Coronary artery bypass grafting in patients with cerebrovascular disease.
The incidence of carotid artery disease in patients undergoing coronary artery bypass grafting appears to be increasing as our population ages. The optimal treatment for these high-risk patients with concomitant carotid and coronary artery disease remains controversial. This review focuses on the management of patients with coexistent carotid and coronary arteriosclerosis. The significance and management of the patient with an asymptomatic carotid stenosis in patients undergoing coronary artery bypass grafting and the role of combined coronary artery bypass grafting and carotid endarterectomy in these patients will be discussed.
Lazar
H L
HL
Department of Cardiothoracic Surgery, Boston University School of Medicine and Boston Medical Center, Massachusetts 02118, USA.
Menzoian
J O
JO
D001921:Brain / Q000098:blood supply; D002315:Cardiopulmonary Bypass; D016893:Carotid Stenosis / Q000150:complications* / Q000601:surgery; D015897:Comorbidity; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000150:complications* / Q000601:surgery*; D016894:Endarterectomy, Carotid; D006801:Humans; D016896:Treatment Outcome