[Combined carotid endarterectomy and coronary artery bypass grafting. Analysis of the results].
OBJECTIVE
To evaluate the results of combined surgery (carotid endarterectomy and coronary artery bypass grafting) in patients with concomitant carotid and coronary artery disease.


METHODS
The authors reviewed 49 different reports describing several aspects of the combined surgery in 4788 patients to analyze early events in the perioperative period.


RESULTS
Overall stroke, acute myocardial infarction (AMI), and mortality rates were 4.3%, 2.2%, and 4.2%, respectively. Most recent papers (1990 to 2000) show significant lower incidence of strokes compared to those published earlier (1972 to 1989) (4.1% x 10.2%; p < 0.05). In this same survey, the incidence of postoperative stroke was higher in the series with a small sample (n < 50) than in those with a larger population (n > 100) (7.2% x 3.9%; p < 0.05), denoting the impact of surgeons' experience on postoperative results.


CONCLUSIONS
In sum, we believe that combined carotid endarterectomy and coronary artery bypass grafting is a safe and effective procedure when performed by experienced and qualified surgeons.
Lucas
Márcio Luís
ML
Santa Casa de Porto Alegre, Porto Alegre, RS. mlucasvasc@ig.com.br
Bonamigo
Telmo Pedro
TP
Weber
Elton Luiz Schmidt
EL
Lucchese
Fernando Antônio
FA
D002340:Carotid Artery Diseases / Q000401:mortality / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000401:mortality; D003324:Coronary Artery Disease / Q000401:mortality / Q000601:surgery*; D016894:Endarterectomy, Carotid / Q000401:mortality; D006801:Humans; D009203:Myocardial Infarction / Q000209:etiology; D011183:Postoperative Complications / Q000401:mortality; D012307:Risk Factors; D020521:Stroke / Q000209:etiology; D013997:Time Factors; D016896:Treatment Outcome