Key result
Emergency carotid artery stenting successfully treated acute cerebral infarction following coronary artery bypass grafting, leading to nearly normal neurological recovery at 1-year follow-up.
Why the study?
Coronary artery bypass grafting patients with carotid artery disease are often managed conservatively without preoperative revascularization, but acute rapidly progressive stroke symptoms may require urgent intervention.
Case Report (n=1)
No
Emergency carotid artery stenting guided by arterial spin labeling MRI can be an effective and successful treatment for acute cerebral infarction following coronary artery bypass grafting in patients with concomitant severe carotid stenosis.
It is considered acceptable to conservatively manage coronary artery bypass grafting patients with carotid artery disease without the need for preoperative corrective carotid revascularization. However, in the present case, rapidly progressive stroke symptoms with penumbra suggested in the arterial spin labeling, carotid artery stenting was performed successfully.
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Sugiyama et al. (2023) conducted a case report in Severe stenosis of the carotid and coronary arteries (n=1). Carotid artery stenting was evaluated on Neurological recovery. Emergency carotid artery stenting successfully treated acute cerebral infarction following coronary artery bypass grafting, leading to nearly normal neurological recovery at 1-year follow-up.
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