Abstract
A simultaneous operative approach to patients with significant carotid and coronary disease has been suggested as a safe, lower cost, and more convenient alternative to a staged approach. During the last three decades, spanning the career of our senior author, our group has pursued simultaneous coronary artery bypass grafting (CABG) and carotid endarterectomy (CEA) in limited circumstances. We previously reported on our results in series from 1984 to 1994 and 1994 to 1999. Based on these prior results and the current literature, we liberalized our inclusion criteria. We are now reporting on a contemporary cohort of 91 patients operated on from 2006 to 2018. All patients who underwent combined CEA/CABG in 2006 to 2018 were entered into the Vascular Quality Initiative database. We compared the current series of 91 patients (group 3) with the 74 patients (group 2) from 1994 to 1999 and the 100 patients (group 1) from 1984 to 1994 who also underwent combined CEA/CABG. We examined demographic and comorbid factors, presence of cerebrovascular symptoms, degree of contralateral carotid stenosis, perioperative stroke, and death. Statistical comparison was made with χ2 analysis. The groups had similar demographics and comorbidities. Sign...Continue Reading
References
Dec 1, 1972·Archives of Surgery·V M BernhardJ J Peterson
Jun 1, 1996·The Journal of Thoracic and Cardiovascular Surgery·P O DailyJ A Lamphere
Jul 1, 1996·Journal of Vascular Surgery·W C MackeyT F O'Donnell
Jul 27, 1999·The Annals of Thoracic Surgery·M A BorgerC D Naylor
Jun 5, 2001·Journal of Vascular Surgery·J M EstesW C Mackey
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
Feb 1, 2005·The Annals of Thoracic Surgery·Lawrence J DaceyUNKNOWN Northern New England Cardiovascular Disease Study Group
Jul 11, 2006·Journal of Vascular Surgery·John ByrneDhiraj M Shah
Feb 1, 2011·Vascular and Endovascular Surgery·Amanda M DickFred A Crawford
Mar 15, 2011·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·A R Naylor, M J Bown
Sep 6, 2011·Journal of Vascular Surgery·John J RicottaUNKNOWN Society for Vascular Surgery
Nov 9, 2011·Circulation·L David HillisMichael D Winniford
Sep 13, 2012·Interactive Cardiovascular and Thoracic Surgery·Eli LevyAmir Elami
Oct 5, 2013·The Annals of Thoracic Surgery·Vikas SharmaLyle D Joyce
Jun 4, 2017·International Journal of Cardiology·P NarayanE Rupert