Outcome of patients with coronary artery disease underwent carotid artery stenting before coronary artery bypass surgery..
- 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
- Publication Type:Journal Article
- MeSH: Carotid Arteries; Cohort Studies; Coronary Artery Bypass; Coronary Artery Disease; surgery; Humans; Prospective Studies; Stents; Treatment Outcome
- From: Chinese Journal of Cardiology 2008;36(10):903-906
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the safety and efficacy of carotid artery stenting before open heart surgery.
METHODSPatients with heart disease and severe carotid artery stenosis received carotid stenting 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.
RESULTSA total of 42 patients were enrolled. The carotid stenting 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.
CONCLUSIONSOur 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.
