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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | McDonnell, Ciarán O. Herron, Caroline C. Hurley, John P. McCarthy, James F. Nolke, Lars Redmond, J. Mark Wood, Alfred E. O'Donohoe, Martin K. O' Malley, M. Kevin |
| Description | Country affiliation: Ireland Author Affiliation: McDonnell CO ( Department of Vascular Surgery, Mater Misericordiae University Hospital, Eccles Street, Dublin 7, Ireland. mrcomcdonnell@gmail.com) |
| Abstract | BACKGROUND: Management of patients with severe concomitant carotid and coronary disease remains controversial. We report our experience of combined carotid endarterectomy (CEA) and coronary artery bypass surgery (CABG) over a fifteen year period using strict patient selection criteria. METHODS: From 1st January 1995 to December 31st 2009 165 patients underwent combined CABG/CEA procedures at the Mater Hospital. Mean age was 68.2 years (range 43-88) and 127 (77%) were male. Fifty-three (32%) had symptomatic carotid disease. Indications for combined procedures were the presence of symptomatic >70% or asymptomatic >80% internal carotid artery stenosis in a patient requiring urgent CABG because of either unstable angina, recent MI, severe triple vessel disease or severe Left Anterior Descending or Left Main Stem stenosis. RESULTS: Thirty-day stroke and death rate was 3%. All neurological events were in the hemisphere contralateral to the carotid surgery and symptoms had completely resolved prior to discharge from hospital. One patient required evacuation of a cervical haematoma and there were two transient XII nerve palsies. CONCLUSION: Combined CEA/CABG can be performed safely with acceptable morbidity and mortality in patients selected in accordance with strict criteria in a centre with a large experience of both cardiac and carotid surgery. |
| File Format | HTM / HTML |
| ISSN | 1479666X |
| Issue Number | 4 |
| Volume Number | 10 |
| Journal | The Surgeon |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2012-08-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Surgery Carotid Stenosis Surgery Coronary Artery Bypass Methods Coronary Artery Disease Endarterectomy, Carotid Patient Selection Adult Aged Aged, 80 And Over Complications Female Humans Male Middle Aged Retrospective Studies Treatment Outcome Comparative Study Journal Article |
| Content Type | Text |
| Resource Type | Article |
| Subject | Surgery |
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