Table 5

Surgical risk estimate according to type of surgery or intervention

Low surgical risk (<1%)Intermediate surgical risk (1–5%)High surgical risk (>5%)
  • Breast

  • Dental

  • Endocrine: thyroid

  • Eye

  • Gynaecological: minor

  • Orthopaedic minor (meniscectomy)

  • Reconstructive

  • Superficial surgery

  • Urological minor: (transurethral resection of the prostate)

  • VATS minor lung resection

  • Carotid asymptomatic (CEA or CAS)

  • Carotid symptomatic (CEA)

  • Endovascular aortic aneurysm repair

  • Head or neck surgery

  • Intraperitoneal: splenectomy, hiatal hernia repair, cholecystectomy

  • Intrathoracic: non-major

  • Neurological or orthopaedic: major (hip and spine surgery)

  • Peripheral arterial angioplasty

  • Renal transplants

  • Urological or gynaecological: major

  • Adrenal resection

  • Aortic and major vascular surgery

  • Carotid symptomatic (CAS)

  • Duodenal-pancreatic surgery

  • Liver resection, bile duct surgery

  • Oesophagectomy

  • Open lower limb revascularization for acute limb ischaemia or amputation

  • Pneumonectomy (VATS or open surgery)

  • Pulmonary or liver transplant

  • Repair of perforated bowel

  • Total cystectomy

Low surgical risk (<1%)Intermediate surgical risk (1–5%)High surgical risk (>5%)
  • Breast

  • Dental

  • Endocrine: thyroid

  • Eye

  • Gynaecological: minor

  • Orthopaedic minor (meniscectomy)

  • Reconstructive

  • Superficial surgery

  • Urological minor: (transurethral resection of the prostate)

  • VATS minor lung resection

  • Carotid asymptomatic (CEA or CAS)

  • Carotid symptomatic (CEA)

  • Endovascular aortic aneurysm repair

  • Head or neck surgery

  • Intraperitoneal: splenectomy, hiatal hernia repair, cholecystectomy

  • Intrathoracic: non-major

  • Neurological or orthopaedic: major (hip and spine surgery)

  • Peripheral arterial angioplasty

  • Renal transplants

  • Urological or gynaecological: major

  • Adrenal resection

  • Aortic and major vascular surgery

  • Carotid symptomatic (CAS)

  • Duodenal-pancreatic surgery

  • Liver resection, bile duct surgery

  • Oesophagectomy

  • Open lower limb revascularization for acute limb ischaemia or amputation

  • Pneumonectomy (VATS or open surgery)

  • Pulmonary or liver transplant

  • Repair of perforated bowel

  • Total cystectomy

CAS, carotid artery stenting; CEA, carotid endarterectomy; CV, cardiovascular; MI, myocardial infarction; VATS, video-assisted thoracic surgery.

Surgical risk estimate is a broad approximation of 30 day risk of CV death, MI, and stroke that takes into account only the specific surgical intervention, without considering the patient’s comorbidities.

Adapted from data in Glance et al., Muller et al., Bendixen et al., and Falcoz et al.18–23

Table 5

Surgical risk estimate according to type of surgery or intervention

Low surgical risk (<1%)Intermediate surgical risk (1–5%)High surgical risk (>5%)
  • Breast

  • Dental

  • Endocrine: thyroid

  • Eye

  • Gynaecological: minor

  • Orthopaedic minor (meniscectomy)

  • Reconstructive

  • Superficial surgery

  • Urological minor: (transurethral resection of the prostate)

  • VATS minor lung resection

  • Carotid asymptomatic (CEA or CAS)

  • Carotid symptomatic (CEA)

  • Endovascular aortic aneurysm repair

  • Head or neck surgery

  • Intraperitoneal: splenectomy, hiatal hernia repair, cholecystectomy

  • Intrathoracic: non-major

  • Neurological or orthopaedic: major (hip and spine surgery)

  • Peripheral arterial angioplasty

  • Renal transplants

  • Urological or gynaecological: major

  • Adrenal resection

  • Aortic and major vascular surgery

  • Carotid symptomatic (CAS)

  • Duodenal-pancreatic surgery

  • Liver resection, bile duct surgery

  • Oesophagectomy

  • Open lower limb revascularization for acute limb ischaemia or amputation

  • Pneumonectomy (VATS or open surgery)

  • Pulmonary or liver transplant

  • Repair of perforated bowel

  • Total cystectomy

Low surgical risk (<1%)Intermediate surgical risk (1–5%)High surgical risk (>5%)
  • Breast

  • Dental

  • Endocrine: thyroid

  • Eye

  • Gynaecological: minor

  • Orthopaedic minor (meniscectomy)

  • Reconstructive

  • Superficial surgery

  • Urological minor: (transurethral resection of the prostate)

  • VATS minor lung resection

  • Carotid asymptomatic (CEA or CAS)

  • Carotid symptomatic (CEA)

  • Endovascular aortic aneurysm repair

  • Head or neck surgery

  • Intraperitoneal: splenectomy, hiatal hernia repair, cholecystectomy

  • Intrathoracic: non-major

  • Neurological or orthopaedic: major (hip and spine surgery)

  • Peripheral arterial angioplasty

  • Renal transplants

  • Urological or gynaecological: major

  • Adrenal resection

  • Aortic and major vascular surgery

  • Carotid symptomatic (CAS)

  • Duodenal-pancreatic surgery

  • Liver resection, bile duct surgery

  • Oesophagectomy

  • Open lower limb revascularization for acute limb ischaemia or amputation

  • Pneumonectomy (VATS or open surgery)

  • Pulmonary or liver transplant

  • Repair of perforated bowel

  • Total cystectomy

CAS, carotid artery stenting; CEA, carotid endarterectomy; CV, cardiovascular; MI, myocardial infarction; VATS, video-assisted thoracic surgery.

Surgical risk estimate is a broad approximation of 30 day risk of CV death, MI, and stroke that takes into account only the specific surgical intervention, without considering the patient’s comorbidities.

Adapted from data in Glance et al., Muller et al., Bendixen et al., and Falcoz et al.18–23

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