Simultaneous carotid endarterectomy and coronary artery bypass surgery in Canada.
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.
Hill
M D
MD
Calgary Stroke Program, Department of Clinical Neurosciences, University of Calgary, Alberta, Canada. michael.hill@calgaryhealthregion.ca
Shrive
F M
FM
Kennedy
J
J
Feasby
T E
TE
Ghali
W A
WA
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