Concomitant severe carotid and coronary artery diseases: a separate management or concomitant approach

  title={Concomitant severe carotid and coronary artery diseases: a separate management or concomitant approach},
  author={J. S. K. Chan and A. Shafi and C. Grafton-Clarke and Sukhdeep Singh and A. Harky},
  journal={Journal of Cardiac Surgery},
  pages={803 - 813}
Objective: To systematically compare outcomes between patients with asymptomatic carotid artery diseases (>80% stenosis) that had undergone staged carotid endarterectomy (CEA) before coronary artery bypass grafting (CABG) vs simultaneous CEA and CABG. 
Combined surgical treatment of symptomatic carotid, coronary and mesenteric occlusive disease
This case demonstrates the feasibility and safety of the combined surgical management of symptomatic carotid, coronary and mesenteric ischemic disease and the patient had an uncomplicated post-operative course and was discharged to home after the combined procedure. Expand
Surgical treatment for coronary artery disease with concomitant carotid stenosis: one-center experience
Surgical treatment of CAD with concomitant BCA involvement can be effectively and safely performed both as separate procedures, as well as simultaneously, based on the patient's comorbidities and special aspects of the underlying disorders. Expand
Optimal Medical Management of Asymptomatic Carotid Stenosis
Patients with ACS often have atherosclerosis in other critical locations, and thus optimal medical therapy is likely to reduce events outside the carotid arteries. Expand
Safe carotid endarterectomy: “one fits all strategy”
  • A. Unlu, A. Durukan
  • Medicine
  • Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery
  • 2020
“one fits all strategy: general anesthesia, conventional endarterectomy without patch plasty, never shunter and always NIRS monitorization” may be used safely in patients undergoing carotid endarteretomy, and continues to prove its safety incarotid artery stenosis patients. Expand


The role of SYNTAX score in decision‐making for preoperative carotid artery screening in patients undergoing coronary artery bypass surgery
The aim of this study is to evaluate the potential of the SYNTAX score (SXscore) for predicting carotid stenosis in patients undergoing CABG. Expand
Carotid artery stenosis. Association with surgery for coronary artery disease.
Simultaneous carotid endarterectomy and coronary revascularization was the most effective means for avoiding myocardial complications and reducing the potential neurologic deficits. Expand
Coronary and carotid artery occlusive disease: single center experience.
It is imperative that every patient being considered for CABG should undergo ultrasonic evaluation of the carotid arteries regardless the neurological symptomatology, and concomitant surgery on patients with severe CAS and coronary disease carries a slightly higher operative risk and should be avoided. Expand
Editor's Choice - Management of Atherosclerotic Carotid and Vertebral Artery Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS).
  • A. Naylor, J. Ricco, +29 authors M. Venermo
  • Medicine
  • European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery
  • 2018
Re : "Management of Atherosclerotic Carotid and Vertebral Disease: 2017 Clinical Practice Guidelines of the European Society for Vascular Surgery (ESVS)"
Simultaneous Carotid and Coronary Arteries Disease: Staged or Combined Surgical Approach?
Despite the highly selected populations, the contemporary surgical results indicate that the management of these patients needs careful pre‐, intra‐, and postoperative assessment and timing aimed at reducing the ischemic injuries, both cerebral and cardiac, therefore it is believed that the surgical technique should be individualized for each patient. Expand
Toward a rational management of concomitant carotid and coronary artery disease.
Patients with combined cardiac and carotid disease benefit from assessment of both systems in order to stage CABG andcarotid endarterectomy, and the experience suggests that carefully planned management of concomitant coronary and carOTid disease can achieve better results. Expand
Current Outcomes of Simultaneous Carotid Endarterectomy and Coronary Artery Bypass Graft Surgery in North America
Suboptimal results associated with the SCC strategy suggest a need for quality improvement and research on the optimal management of patients with simultaneous carotid and coronary disease. Expand
Staged versus synchronous carotid endarterectomy and coronary artery bypass grafting: analysis of 10-year nationwide outcomes.
Staged procedures were associated with a greater risk of overall complications and higher hospital charges than SYNC, and on-pump CABG was associated with higher stroke rates in SYNC patients. Expand
Perioperative morbidity and mortality in combined vs. staged approaches to carotid and coronary revascularization
Analysis of data from 57 patients who underwent carotid endarterectomy and coronary artery bypass grafting during the same hospitalization shows that the performance of simultaneous CABG and CEA procedures is associated with increased neurologic morbidity, and suggests that the procedures should be staged with CabG preceding CEA. Expand
Concomitant Carotid Endarterectomy and Coronary Bypass Surgery: Should Cardiopulmonary Bypass Be Used for the Carotid Procedure?
It is concluded that combined CEA/CABG using CPB only during the myocardial revascularization procedure remains the technique of choice in patients with coronary and carotid artery disease, offering better outcome in terms of perioperative morbidity. Expand