| Non-protected carotid artery stent without angioplasty in high-risk patients with carotid and coronary artery disease undergoing cardiac surgery. | |
MedLine Citation:
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PMID: 20151852 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Hemodynamic depression (HD) is a frequent complication related to carotid endartherectomy or carotid artery stenting (CAS), often not well tolerated in patients with coronary artery disease. The purpose of this study is to assess whether CAS without angioplasty is beneficial in patients with severe carotid artery disease before coronary revascularization surgery (CABG) regarding the occurrence of HD. Between October 2002 and August 2006, 39 CAS were performed in 35 patients before cardiac surgery. Outcome measures, including periprocedural and 30-day post stenting and cardiac surgery complications, were assessed. Twenty-seven patients underwent CABG and eight combined CABG and valve replacement. During or immediately after CAS there was no episode of bradycardia or hypotension necessitating medical treatment. In the period between CAS-CABG, there was no case of HD. We also found no myocardial infarction. There were five neurological complications, two of them in the period between CAS-CABG (one transitory ischemic attack (TIA) and one minor stroke) and three after CABG (one TIA and two strokes). Three of them were discharged symptom-free. CAS without angioplasty can be a safe alternative to treat patients with coexistence of carotid and cardiac disease, since does not produce hemodynamic depression, therefore diminishing the cardiac complications. |
Authors:
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Martin Rabellino; Luis Garcia-Nielsen; Sebastian Baldi; Tobias Zander; Carmen Casasola; Arnaldo Estigarribia; Rafael Llorens; Manuel Maynar |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy Volume: 19 ISSN: 1365-2931 ISO Abbreviation: Minim Invasive Ther Allied Technol Publication Date: 2010 Jun |
Date Detail:
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Created Date: 2010-05-25 Completed Date: 2011-01-06 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9612996 Medline TA: Minim Invasive Ther Allied Technol Country: England |
Other Details:
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Languages: eng Pagination: 184-8 Citation Subset: IM |
Affiliation:
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Department of Endovascular therapy, Hospital Hospiten, Santa Cruz de Tenerife, Spain. jmrabellino@hotmail.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Aged, 80 and over Angioplasty, Balloon Bradycardia / etiology Carotid Arteries / pathology* Carotid Artery Diseases / surgery* Coronary Artery Disease / surgery* Endarterectomy, Carotid / adverse effects* Female Hemodynamics Humans Hypotension / etiology Male Middle Aged Preoperative Care Prospective Studies Risk Factors Stents / adverse effects* Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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