Combined carotid endarterectomy and coronary bypass: a decade experience at UCLA.
OBJECTIVE
The purpose of this review was to determine outcomes for combined carotid endarterectomy (CEA) and coronary revascularization (CABG) in patients with asymptomatic carotid stenosis.


METHODS
We reviewed the medical records of consecutive combined procedures (CEA and CABG), performed at UCLA Medical Center from October, 1989 to January, 1999.


RESULTS
There were 43 patients, 27 men and 16 women, with a mean age of 71 yr (range 51-87). Thirty-four patients 79% (34/43) had asymptomatic carotid stenosis. Stroke occurred in three patients (3/43 = 6.9%). Stroke ipsilateral to the CEA occurred in two patients: one asymptomatic (1/34 = 2.9%) and one symptomatic (1/9 = 11.1%).


CONCLUSIONS
The majority of patients undergoing combined CEA/CABG have asymptomatic carotid stenosis identified in preparation for elective CABG. The asymptomatic carotid subset stroke rate of 2.9% resulting from a combined CEA/CABG is higher than our reported rate for CEA performed alone. In patients with asymptomatic carotid stenosis, the combined procedure should be selectively performed.
Farooq
M M
MM
University of California Los Angeles, Division of Vascular Surgery, Gonda (Goldschmied) Vascular Center, 200 Medical Plaza, Suite 510-6, Box 956908, Los Angeles, CA 90095-6908, USA. mfarooq@mednet.ucla.edu
Reil
T D
TD
Gelabert
H A
HA
Ahn
S S
SS
Baker
J D
JD
Moore
W S
WS
Quiñones-Baldrich
W J
WJ
Freischlag
J A
JA
D000368:Aged; D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000601:surgery*; D002544:Cerebral Infarction / Q000209:etiology / Q000401:mortality; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000401:mortality / Q000601:surgery*; D016894:Endarterectomy, Carotid; D005260:Female; D017052:Hospital Mortality; D006785:Hospitals, University; D006801:Humans; D015141:Los Angeles; D008297:Male; D008875:Middle Aged; D011183:Postoperative Complications / Q000209:etiology / Q000401:mortality; D012307:Risk Factors; D016019:Survival Analysis