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

Lucas, Márcio Luı́s; Bonamigo, Telmo Pedro; Weber, Elton Luiz Schmidt; Lucchese, Fernando

doi:10.1590/s0066-782x2005001900007

Cited by 2 publications

(1 citation statement)

References 46 publications

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“…Recently published results from the CREST and ACT1 trial have demonstrated similar long-term outcomes for CAS and CEA surgical approaches with respect to the risk of stroke, myocardial infarction, or death [17, 18]. Apart from the surgical strategies employed for the treatment of coronary and carotid stenosis, many studies have shown a significantly greater postoperative risk of stroke and death in patients with an advanced age than in younger patients [13, 19, 20].…”

Section: Introductionmentioning

confidence: 99%

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Ravesh

Rusch

Friedrich

et al. 2019

J Cardiothorac Surg

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Background The purpose of this study was to investigate whether age has an effect on short and long-term outcome in patients who undergo simultaneous coronary artery bypass grafting (CABG) and carotid endarterectomy. Methods From 2005 to 2017, 186 consecutive elective patients underwent CABG and synchronous endarterectomy at our institution. Patients were retrospectively classified according to age into 2 groups: patients above 70 years (elderly group: n = 97, 76.1 ± 3.9 years) and patients below 70 years (younger group: n = 89, 63.2 ± 4.8 years). Results The European System for Cardiac Operative Risk Evaluation (EuroSCORE) II, 4.4% vs. 2.5%; p < 0.001) and Society of Thoracic Surgeons (STS) score (0.7% vs. 1.6%; p < 0.001) were significantly higher in the elderly group. Otherwise, there was no difference between the two groups concerning important preoperative risk factors or the intraoperative data. Postoperatively, the incidence of temporary dialysis was significantly higher in the elderly group (14.4% vs. 3.4%; p = 0.009). The rate of tracheotomy (16.5% vs. 2.2%; p = 0.001), of re-intubation (7.9% vs. 18.6%; p = 0.033) and drainage loss (600 ml vs. 800 ml; p = 0.035) was significantly higher in this elderly group. Neurological complications and 30-day mortality were comparable. Long-term survival was satisfactory for both groups. Nevertheless, 5-year survival rates (63% vs. 85%) were significantly lower in the elderly group ( p = 0.003). Logistic regression analysis identified chronic obstructive pulmonary disease (COPD) and arrhythmia as significant risk factors for 30-day-mortality, but not age. Conclusions CABG in combination with synchronous endarterectomy can also be performed with satisfactory results in elderly patients. Electronic supplementary material The online version of this article (10.1186/s13019-019-0928-5) contains supplementary material, which is available to authorized users.

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Section: Introductionmentioning

confidence: 99%

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Ravesh

Rusch

Friedrich

et al. 2019

J Cardiothorac Surg

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Contralateral Internal Carotid Artery Occlusion Impairs Early But Not 30-Day Stroke Rate Following Carotid Endarterectomy

et al. 2010

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Neurological complications and mortality within 30 days following carotid endarterectomy (CEA) alone or with concomitant cardiac surgery/cardiopulmonary bypass (CPB) were assessed in patients with or without contralateral occlusion of the internal carotid artery (CO-ICA).Of 335 patients undergoing CEA, 173 underwent concomitant cardiac surgery with CPB. Group A consisted of 260 patients without CO-ICA and group B of 75 patients with CO-ICA. The neurological complications (peripheral nerve damage, transient ischemic attack [TIA], prolonged reversible ischemic neurological deficit [PRIND], and stroke) and the Rankin index within 24 hours and 30 days postoperatively were compared. Strokes within 24 hours were significantly increased (P = .006) in group B (11%) compared with A (3.1%); TIA and PRIND did not differ (P = .33). The overall neurological complications and in particular for peripheral neurological damage, TIA/PRIND, and stroke did not differ within the 30-day-period postsurgery. A significantly higher stroke rate within 24 hours postsurgery occurred in patients with CO-ICA.

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

Abstract: M a i l i n g

Cited by 2 publications

References 46 publications

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Impact of patients´ age on short and long-term outcome after carotid endarterectomy and simultaneous coronary artery bypass grafting

Contralateral Internal Carotid Artery Occlusion Impairs Early But Not 30-Day Stroke Rate Following Carotid Endarterectomy

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