PMID: 11343942May 10, 2001Paper

Should severe monolateral asymptomatic carotid artery stenosis be treated at the time of coronary artery bypass operation?

European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery
M GaudinoG Possati

Abstract

The optimal treatment of severe monolateral asymptomatic carotid artery stenosis (SMACS) in patients undergoing coronary artery bypass grafting (CABG) is still controversial. This study is based on the in-hospital and mid-term (>5 years) clinical results of a cohort of 139 consecutive CABG patients with SMACS operated at our Institution between January 1989 and December 1995. In the first 73 patients (no carotid surgery group), the SMACS was left untouched at the time of coronary surgery, whereas in the remaining 66 (carotid endoarterectomy group), the carotid stenosis was treated either immediately before or concomitantly with the CABG procedure (depending on the severity of the anginal symptoms). The overall preoperative characteristics of the patients were comparable. The in-hospital results were similar between the two groups with regard to mortality, stroke and major postoperative complications. However, at mid-term follow-up, significantly more patients of the no carotid surgery group suffered cerebral events (transient or permanent) ipsilateral to the SMACS or the lesion had to be operated on. The concomitant treatment (either staged or simultaneous) of SMACS at the time of CABG does not influence the in-hospital results...Continue Reading

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Citations

Sep 12, 2008·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Susumu ManabeShuichiro Takanashi
Jan 23, 2016·International Journal of Surgery·Mohammed AshrafiVittorio Perricone
Apr 28, 2005·Journal of Cardiac Surgery·Bruno ChiappiniGiuseppe Marinelli
Dec 15, 2010·Journal of Vascular Surgery·Yuebing LiHerbert W M Plokker
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
Oct 5, 2010·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J Van der Heyden, H W Plokker
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 30, 2003·Journal of Vascular and Interventional Radiology : JVIR·John D BarrUNKNOWN Society of Interventional Radiology
Oct 13, 2009·The Cochrane Database of Systematic Reviews·Sara Mortaz HejriMohamad Ali Sahraian
Nov 5, 2003·Current Opinion in Cardiology·Joseph HuhErnesto R Soltero

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