Volume 13, Issue 2 , Pages 192-198, April 2001
Management of patients with concomitant coronary and carotid vascular disease☆
Abstract
Stroke is a major complication of coronary artery bypass graft (CABG) surgery. Carotid stenosis is an important cause of stroke in certain CABG patients. Randomized trials have revealed that carotid endarterectomy (CEA) is clearly indicated in non-CABG patients with symptomatic severe carotid stenosis. CEA is also indicated in patients with symptomatic moderate stenosis and asymptomatic severe stenosis if the predicted incidence of perioperative morbidity and mortality is low. Therapeutic options for patients with concomitant coronary and carotid disease include CABG alone, CABG plus CEA, and CABG plus carotid stenting. In this article we discuss each of these management techniques in detail, and make recommendations regarding the preferred approach in specific patient populations. Copyright © 2001 by W.B. Saunders Company
Keywords: Stroke, coronary bypass surgery, carotid endarterectomy, randomized clinical trials
☆ Address reprint requests to Stephen E. Fremes, MD, Head, Division of Cardiovascular Surgery, Sunnybrook and Women's College Health Sciences Centre, 2075 Bayview Ave, Suite H405, Toronto, Ontario M4N 3M5, Canada. E-mail: stephen.fremes@swchsc.on.ca.
PII: S1043-0679(01)70034-2
Volume 13, Issue 2 , Pages 192-198, April 2001
