title: [Clinical outcomes of synchronous revascularization on patients concomitant carotid and coronary artery severe stenosis].
abstract: OBJECTIVE
  To analyze the outcomes of synchronous revascularization for patients concomitant carotid and coronary artery severe stenosis.
  
  
  METHODS
  From May 2012 to April 2014, 12 cases who received one-stage operation was retrospective analyzed, including the characteristics, methods of treatment, perioperative complications and health survey 30 days post procedure. Two subgroups were divided according to the different treatment methods on carotid artery, WIC and SF-36 scale were applied to compare the basic condition and recovery situation between 2 groups, the hospital stay time, costs, ventilation time, drainage and blood transfusion volume were also be compared.
  
  
  RESULTS
  Totally 30 coronary vessels 8 carotid endarterectomy (CEA) and 5 carotid artery stenting (CAS) were performed on 12 patients. One patient also received coronary artery bypass grafting and bilateral carotid artery revascularization (CEA on right and CAS on left). Two (16.67%) minor stroke, 1 (8.33%) TIA, 1 wound infection occurred within 30 days post procedure, and 11 (91.67%) received blood component transfusion. No myocardial infarction and death occured. The average hospital stay time were (36.5 ± 25.3) days, ventilator application (37.5 ± 31.2) hours, postoperative drainage volume from pericardial and mediastinal was (347.92 ± 105.69) ml, infusion of concentrated red cell was 4.3 U. WIC was (5.57 ± 1.51) in CEA and (4.25 ± 1.50) in CAS subgroup, there was no significantly statistical difference (t = 1.40, P > 0.05). the results of SF-36 was (3.63 ± 1.76) and (5.44 ± 1.05) in CEA and CAS subgroup, there was no significantly statistical difference (t = -1.85, P > 0.05). In hospital stay time, ventilator application time, transfusion and drainage volume, hospitalization costs were also no significant statistical difference between two groups.
  
  
  CONCLUSIONS
  The early outcome of synchronous revascularization on concomitant carotid and coronary severe stenosis disease is satisfactory. The clinical results are similar in the CEA and CAS subgroup.
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Xueqiang
authors.initials: X
authors.lastname: Fan
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China; Email: liupeng5417@163.com.
authors.forename: Peng
authors.initials: P
authors.lastname: Liu
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Zhidong
authors.initials: Z
authors.lastname: Ye
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Jie
authors.initials: J
authors.lastname: Chen
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Bo
authors.initials: B
authors.lastname: Ma
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Shuang
authors.initials: S
authors.lastname: Zhu
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Yanan
authors.initials: Y
authors.lastname: Zhen
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Xia
authors.initials: X
authors.lastname: Zheng
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Fei
authors.initials: F
authors.lastname: Wang
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Fan
authors.initials: F
authors.lastname: Lin
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Yuguang
authors.initials: Y
authors.lastname: Yang
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Songyi
authors.initials: S
authors.lastname: Qian
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Shiyan
authors.initials: S
authors.lastname: Ren
authors.affiliation: Department of Cardiovascular, China-Japan Friendship Hospital, Beijing 100029, China.
authors.forename: Fenglin
authors.initials: F
authors.lastname: Wang
mesh_terms: D016893:Carotid Stenosis; D001026:Coronary Artery Bypass; D023921:Coronary Stenosis; D016894:Endarterectomy, Carotid; D006801:Humans; D007902:Length of Stay; D009203:Myocardial Infarction; D012189:Retrospective Studies; D015607:Stents; D020521:Stroke; D016896:Treatment Outcome