Combined carotid and coronary revascularization: The preferred approach to the severe vasculopath

Rizzo, Robert J.; Whittemore, Anthony D.; Couper, Gregory S.; Donaldson, Magruder C.; Aranki, Sary F.; Collins, John J.; Mannick, John A.; Cohn, Lawrence H.

doi:10.1016/0003-4975(92)90076-g

Cited by 116 publications

(55 citation statements)

References 31 publications

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“…All these patients had CABG and CEA; the perioperative stroke among these patients was 33% (3 of 9). Rizzo et al [28] made a similar observation. They had 20 patients in their study who had significant carotid artery disease with contralateral occlusion of ICA; all these patients had CABG and CEA as a combined procedure.…”

Section: Resultsmentioning

confidence: 63%

The impact of carotid artery disease on outcomes of patients undergoing coronary artery bypass grafting

Abbaszadeh¹

2011

Rev Bras Cir Cardiovasc

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Objective: Although the overall complication rate has been decreased significantly in recent years, stroke is a severe complication after coronary bypass operations. The purpose of this study is to evaluate the influence of carotid artery disease on the results of patients under CABG operation.Methods: In a retrospective cohort study, 1,978 patients under CABG operation were studied in Shariati Hospital between April 2002 and March 2006. The patients who had only valve replacement or non-CABG procedure were excluded from this study. As part of preoperative evaluation, carotid duplex ultrasonography scans were performed. In order to estimate the degree of carotid arteries stenosis, ultrasound imaging measurement and velocity criteria were considered. The patients were classified into three groups: those with no significant stenosis of the internal carotid artery (ICA) (moderate) group A, those with significant stenosis (sever) group B and those with the occluded ICA (critical) group C. Finally, all data were analyzed by SPSS software. Statistical analyses were performed using the following testes; chisquare, Fisher exact and Student's t tests.Results: The distribution of the 1,978 patients undergoing CABG operation were as follows: group A = 1,938, group B = 30, and group C = 10. The results of the evaluations show that perioperative stroke rates were 1.2% (24 patients) in group A, 0.4% (eight patients) in group B and 0.3% (six patients) in group C (P<0.0001). Furthermore, perioperative mortality rates for groups A, B and C were 0.1% (two patients), 0.3% (five patients) and 0.4% (seven patients), respectively (P<0.0001).Conclusion: The stroke and mortality in patients undergoing CABG are increased when ICA occlusion is present. Rev Bras Cir Cardiovasc 2011;26(2):258-63 Descriptors

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Section: Resultsmentioning

confidence: 63%

The impact of carotid artery disease on outcomes of patients undergoing coronary artery bypass grafting

Abbaszadeh¹

2011

Rev Bras Cir Cardiovasc

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“…The frequency of each risk factor is shown in Table I [12][13][14][15][16][17][18][19][20][21][22][23][24][25] . The range of values shows the heterogeneity of samples from several studies, and high blood pressure and smoking were the most frequent factors.…”

Section: Patients' Clinical Profilementioning

confidence: 99%

“…Acute myocardial infarction (AMI) rates prior to surgery may range from 41% to 67% 8,16 . Approximately 20% to 30% of the patients have congestive heart failure (CHF) 16,17 , and between 20% and 67% have unstable angina 7,9 . Most patients with angina (70% to 75%) are in NYHA III and IV functional class (New York Heart Association) 12,15,16 .…”

Section: Patients' Clinical Profilementioning

confidence: 99%

“…Approximately 20% to 30% of the patients have congestive heart failure (CHF) 16,17 , and between 20% and 67% have unstable angina 7,9 . Most patients with angina (70% to 75%) are in NYHA III and IV functional class (New York Heart Association) 12,15,16 . In the preoperative angiographic study, around 60% to 80% of the patients have left main and three-vessel CAD 10,18 .…”

Section: Patients' Clinical Profilementioning

confidence: 99%

“…In the neurological assessment, up to 70% of the patients may have prior symptoms 16 , with transient ischemic attack (TIA), prolonged reversible ischemic neurological defi cit (PRIND) and amaurosis fugax being found in 20% to 60%, up to 16% and 8% respectively 8,9,19 . Moreover, permanent stroke was previously diagnosed in about 20% of the patients in some series 16,18,26,27 .…”

Section: Patients' Clinical Profilementioning

confidence: 99%

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Procedimento combinado entre operação de revascularização do miocárdio e endarterectomia de carótida: análise dos resultados

Lucas

Bonamigo

Weber

et al. 2005

Arq. Bras. Cardiol.

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Carotid endarterectomy for carotid stenosis in patients selected for coronary artery bypass graft surgery

Hejri

Davani

Sahraian

2009

Cochrane Database of Systematic Reviews

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Combined carotid and coronary revascularization: The preferred approach to the severe vasculopath

Cited by 116 publications

References 31 publications

The impact of carotid artery disease on outcomes of patients undergoing coronary artery bypass grafting

The impact of carotid artery disease on outcomes of patients undergoing coronary artery bypass grafting

Procedimento combinado entre operação de revascularização do miocárdio e endarterectomia de carótida: análise dos resultados

Carotid endarterectomy for carotid stenosis in patients selected for coronary artery bypass graft surgery

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