Key result
Simultaneous CEA and CABG yields low perioperative mortality of ~1% in observational cohort.
Why the study?
The safety and mortality rates of simultaneous carotid endarterectomy and coronary artery bypass grafting require evaluation.
Does simultaneous carotid endarterectomy and coronary artery bypass grafting result in low mortality and morbidity in patients with concomitant carotid and coronary artery disease?
Observational (n=110)
No
Does simultaneous carotid endarterectomy and coronary artery bypass grafting result in low mortality and morbidity in patients with concomitant carotid and coronary artery disease?
Simultaneous CEA and CABG can be performed with low mortality (0.9%) and acceptable neurological complication rates (6%) in patients with concomitant carotid and coronary artery disease.
Does not support practice change; hypothesis-generating for simultaneous CEA+CABG pending randomized data.
Between January 1996 and January 2009, a total of 110 patients (86 males, 24 females; mean age: 65.11 ± 7.81 years; range, 44 to 85 years) who were admitted to hospital, Cardiovascular Surgery Clinic were retrospectively analyzed. All patients underwent simultaneous CEA and CABG. Demographic characteristics of the patients and a history of previous myocardial infarction (MI), hypertension, diabetes mellitus, hyperlipidemia, peripheral arterial disease, and smoking were recorded. One patient (0.9%) with major stroke died due to ventricular fibrillation. Perioperative neurological complications were observed in seven patients (6%). Complications were persistent in two patients. Four patients (3%) had postoperative major stroke, whereas three patients (2%) had transient hemiparesis. No perioperative myocardial infarction was observed.
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Aydın et al. (2015) conducted an observational in Concomitant carotid and coronary artery disease (n=110). Simultaneous carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) was evaluated on Mortality. Simultaneous carotid endarterectomy and coronary artery bypass grafting was performed with a low mortality rate of 0.9% and a perioperative neurological complication rate of 6%.
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