Outcomes of combined carotid endarterectomy with Coronary artery bypass grafting
Authors: Chaitanya Raut, Vaibhav Shah, Vijay Shewale, Kuntal Surana, Ritesh Mate, Srikant Suryawanshi, Jayant Khandekar
Abstract:Introduction: The management of significant carotid artery stenosis in patients undergoing CABG is still debatable. We reviewed the clinical outcome of patients who underwent combined carotid endarterectomy with CABG in our institute.Methods: Data from 2008 to 2015 was reviewed. Along with demographic characteristics, history of diabetes mellitus, hypertension, smoking, previous myocardial infarction and stroke was noted. Post operatively ventilation time, average ICU stay, post-operative stroke and its type (ischemic or hemorrhagic), post-operative new atrial fibrillation and mortality was noted. Carotid duplex scanning was repeated after 3 months.Results: A total of 78 patients (average age 61.12 ± 14.94) underwent combined CABG with CEA (male 75.6% and female 24.3%). Of these 74% had hypertension, 92% had DM and 89% had history of smoking. History of stroke and myocardial infarction was present in 7% and 37% respectively. Post-operatively two patients had stroke and only one patient had residual paralysis. There was a single mortality unrelated to stroke. Follow up scan revealed mild narrowing with no flow limitation in 4 patients.Conclusion: Concomitant carotid artery endarterectomy with CABG can be performed safely with low risk of stroke and mortality.
Published on: 24-10-2018