Synchronous carotid stenting and cardiac surgery: An initial single-center experience

Autor: Oscar, Mendiz, Mendiz, Oscar, Carlos, Fava, Fava, Carlos, León, Valdivieso, Valdivieso, León, Eduardo, Dulbecco, Dulbecco, Eduardo, Héctor, Raffaelli, Raffaelli, Héctor, Gustavo, Lev, Lev, Gustavo, Roberto, Favaloro, Favaloro, Roberto
Rok vydání: 2006
Předmět:
Male
medicine.medical_specialty
Carotid Artery
Common
medicine.medical_treatment
Population
Heart Valve Diseases
Carotid endarterectomy
Severity of Illness Index
Blood Vessel Prosthesis Implantation
Angioplasty
Internal medicine
medicine
Humans
Carotid Stenosis
Radiology
Nuclear Medicine and imaging
Hospital Mortality
cardiovascular diseases
Myocardial infarction
Coronary Artery Bypass
education
Stroke
Aged
Aged
80 and over
Heart Valve Prosthesis Implantation
education.field_of_study
business.industry
Coronary Stenosis
General Medicine
Length of Stay
Middle Aged
medicine.disease
Clopidogrel
Cardiac surgery
Surgery
Treatment Outcome
Aortic Valve
cardiovascular system
Cardiology
Mitral Valve
Female
Stents
Carotid stenting
Cardiology and Cardiovascular Medicine
business
Follow-Up Studies
medicine.drug
Zdroj: Catheterization and Cardiovascular Interventions. 68:424-428
ISSN: 1522-726X
1522-1946
DOI: 10.1002/ccd.20883
Popis: Concurrent severe carotid and cardiac disease is a challenging situation where staged surgery is probably the most common strategy, although it is still controversial. We report in-hospital and midterm outcome of 30 patients who received carotid stenting and synchronous cardiac surgery. All received carotid stenting under aspirin and regular unfractioned heparin (UFH) and were immediately transferred to the operating room for coronary and/or cardiac valve surgery. All patients received aspirin and clopidogrel once bleeding was ruled out, after surgery. In-hospital complications were: three surgical related deaths, one TIA, and no patient suffered stroke or myocardial infarction. Hospital stay was 14 ± 11.8 days. Survivors were followed for 18.4 ± 14 months. There were two non-related deaths, but no stroke nor cardiac or carotid reinterventions. In conclusion, this small series showed that synchronous carotid stenting and cardiac surgery was feasible with an acceptable complication rate in a high-surgical-risk population which could not undergo staged procedures. © 2006 Wiley-Liss, Inc.
Databáze: OpenAIRE
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