Why the study?
Can an intra-aortic balloon pump be used to safely bridge a high-risk patient with unstable coronary and carotid disease between carotid endarterectomy and coronary artery bypass grafting?
Can an intra-aortic balloon pump be used to safely bridge a high-risk patient with unstable coronary and carotid disease between carotid endarterectomy and coronary artery bypass grafting?
An intra-aortic balloon pump may serve as a safe bridge between carotid endarterectomy and coronary artery bypass grafting in high-risk patients with critical, unstable disease in both territories.
The optimal management of concomitant, unstable atherosclerotic coronary and carotid artery disease is unclear. We present the first use of an intra-aortic balloon pump (IABP) as a bridge between carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) in a high-risk patient. A 62-year-old man with multiple comorbidities presented with unstable disease in both coronary and carotid territories. He was unsuitable for endovascular management of either lesion. An IABP was used to safely bridge him between carotid and coronary revascularisation. We propose that where both coronary and carotid circulations are critically compromised, this approach may offer a way out of an otherwise impossible situation.
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Brightwell et al. (2013) studied this question.
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