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World Journal of Surgery

Erschienen in:

07.08.2017 | Scientific Review

Contemporary Management of Patients with Concomitant Coronary and Carotid Artery Disease

verfasst von: Mun J. Poi, Angela Echeverria, Peter H. Lin

Erschienen in: World Journal of Surgery | Ausgabe 1/2018

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Abstract

The ideal management of concomitant carotid and coronary artery occlusive disease remains elusive. Although researchers have advocated the potential benefits of varying treatment strategies based on either concomitant or staged surgical treatment, there is no consensus in treatment guidelines among national or international clinical societies. Clinical studies show that coronary artery bypass grafting (CABG) with either staged or synchronous carotid endarterectomy (CEA) is associated with a high procedural stroke or death rate. Recent clinical studies have found carotid artery stenting (CAS) prior to CABG can lead to superior treatment outcomes in asymptomatic patients who are deemed high risk of CEA. With emerging data suggesting favorable outcome of CAS compared to CEA in patients with critical coronary artery disease, physicians must consider these diverging therapeutic options when treating patients with concurrent carotid and coronary disease. This review examines the available clinical data on therapeutic strategies in patients with concomitant carotid and coronary artery disease. A treatment paradigm for considering CAS or CEA as well as CABG and percutaneous coronary intervention is discussed.

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Titel: Contemporary Management of Patients with Concomitant Coronary and Carotid Artery Disease
verfasst von: Mun J. Poi
Angela Echeverria
Peter H. Lin
Publikationsdatum: 07.08.2017
Verlag: Springer International Publishing
Erschienen in: World Journal of Surgery / Ausgabe 1/2018
Print ISSN: 0364-2313
Elektronische ISSN: 1432-2323
DOI: https://doi.org/10.1007/s00268-017-4103-7

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