Document Detail


Combined carotid and coronary artery surgery: what have we learned after 15 years?
MedLine Citation:
PMID:  9610829     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
RESULTS: Early mortality for the entire group was 4.6% (9/195-6.2% in group A, 6.2% in group B1 and 0% in group B2, respectively P > 0.05). Serious morbidity occurred in 7.3% of patients (14/195-8.3% in group A, 7.2% in group B1 and 6% in group B, respectively P > 0.05). Univariate analysis revealed only bilateral carotid stenosis as a predictor of outcome (P = 0.04). Follow-up was completed for 156 patients (80.0%) and averaged 84.1 +/- 13.3 months (range 1-180 months). Kaplan-Meier survival estimate for the entire group was 81% and event-free survival was 76% at 5 years. Actuarial and event-free survivals were similar for all groups. Early and late outcome in these patients were influenced more by their preoperative clinical status than by the surgical strategy itself. It is therefore concluded that surgical approach should be individualized for the majority of patients.
Authors:
M Perić; R Huskić; D Nezić; S Gradinac; Z Popović; A D Popović; M Bojić
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article    
Journal Detail:
Title:  Cardiovascular surgery (London, England)     Volume:  6     ISSN:  0967-2109     ISO Abbreviation:  Cardiovasc Surg     Publication Date:  1998 Apr 
Date Detail:
Created Date:  1998-07-30     Completed Date:  1998-07-30     Revised Date:  2014-07-29    
Medline Journal Info:
Nlm Unique ID:  9308765     Medline TA:  Cardiovasc Surg     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  156-65     Citation Subset:  IM    
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MeSH Terms
Descriptor/Qualifier:
Actuarial Analysis
Aged
Analysis of Variance
Angiography
Carotid Stenosis / diagnosis,  physiopathology,  surgery*
Combined Modality Therapy
Coronary Artery Bypass / adverse effects,  methods*,  mortality
Coronary Disease / diagnosis,  physiopathology,  surgery*
Endarterectomy, Carotid / adverse effects,  methods*,  mortality
Female
Follow-Up Studies
Humans
Male
Middle Aged
Prognosis
Proportional Hazards Models
Survival Rate

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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