[Ways to decrease the number of complications of combined operations of carotid endarterectomy and coronary bypass surgery in patients with bilateral lesion of the carotid arteries].
In the period from 2003 to 2009 operations of coronary bypass surgery were made in 2657 cases, 4.25% of the patients being operated on coronary arteries (CA). Mean age (60.6 +/- 4.8) years of 83.2% of the patients had no neurological symptoms. The results of one-stage operations in patients with a unilateral lesion of the coronary arteries are not worse than those after isolated revascularization of the myocardium (lethality 2.8%, infarction 2.8%). The results of one-stage operaions in bilateral lesion of the coronary arteries can be improved using hypothermal perfusion, but the risk of neurological complications remains high.
Bendov
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Gordeev
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D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016893:Carotid Stenosis / Q000150:complications / Q000601:surgery*; D001026:Coronary Artery Bypass / Q000379:methods* / Q000592:standards; D016894:Endarterectomy, Carotid / Q000379:methods* / Q000592:standards; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000150:complications / Q000601:surgery*; D011183:Postoperative Complications / Q000517:prevention & control*; D012189:Retrospective Studies; D016896:Treatment Outcome