Combined carotid endarterectomy and coronary bypass: A decade experience at UCLA

M. M. Farooq, T. D. Reil, H. A. Gelabert, S. S. Ahn, J. D. Baker, W. S. Moore, W. J. Quinones-Baldrich, J. A. Freischlag

Research output: Contribution to journalArticle

17 Scopus citations

Abstract

Purpose: The purpose of this review was to determine outcomes for combined carotid endarterectomy (CEA) and coronary revascularization (CABG) in patients with asymptomatic carotid stenosis. Methods: We reviewed the medical records of consecutive combined procedures (CEA and CABG), performed at UCLA Medical Center from October, 1989 to January, 1999.Findings: There were 43 patients, 27 men and 16 women, with a mean age of 71 yr (range 51-87). Thirty-four patients 79% (34/43) had asymptomatic carotid stenosis. Stroke occurred in three patients (3/43=6.9%). Stroke ipsilateral to the CEA occurred in two patients: one asymptomatic (1/34=2.9%) and one symptomatic (1/9=11.1%). Conclusions: The majority of patients undergoing combined CEA/CABG have asymptomatic carotid stenosis identified in preparation for elective CABG. The asymptomatic carotid subset stroke rate of 2.9% resulting from a combined CEA/CABG is higher than our reported rate for CEA performed alone. In patients with asymptomatic carotid stenosis, the combined procedure should be selectively performed.

Original languageEnglish (US)
Pages (from-to)339-344
Number of pages6
JournalCardiovascular Surgery
Volume9
Issue number4
DOIs
StatePublished - 2001

Keywords

  • Carotid endarterectomy
  • Combined
  • Coronary bypass
  • Stroke

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging
  • Surgery

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    Farooq, M. M., Reil, T. D., Gelabert, H. A., Ahn, S. S., Baker, J. D., Moore, W. S., Quinones-Baldrich, W. J., & Freischlag, J. A. (2001). Combined carotid endarterectomy and coronary bypass: A decade experience at UCLA. Cardiovascular Surgery, 9(4), 339-344. https://doi.org/10.1016/S0967-2109(01)00004-7