Short-term results of synchronous coronary artery bypass grafting and carotid endarterectomy

Акчурин, Р. С.; Shiryaev, А. A.; Galyautdinov, D.M.; Власова, Э.Е.; Vasiliyev, V. P.; Ismagilov, B. R.; Балахонова, Т. В.

doi:10.17116/kardio20171064-8

Cited by 10 publications

(1 citation statement)

References 9 publications

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“…The frequency of its diagnosis in the general population does not exceed 0.3%, and with concomitant atherosclerosis of extracranial arteries, it is a rare exception [18] . To date, none of the major studies of the leading vascular centers in Russia have reported CEE or CAS in the presence of PEHA, which creates uncertainty in the choice of treatment strategy for this complex cohort of patients [19] , [20] , [21] , [22] , [23] .…”

Section: Introductionmentioning

confidence: 99%

Stenting of the artery of Dr A.N. Kazantsev in the acute period of ischemic stroke

Казанцев¹,

Zharova

Sokolova

et al. 2022

Radiology Case Reports

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Section: Introductionmentioning

confidence: 99%

Stenting of the artery of Dr A.N. Kazantsev in the acute period of ischemic stroke

Казанцев¹,

Zharova

Sokolova

et al. 2022

Radiology Case Reports

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An alternative anatomical classification for carotid bifurcation and impact on outcome of carotid endarterectomy: a multicenter study

et al. 2023

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Background The present multicenter retrospective study included 7148 patients who underwent carotid endarterectomy (CEA) between 2010 and 2021. Based on the results of angiography (AG)/multislice computed tomography (MSCT) angiography, 3 types of carotid bifurcation were identified depending on the projection of the carotid sinus to the cervical vertebrae: type I (high)—from the upper edge of the body of the II cervical vertebra to the lower edge of intervertebral disc located between III and IV cervical vertebrae; type II (medium)—from the upper edge of the body of the IV cervical vertebra to the lower edge of the body of the V cervical vertebra; and type III (low)—from the upper edge of the intervertebral disc located between the V and VI cervical vertebrae to the lower edge of the body of the VII cervical vertebra. Purpose of the study To develop a new classification of the types (high, medium, low) of carotid bifurcations (based on the level of cervical vertebrae) with analysis of the results of CEA depending on the type. Results The largest number of ischemic strokes (n = 15; 1.1%; p = 0.0001) was found in type I (high) bifurcation of the carotid artery. The majority of bleedings of type 3b and higher according to the BARC scale with the formation of acute hematomas in the intervention area (n = 14; 1.2%; p = 0.0029) were recorded in type III carotid bifurcation (low). Conclusions Type II (medium) carotid bifurcation may be the most preferred for CEA.

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Risk factors for myocardial infarction during carotid endarterectomy in high-risk patients with coronary artery disease

et al. 2022

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Aim. To determine the value of various risk factors for predicting the myocardial infarction (MI) during carotid endarterectomy in high-risk patients with coronary artery disease (CAD).Material and methods. The single-center cohort prospective study included 204 high-risk patients with CAD who required carotid endarterectomy (CEA). Before surgery, all patients underwent treatment of CAD, and all patients were clinically stabilized. The first step was CEA. Clinical and diagnostic factors associated with the risk of perioperative MI were studied. There were following end points of the study: stroke, MI, death due to MI. The diagnosis of MI was established when there was a combination of an increase in cTn-I troponin above the 99th percentile upper reference limit with electrocardiographic manifestations of myocardial ischemia, or with chest pain or equivalent symptoms consistent with myocardial ischemia.Results. There were no strokes. There were no deaths due to MI. Perioperative MI developed in 8 (3,9%) patients. There were following most significant predictors of perioperative MI: severe impairment of local left ventricular (LV) contractility (hazard ratio (HR), 13,57; 95% confidence interval (CI), 1,427-124,782, p<0,05) and a decrease in left ventricular ejection fraction <50% (HR, 10,909; 95% CI, 1,052-271,229, p<0,05). However, following factors were insignificant for predicting perioperative MI (p>0,05): SYNTAX score, prior cerebrovascular accident, myocardial infarction, insulin-dependent diabetes mellitus, obesity, chronic obstructive pulmonary disease.Conclusion. In high-risk patients with CAD, severe impairment of local LV contractility and global LV systolic dysfunction are the most significant risk factors for perioperative MI during CEA.

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Short-term results of synchronous coronary artery bypass grafting and carotid endarterectomy

Cited by 10 publications

References 9 publications

Stenting of the artery of Dr A.N. Kazantsev in the acute period of ischemic stroke

Stenting of the artery of Dr A.N. Kazantsev in the acute period of ischemic stroke

An alternative anatomical classification for carotid bifurcation and impact on outcome of carotid endarterectomy: a multicenter study

Risk factors for myocardial infarction during carotid endarterectomy in high-risk patients with coronary artery disease

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