Carotid endarterectomy or stenting before coronary artery bypass in patients with coexisting carotid and coronary disease?
10.3760/cma.j.issn.1673-4165.2009.06.015
- VernacularTitle:同时患有颈动脉和冠状动脉疾病的患者应先行颈动脉内膜切除术或支架置入术吗?
- Author:
Kejiang SU
- Publication Type:Journal Article
- Keywords:
coronary artery bypass;
carotid stenosis;
endarterectomy,carotid;
stents;
stroke
- From:
International Journal of Cerebrovascular Diseases
2009;17(6):475-480
- CountryChina
- Language:Chinese
-
Abstract:
Carotid artery and coronary atberosclcrotic lesions often coexist. How to manage the two kinds of lesions, especially to reduce the risk of perioperative stroke, whether it is necessary to treat carotid artery lesions first or simultaneously before coronary artery bypass grafting, and whether stent angioplasty can replace carotid endarterectomy in the treatment of carotid disease has been controversial. This article discusses them.