Key result
Emergency carotid stenting successfully treats acute cerebral infarction following CABG with nearly normal neurological recovery.
Why the study?
Coronary artery bypass grafting patients with carotid artery disease are often managed conservatively without preoperative corrective carotid revascularization.
Case Report (n=1)
No
While conservative management of carotid artery disease is generally acceptable in CABG patients, carotid artery stenting can be successfully performed in cases with rapidly progressive stroke symptoms.
May be feasible before CABG in select progressive stroke cases; leaves open need for prospective safety data.
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 shown in the arterial spin labeling, carotid artery stenting was performed successfully.
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Sugiyama et al. (2022) conducted a case report in Severe stenosis of the carotid and coronary arteries (n=1). Emergency carotid artery stenting (CAS) was evaluated on Neurological recovery and absence of major adverse cerebral or cardiovascular events. Emergency carotid artery stenting successfully treated acute cerebral infarction following coronary artery bypass grafting, with the patient recovering to nearly normal neurological activity and remaining stable at 1-year follow-up.
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