Combined Carotid and Coronary Artery Surgery

作者: D. P. Halpin , S. Riggins , J. D. Carmichael , J. H. Isobe , J. L. Mathews

DOI: 10.1007/978-1-4612-2946-9_8

关键词:

摘要: Simultaneous coronary artery bypass grafting (CABG) and carotid endarterectomy (CE) were performed on 133 patients over an eight-year period. Twenty-seven (20%) had previous TIAs, 12 (9%) strokes, the remainder asymptomatic (71%). All greater than 85% stenosis of internal demonstrated by noninvasive ultrasound four-vessel angiography. CE was prior to sternotomy for under same anesthesia. Nineteen bilateral disease. Postoperatively three suffered strokes (2.2%), additional (2.2%) transient upper extremity weakness; one patient from each these groups died. There no post-op or TIAs in with Average length cf hospital stay 10 days. Our experiences lead us conclude that morbidity/mortality simultaneous procedure is not affected We believe symptomatic disease disease, a high grade stenosis, repair both lesions should be undertaken.

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