Turkish Journal of Medical Sciences
Concomitant carotid endarterectomy and off-pump coronary artery bypass grafting in coexistent carotid and coronary artery diseases
To analyze the results of our experience with a combined procedure via off-pump coronary artery bypass (OPCABG) and carotid endarterectomy (CEA) retrospectively. Materials and methods: Eighty-four patients underwent OPCABG and CEA concomitantly between 1998 and 2011. Thirty (35.7%) patients had a cardiac history of myocardial infarction (MI), 13 (15.6%) had unstable angina (USAP), and 27 (32.1%) had USAP together with MI, whereas 14 (16.6%) were asymptomatic. Forty-two (50%) patients showed no neurological symptoms, 20 (23.8%) had transient ischemic attacks (TIAs), 21 (25%) suffered from stroke, and 1 (1.2%) experienced both. CEA was performed before OPCABG in all of the patients. Results: There were 84 patients (aged 68.05 ± 5.88; 77.3% male). Four (4.8%) had a perioperative stroke whereas 5 of them had TIAs (5.9%). Mean ICU stay was 30.3 h and patients were discharged in 6.4 days on average. There were 2 (2.38%) postoperative myocardial infarctions and 3 (3.5%) deaths in the early postoperative period. Conclusion: A combined procedure via OPCABG and CEA seems to be safe and cost effective based on the acceptable results of morbidity and mortality rates and short ICU and hospital stays.
Carotid artery disease, coronary artery disease, coronary artery bypass grafting, carotid artery endarterectomy, concomitant surgery
KURTOĞLU, MURAT; ATEŞ, MEHMET ŞANSER; DUVAN, İBRAHİM; ONUK, BURAK EMRE; and KARAGÖZ, YAHYA HALİDUN
"Concomitant carotid endarterectomy and off-pump coronary artery bypass grafting in coexistent carotid and coronary artery diseases,"
Turkish Journal of Medical Sciences: Vol. 42:
7, Article 15.
Available at: https://journals.tubitak.gov.tr/medical/vol42/iss7/15