2017
DOI: 10.1055/s-0037-1601425 View full text |Buy / Rent full text
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Abstract: Simultaneous coronary bypass grafting as a single procedure or in combination with valve replacement and endarterectomy of severe carotid lesions with or without patients' history of previous stroke can be performed with a calculated low surgical risk. The complication rate for neurologic and myocardial events is low compared with the hazard of a single surgical repair. The in-hospital mortality is not significantly different to isolated procedures. The concomitant appearance of coronary stenosis and carotid a… Show more

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“…The simultaneous approach had a lower incidence of both complications. 14 The major perioperative events (stroke, TIA, MI, and death) in the two groups were similar. In the CEA and CABG groups, the stroke rate was insignificantly higher than in the hybrid group; on the other side, the hybrid group had a higher TIA rate after the procedure.…”
Section: Discussionmentioning
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“…The simultaneous approach had a lower incidence of both complications. 14 The major perioperative events (stroke, TIA, MI, and death) in the two groups were similar. In the CEA and CABG groups, the stroke rate was insignificantly higher than in the hybrid group; on the other side, the hybrid group had a higher TIA rate after the procedure.…”
Section: Discussionmentioning
“…If symptomatic carotid artery disease is diagnosed prior to cardiac surgical intervention, consideration can be given to performing a staged or a combined cardiac/carotid procedure. If asymptomatic significant carotid disease is discovered by Doppler preoperatively (>75% stenosis bilaterally or lesser degrees of unilateral stenosis in the presence of an occluded contralateral artery), concomitant carotid endarterectomy may decrease the risk of perioperative stroke [72,73].…”
Section: Strategies To Decrease Operative Riskmentioning
“…Нередко пациенты, подвергающиеся реваскуляризации миокарда и головного мозга (ГМ), имеют высокий риск развития осложнений на фоне выраженного мультифокального поражения и тяжелой сопутствующей патологии [3][4][5][6][7]. В связи с этим выбор оптимальной хирургической тактики должен основываться на персонифицированной многокомпонентной стратификации риска [3][4][5][6][7].…”
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“…В настоящее время отсутствуют прогностические шкалы и интерактивные калькуляторы, с помощью которых можно рассчитать риск развития сердечно-сосудистых осложнений (ССО) у больных с гемодинамически значимым поражением КА и БЦА, в зависимости от той или иной тактики реваскуляризации [3][4][5][6][7]. В связи с изложенным существует необходимость разработки моделей, которые на основании комплекса объективных данных и прогностических шкал позволят выбрать оптимальную тактику лечения (поэтапную или одноэтапную, хирургическую или с применением эндоваскулярных методов).…”
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