| Simultaneous Carotid Endarterectomy and Cardiac Surgery: Early Results of 386 Patients. | |
| | |
MedLine Citation:
|
PMID: 22791199 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Background The occurrence of severe carotid artery disease in more than 12% of patients requiring coronary artery bypass grafting (CABG) results in a discrepancy concerning best treatment for both diseases. We reviewed the early outcome of patients with CABG and/or valve replacement (VR) and simultaneous carotid endarterectomy (CEA).Methods We retrospectively evaluated 386 patients after simultaneous operation between 7/1994 and 9/2010. Total 326 patients received isolated CABG, 56 CABG and/ or VR, 4 aortic surgery. Mean age was 68.3 years (range: 45 to 87). Male patients were 229. Severity of stenosis at operated side was 70 to 80% in 167, 80 to 99% in 219 patients. Total 164 patients showed bilateral carotid stenosis, 32 had contralateral occlusion. We analyzed risk factors, morbidity, incidence of neurological events, and 30-day mortality.Results Perioperative stroke with hemiplegia occurred in 10 patients (2.6%). Three patients experienced PRIND, seven TIA. A 30-day mortality was 5.2%. Total 8 deaths were cardiac related, 10 due to extracardial reasons, and 2 patients developed a cerebral death.Conclusions Simultaneous CEA and cardiac surgery can be performed with a low risk for neurological complications and acceptable mortality. Occlusion of contralateral carotid artery could be identified as an evident predictor for increased neurological complications. |
| | |
Authors:
|
Brigitte Gansera; Fabian Schmidtler; Josef Weingartner; Theodor Kiask; Felix Gundling; Alexander Hapfelmeier; Walter Eichinger |
Related Documents
:
|
6108989 - Activity of erythrocyte na,k-atpase in manic patients. 14967549 - Minor physical anomalies in patients with schizophrenia and their parents: prevalence a... 20505069 - Resting-state perfusion in nonmedicated schizophrenic patients: a continuous arterial s... 16503399 - Morphologic alterations of the parcellated superior temporal gyrus in schizophrenia spe... 18419829 - Neuroleptic-induced movement disorders in a naturalistic schizophrenia population: diag... 19269139 - Weight gain, metabolic parameters, and the impact of race in aggressive inpatients rand... 21298619 - Correlation of mortality and location of arteriovenous fistula in hemodialysis patients. 19245849 - A comparison of hepatic mucinous cystic neoplasms with biliary intraductal papillary ne... 9436469 - Monocyte chemotactic and activating factor/monocyte chemoattractant protein in bronchoa... |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-7-12 |
Journal Detail:
|
Title: The Thoracic and cardiovascular surgeon Volume: - ISSN: 1439-1902 ISO Abbreviation: - Publication Date: 2012 Jul |
Date Detail:
|
Created Date: 2012-7-13 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 7903387 Medline TA: Thorac Cardiovasc Surg Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA. |
Affiliation:
|
Department of Cardiovascular Surgery, Clinic Bogenhausen, Munich, Germany. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Unraveling the interaction between pathological upper limb synergies and compensatory trunk movement...
Next Document: Surgical Treatment of Carotid In-Stent-Restenosis: Novel Strategy and Current Management.