title: Simultaneous carotid endarterectomy and coronary artery bypass surgery in Canada.
abstract: Stroke neurologists are commonly asked to review patients who require coronary artery bypass grafting (CABG) but who also have comorbid severe carotid stenosis; such patients may be offered simultaneous carotid endarterectomy (CEA). In Canada, 0.51% of CABG procedures were combined CEA-CABG. The adjusted stroke and death rate was 2.67-fold greater in the combined CEA-CABG group compared to CABG alone. Randomized trials of the combined procedure are needed.
authors.affiliation: Calgary Stroke Program, Department of Clinical Neurosciences, University of Calgary, Alberta, Canada. michael.hill@calgaryhealthregion.ca
authors.forename: M D
authors.initials: MD
authors.lastname: Hill
authors.forename: F M
authors.initials: FM
authors.lastname: Shrive
authors.forename: J
authors.initials: J
authors.lastname: Kennedy
authors.forename: T E
authors.initials: TE
authors.lastname: Feasby
authors.forename: W A
authors.initials: WA
authors.lastname: Ghali
mesh_terms: D002545:Brain Ischemia / Q000517:prevention & control / Q000601:surgery*; D002170:Canada; D016893:Carotid Stenosis / Q000601:surgery; D015331:Cohort Studies; D015897:Comorbidity; D001026:Coronary Artery Bypass / Q000379:methods / Q000706:statistics & numerical data*; D003324:Coronary Artery Disease / Q000601:surgery; D016894:Endarterectomy, Carotid / Q000379:methods / Q000706:statistics & numerical data*; D006801:Humans; D007049:Iatrogenic Disease / Q000453:epidemiology; D009026:Mortality; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data*; D018579:Patient Selection; D011183:Postoperative Complications / Q000209:etiology* / Q000503:physiopathology; D018570:Risk Assessment; D012307:Risk Factors; D020521:Stroke / Q000209:etiology* / Q000517:prevention & control / Q000601:surgery*; D016896:Treatment Outcome