PMID: 15372126Sep 17, 2004Paper

A critical review of the role of carotid disease and the outcomes of staged and synchronous carotid surgery

Seminars in Cardiothoracic and Vascular Anesthesia
A Ross Naylor

Abstract

Few subjects are as enduring as the management of patients with combined carotid and cardiac disease. This paper reviews the available evidence supporting and refuting the role of carotid artery disease in the pathophysiology of stroke after coronary artery bypass grafting surgery and analyzes the results of systematic reviews of staged and synchronous carotid reconstruction. The available data suggest that only about 40% of strokes (at most) could be directly attributable to ipsilateral carotid artery disease. The rate of death and stroke following staged or synchronous carotid surgery in all published series was 6% and 9%, respectively. Unfortunately, natural history data are inadequate to determine whether a policy of prophylactic carotid endarterectomy reduces the risk of stroke after cardiac surgery.

References

Jul 1, 1997·The Annals of Thoracic Surgery·T J TakachO H Frazier
Jul 27, 1999·The Annals of Thoracic Surgery·M A BorgerC D Naylor
Jun 16, 2000·International Journal of Cardiology·S K DasJ Pepper
Feb 15, 2001·Journal of Vascular Surgery·T F KresowikD S Nilasena
May 7, 2002·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP R F Bell
Apr 26, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R NaylorP R F Bell
Sep 27, 2003·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·R NaylorP R Bell

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Citations

Oct 31, 2008·Artificial Organs·John M Murkin
Dec 2, 2006·Journal of Cardiothoracic and Vascular Anesthesia·Samia Madi-JebaraVictor A Jebara
Oct 4, 2005·Annals of Vascular Surgery·Stephanie C LinPeter L Faries
Sep 17, 2008·Handbook of Clinical Neurology·Peter M Rothwell

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