Operative and 5-year outcomes of combined carotid and coronary revascularization: review of a large contemporary experience

Treatment Strategy for Combined Carotid Artery Stenosis and Coronary Artery Disease: Staged or Simultaneous Surgical Procedure?

“…Similar situations were noted by Hamulu et al (2001), who reported that more patients with triple-vessel coronary artery disease, left main disease and impaired left ventricular function (EF < 30%) associated with significantly higher risk factors in the simultaneous CABG and CEA group than those in the CABG alone group. Zacharias et al (2002) reported a similar risk of perioperative stroke for both simultaneous and staged approaches, while the risks of perioperative myocardial infarction and death were significantly greater for staged procedures. Hertzer et al (1989) compared results from combined and staged patients and found a lower stroke incidence (5.3% vs. 11.4%) and stroke/death (8.4% vs. 13.3%) with simultaneous versus staged surgery.…”

“…Totally 41,901 patients undergoing simultaneous or staged carotid and coronary procedures were collected from 53 reports (Evagelopoulos et al 2000;Snider et al 2000;Minami et al 2000;Gaudino et al 2001;Hamulu et al 2001;Youssuf et al 2001;Estes et al 2001;Farooq et al 2001;Bonacchi et al 2002;Bonardelli et al 2002;Antunes et al 2002;Zacharias et al 2002;Meharwal et al 2002;Roddy et al 2002;Char et al 2002;Beauford et al 2003;Brown et al 2003;Vitali et al 2003;Ricotta et al 2003;Srimahachota et al 2004;Mishra et al 2004;Ricotta et al 2005;Ziada et al 2005;Cinar et al 2005;Eren et al 2005;Chiappini et al 2005;Akins et al 2005;Nwakanma et al 2006;Inciura and Benetis 2006;Kolh et al 2006;Byrne et al 2006;Cywinski et al 2006;Kovacic et al 2006;Mendiz et al 2006;Randall et al 2006;Chiariello et al 2006;Hertzer and Mascha 2006;Madi-Jebara et al 2006;Kougias et al 2007;Dubinsky and Lai 2007;…”

The factors of unfavorable prognosis of various surgical strategies in patients with combined coronary and brachiocephalic lesion in remote postoperative period

“…According to world literature critical carotid stenosis is not only cause but the risk factor for stroke/TIA [13][14][15][16]. Moreover, important factors are cerebral hyperperfusion syndrome immediately after CEE, supraventricular rhythm disturbances, low ejection fraction, postoperative hypercoagulability and cerebral embolization by atherothrombotic substances as a result of aortic manipulation [17][18][19].…”

“…По данным мировой литературы [13][14][15][16], критиче-ские стенозы БЦА скорее являются не единственной при-чиной, а фактором риска развития ОНМК/ТИА. Наряду с этим важными факторами являются такие, как синдром гиперперфузии головного мозга непосредственно после выполнения КЭЭ, суправентрикулярное нарушение рит-ма, низкая фракция выброса (ФВ), послеоперационная гиперкоагуляция, а также эмболизация церебральных ар-терий атеротромботическими субстанциями в результате манипуляций на аорте [17][18][19].…”

Awake Carotid Endarterectomy in Patients Undergoing Cardiac Surgery: Our 6 Years of Experience

“…Priority of pathology and proper timing for surgery in such cases is still subject to debate. [7][8][9][10][11][12] Coincidental carotid artery disease has been detected in 8% to 14% of coronary artery bypass patients. [13] Some 40% to 50% of patients who undergo carotid endarterectomy have CAD.…”