[Simultaneous operations of the carotid bifurcation and coronary vessels in moderate systemic hypothermia].
Comorbidity of coronary heart disease and carotid stenosis raises the question of surgical stratification. A simultaneous approach of carotid endarterectomy and coronary revascularization, both under conditions of moderate hypothermic extracorporeal circulation, was applied in 48 patients. Considering the complexity of the procedures required the 30-day mortality (2.1%) and perioperative incidence of permanent stroke (2.1%) or myocardial infarction (0%) appeared to be comparably low.
Cremer
J
J
Abteilung für Herz- und Gefässchirurgie, Christian-Albrechts-Universität Kiel.
Harringer
W
W
Brandt
M
M
Steinhoff
G
G
Haverich
A
A
D000368:Aged; D016893:Carotid Stenosis / Q000401:mortality / Q000601:surgery*; D002423:Cause of Death; D003131:Combined Modality Therapy; D015897:Comorbidity; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000401:mortality / Q000601:surgery*; D016894:Endarterectomy, Carotid; D005260:Female; D006801:Humans; D007036:Hypothermia, Induced; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000401:mortality; D015996:Survival Rate; D016896:Treatment Outcome
Simultanoperationen an der Carotisbifurkation und den Koronargefässen bei moderater systemischer Hypothermie.