Simultaneous hybrid revascularization by carotid stenting and coronary artery bypass grafting.
نویسندگان
چکیده
Surgical treatment of simultaneous coronary and carotid disease is still controversial, because of the high risk of morbidity and mortality after combined or staged carotid artery endoarterectomy and the coronary artery bypass grafting approach. We report the first 10 patients with concomitant coronary and carotid disease successfully treated with an alternative strategy consisting of simultaneous hybrid revascularization by carotid artery stenting and coronary artery bypass grafting.
منابع مشابه
Simultaneous hybrid revascularization by carotid stenting and coronary artery bypass grafting: the SHARP study.
OBJECTIVES In an attempt to reduce post-operative events we investigated a new therapeutic strategy consisting of a simultaneous hybrid revascularization by carotid artery stenting (CAS), immediately followed by an on-pump coronary artery bypass graft (CABG). BACKGROUND Preventing stroke and cardiovascular events after coronary artery revascularization in patients with elevated surgical risk ...
متن کاملMyocardial "hybrid" revascularisation with minimally invasive direct coronary artery bypass grafting combined with coronary angioplasty: preliminary results of a multicentre study.
OBJECTIVE To expand the benefits of the minimally invasive direct coronary artery bypass (MIDCAB) concept to patients with multivessel disease, a hybrid procedure combining surgical revascularisation of the left anterior descending artery with interventional procedures for additional coronary lesions has recently been introduced. Preliminary results in patients undergoing this hybrid procedure ...
متن کاملCombined Carotid Endarterectomy and Coronary Bypass Grafting: Risk versus Benefit- A Review
Carotid Endarterectomy (CEA) performed in combination with coronary artery bypass grafting (CABG) have also increased steadily since Bernhard and colleague’s initial report in 1972. Coexistence of symptomatic coronary artery disease and significant carotid artery stenosis ranges from 3.4% to 22%. The incidence of postoperative stroke after CABG ranges from 0.7% to 5%. Coronary revascularization...
متن کاملA systematic review of outcomes in patients with staged carotid artery stenting and coronary artery bypass graft surgery.
BACKGROUND AND PURPOSE Although current guidelines state that carotid endarterectomy is probably recommended before or concomitant to coronary artery bypass grafting (CABG) in patients with carotid stenosis, significant controversies to this recommendation still persist. Carotid artery stenting has been recently introduced as an alternative revascularization modality in high-risk patients. The ...
متن کاملThe role of combined carotid endarterectomy and coronary artery bypass grafting in the era of carotid stenting in view of long-term results.
OBJECTIVES The management of concomitant coronary and carotid artery disease is still in evolution. The surgical options are staged approach--carotid endarterectomy (CEA), followed by coronary artery bypass grafting (CABG) or a reversed-staged approach, or combined approach--CEA and CABG under the same anaesthesia. In view of the percutaneous carotid artery stenting option, we have reviewed our...
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ورودعنوان ژورنال:
- The Annals of thoracic surgery
دوره 81 5 شماره
صفحات -
تاریخ انتشار 2006