[Outcome of patients with coronary artery disease underwent carotid artery stenting before coronary artery bypass surgery.].
OBJECTIVE
To evaluate the safety and efficacy of carotid artery stenting before open heart surgery.


METHODS
Patients with heart disease and severe carotid artery stenosis received carotid stenting before open heart surgery were included in this prospective cohort study. The incidence of stroke, myocardial infarction and death from carotid stenting to 30 days after cardiac surgery was assessed.


RESULTS
A total of 42 patients were enrolled. The carotid stenting procedural success rate was 100%. Distal embolic protection devices were used in 97.6% patients (41/42). Thirty-six (85.7%) patients received bypass surgery, 5 patients received bypass and valve replacement surgery (11.9%) and 1 patient received valve replacement surgery (2.4%) post carotid stenting. The incidence of stroke, myocardial infarction and death from carotid stenting to 30 days after cardiac surgery was 2.4% (1/42), 0% and 0% respectively.


CONCLUSIONS
Our data from this small cohort study showed that carotid artery stenting before open heart surgery was safe and effective for patients with heart disease and severe carotid artery stenosis.
Jiang
Xiong-Jing
XJ
Department of Cardiology, Fu Wai Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100037, China.
Yang
Qian
Q
Yang
Yue-Jin
YJ
Wu
Hai-Ying
HY
Zhang
Hui-Min
HM
Xu
Bo
B
Hui
Ru-Tai
RT
Gao
Run-Lin
RL
D002339:Carotid Arteries; D015331:Cohort Studies; D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000601:surgery; D006801:Humans; D011446:Prospective Studies; D015607:Stents; D016896:Treatment Outcome