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 language | English (US) |
|---|---|
| Pages (from-to) | 339-344 |
| Number of pages | 6 |
| Journal | Cardiovascular Surgery |
| Volume | 9 |
| Issue number | 4 |
| DOIs | |
| State | Published - 2001 |
Fingerprint
Keywords
- Carotid endarterectomy
- Combined
- Coronary bypass
- Stroke
ASJC Scopus subject areas
- Cardiology and Cardiovascular Medicine
- Radiology Nuclear Medicine and imaging
- Surgery
Cite this
Combined carotid endarterectomy and coronary bypass : A decade experience at UCLA. / 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.
In: Cardiovascular Surgery, Vol. 9, No. 4, 2001, p. 339-344.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Combined carotid endarterectomy and coronary bypass
T2 - A decade experience at UCLA
AU - Farooq, M. M.
AU - Reil, T. D.
AU - Gelabert, H. A.
AU - Ahn, S. S.
AU - Baker, J. D.
AU - Moore, W. S.
AU - Quinones-Baldrich, W. J.
AU - Freischlag, J. A.
PY - 2001
Y1 - 2001
N2 - 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.
AB - 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.
KW - Carotid endarterectomy
KW - Combined
KW - Coronary bypass
KW - Stroke
UR - http://www.scopus.com/inward/record.url?scp=0034974832&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0034974832&partnerID=8YFLogxK
U2 - 10.1016/S0967-2109(01)00004-7
DO - 10.1016/S0967-2109(01)00004-7
M3 - Article
C2 - 11420158
AN - SCOPUS:0034974832
VL - 9
SP - 339
EP - 344
JO - Vascular
JF - Vascular
SN - 1708-5381
IS - 4
ER -