Carotid Artery Stenting and Cardiac Surgery in Symptomatic Patients

Carotid Artery Stenting and Cardiac Surgery in Symptomatic Patients Jan Van der Heyden, Danihel Van Neerven, Uday Sonker, Egbert T. Bal, Johannes C. Kelder, Herbert W. M. Plokker, Maarten J. Suttorp In the absence of randomized trials, the best management of patients with concomitant severe carotid...

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Bibliographic Details
Published in:JACC. Cardiovascular interventions 2011-11, Vol.4 (11), p.1190-1196
Main Authors: Van der Heyden, Jan, MD, Van Neerven, Danihel, Sonker, Uday, MD, Bal, Egbert T., MD, Kelder, Johannes C., MD, Plokker, Herbert W.M., MD, PhD, Suttorp, Maarten J., MD, PhD
Format: Article
Language:English
Subjects:
Aged
Angioplasty - adverse effects
Angioplasty - instrumentation
Angioplasty - mortality
cardiac surgery
Cardiovascular
carotid artery stenting
Carotid Stenosis - complications
Carotid Stenosis - mortality
Carotid Stenosis - therapy
Coronary Artery Bypass - adverse effects
Coronary Artery Bypass - mortality
Coronary Artery Disease - complications
Coronary Artery Disease - mortality
Coronary Artery Disease - surgery
Feasibility Studies
Female
Humans
Ischemic Attack, Transient - etiology
Kaplan-Meier Estimate
Male
Middle Aged
Myocardial Infarction - etiology
Netherlands
Prospective Studies
Risk Assessment
Risk Factors
Stents
stroke
Stroke - etiology
Time Factors
Treatment Outcome
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Summary:Carotid Artery Stenting and Cardiac Surgery in Symptomatic Patients Jan Van der Heyden, Danihel Van Neerven, Uday Sonker, Egbert T. Bal, Johannes C. Kelder, Herbert W. M. Plokker, Maarten J. Suttorp In the absence of randomized trials, the best management of patients with concomitant severe carotid and coronary artery disease remains in dispute. Recent studies have shown that CAS is feasible for high-risk carotid endarterectomy patients. The expected benefit of a reduction in myocardial infarction rates, introducing the CAS-coronary artery bypass graft approach, has been documented in this study. Our findings suggest that CAS before cardiac surgery offers a valuable alternative to the combined surgical approach in the neurologically symptomatic subpopulation.
ISSN:1936-8798
1876-7605
DOI:10.1016/j.jcin.2011.07.012