الفهرس 
Introduction And Aim Of The WorkOnly 14 pages are availabe for public view
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Abstract
The aim of this study is: First; determine the prevalence of peripheral vascular disease (PVD) and carotid artery disease in patients with coronary artery disease (CAD) that required coronary artery bypass graft (CABG). Second; to study the effect of coexistent PVD on the outcome of CABG operation. Third; to study the effect of coexistent carotid artery disease on the outcome of CABG operation. Fourth; to document the incidence of post CABG lower extremity ischemia and/or saphenous vein harvesting site complications in patients with coexisting peripheral vascular disease. Fifth; to document the incidence of post CABG stroke in patients with coexisting carotid artery disease. Six; to document the incidence of saphenous vein harvesting site problems in CABG patients with preexisting end stage renal disease (ESRD).
We conclude from this study the following:
1- The incidence of PVD and carotid artery disease in CABG patients is relatively high.
2- Smoking, hypertensions and diabetes mellitus are recognized risk factors for coexisting coronary and PVD.
3- Hypertension is the only risk factor for coexisting coronary and carotid artery disease that achieved statistical significance in our study.
4- Preoperative work up of CABG patients should include history of suspected vascular disease, through physical examination of peripheral pulses, bruit over carotid artery. Those with positive findings should have through vascular laboratory of thr extremity circulation and duplex carotid screening.
5- Patients in whom preoperative evaluation reveals coexisting PVD should be carefully monitored for any changes in their vascular condition. This should include frequent Doppler examinations until in patient leave the ICU.
6- All patients with symptomatic carotid disease, all in whom neck bruit was detected during physical examination, and those who had previous history of CEA should have duplex scan before CABG.
7- The following algorithm is recommended for managing of CABG patients who have carotid artery disease.