Outcome of patients with coronary artery disease underwent carotid artery stenting before coronary artery bypass surgery
10.3321/j.issn:0253-3758.2008.10.010
- VernacularTitle:心脏直视手术前颈动脉支架术的初步探讨
- Author:
Xiong-Jing JIANG
1
;
Qian YANG
;
Yue-Jin YANG
;
Hai-Ying WU
;
Hui-Min ZHANG
;
Bo XU
;
Ru-Tai HUI
;
Run-Lin GAO
Author Information
1. 中国医学科学院北京协和医学院阜外心血管病医院
- Keywords:
Cardiac surgical procedures;
Carotid stnosis;
Stents
- From:
Chinese Journal of Cardiology
2008;36(10):903-906
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of carotid artery stenting before open heart surgery.Methods Patients with heart disease and severe carotid artery stenosis received carotid stenfing before open heart surgery were included in this prospective cohort study.The incidence of stroke,myocardial infarction and death from carotid stenting to 30 days after cardiac surgery was assessed.Results A total of 42 patients were enrolled.The carotid stenfing procedural success rate was 100%.Distal embolic protection devices were used in 97.6% patients (41/42).Thirty-six (85.7%) patients received bypass surgery,5 patients received bypass and valve replacement surgery (11.9%) and 1 patient received valve replacement surgery (2.4%) post carotid stenting.The incidence of stroke,myocardial infarction and death from carotid stenting to 30 days after cardiac surgery was 2.4% (1/42),0% and 0%respectively.Conclusions Our data from this small cohort study showed that carotid artery stenting before open heart surgery was safe and effective for patients with heart disease and severe carotid artery stenosis.
