., Atherosclerosis of the ascending aorta is an independent predictor of long-term neurologic events and mortality. J Am Coll Cardiol 33 (1999), 1308–1316.
6. Thambidorai, S.K., Jaffer, S.J., Shah, T.K., Stewart, W.J., Klein, A.L., Lauer, M.S., Association of atheroma as assessed by intraoperative transoesophageal echocardiography with long-term mortality in patients undergoing cardiac surgery. Eur Heart J 28 (2007), 1454–1461.
7. Kamdar, A.R., Meadows, T.A., Roselli, E.E., et al. Multidetector computed tomographic angiography in planning of reoperative cardiothoracic surgery. Ann Thorac Surg 85 (2008), 1239–1245.
8. Boyle, C.A., Decoufle, P., National sources of vital status information: extent of coverage and possible selectivity in reporting. Am J Epidemiol 131 (1990), 160–168.
9. Newman, T.B., Brown, A.N., Use of commercial record linkage software and vital statistics to identify patient deaths. J Am Med Inform Assoc 4 (1997), 233–237.
10. Takasu, J., Takanashi, K., Naito, S., et al. Evaluation of morphological changes of the atherosclerotic aorta by enhanced computed tomography. Atherosclerosis 97 (1992), 107–121.
11. Bland, J.M., Altman, D.G., Statistical methods for assessing agreement between two methods of clinical measurement. Lancet 1 (1986), 307–310.
12. Jones, E.F., Kalman, J.M., Calafiore, P., Tonkin, A.M., Donnan, G.A., Proximal aortic atheroma: An independent risk factor for cerebral ischemia. Stroke 26 (1995), 218–224.
13. Sedlis, S.P., Morrison, D.A., Lorin, J.D., et al. Percutaneous coronary intervention versus coronary bypass graft surgery for diabetic patients with unstable angina and risk factors for adverse outcomes with bypass: outcome of diabetic patients in the AWESOME randomized trial and registry. J Am Coll Cardiol 40 (2002), 1555–1566.
14. Hellings, W.E., Peeters, W., Moll, F.L., et al. Composition of carotid atherosclerotic plaque is associated with cardiovascular outcome: a prognostic study. Circulation 121 (2010), 1941–1950.
15. Wong, N.D., Gransar, H., Shaw, L., et al. Thoracic aortic calcium versus coronary artery calcium for the prediction of coronary heart disease and cardiovascular disease events. J Am Coll Cardiol Img 2 (2009), 319–326.
16. Kurra, V., Schoenhagen, P., Roselli, E.E., et al. Prevalence of significant peripheral artery disease in patients evaluated for percutaneous aortic valve insertion: preprocedural assessment with multidetector computed tomography. J Thorac Cardiovasc Surg 137 (2009), 1258–1264.
17. Takasu, J., Katz, R., Nasir, K., et al. Relationships of thoracic aortic wall calcification to cardiovascular risk factors: the Multi-Ethnic Study of Atherosclerosis (MESA). Am Heart J 155 (2008), 765–771.
18. Santos, R.D., Rumberger, J.A., Budoff, M.J., et al. Thoracic aorta calcification detected by electron beam tomography predicts all-cause mortality. Atherosclerosis 209 (2010), 131–135.
19. van Werkhoven, J.M., Schuijf, J.D., Gaemperli, O., et al. Incremental prognostic value of multi-slice computed tomography coronary angiography over coronary artery calcium scoring in patients with suspected coronary artery disease. Eur Heart J 30 (2009), 2622–2629.
20. Takasu, J., Masuda, Y., Watanabe, S., et al. Progression and regression of atherosclerotic findings in the descending thoracic aorta detected by enhanced computed tomography. Atherosclerosis 110 (1994), 175–184.
21. Corti, R., Fuster, V., Fayad, Z.A., et al. Lipid lowering by simvastatin induces regression of human atherosclerotic lesions: two years' follow-up by high-resolution noninvasive magnetic resonance imaging. Circulation 106 (2002), 2884–2887.
22. Aarts, N.J., Schurink, G.W., Schultze Kool, L.J., et al. Abdominal aortic aneurysm measurements for endovascular repair: intra- and interobserver variability of CT measurements. Eur J Vasc Endovasc Surg 18 (1999), 475–480.
23. Hlatky, M.A., Greenland, P., Arnett, D.K., et al. Criteria for evaluation of novel markers of cardiovascular risk: a scientific statement from the American Heart Association. Circulation 119 (2009), 2408–2416.
24. Halliburton, S.S., Schoenhagen, P., Cardiovascular imaging with computed tomography: responsible steps to balancing diagnostic yield and radiation exposure. J Am Coll Cardiol Img 3 (2010), 536–540.