Same-Day Carotid Artery Stenting and Coronary Artery Bypass Surgery. 2023

Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia.

The optimal treatment strategy for patients with severe carotid artery disease undergoing coronary artery bypass grafting is still problematic. The important question is whether it is necessary to treat significant carotid disease in patients who have undergone coronary artery bypass grafting. This study analyzed short- and midterm results after same-day carotid artery stenting and coronary artery bypass grafting. From 2013 to 2020, a total of 69 patients were enrolled in the study. Same-day carotid artery stenting and coronary artery bypass grafting were performed in all patients. The study's primary end points were the evaluation rate of stroke, myocardial infarction, and death within short- and midterm periods after the procedures. The 30-day mortality was 0%. The occurrences of perioperative adverse events, namely stroke, myocardial infarction, and transient ischemic attack, were 1 (1.4%), 1 (1.4%), and 4 (5.8%), respectively. Mean (IQR) follow-up time was 28 (IQR, 17-43) months. Six (8.8%) patients died during this period. Fatal stroke was registered in 2 cases, and 1 patient experienced a disabling stroke with a fatal outcome. The other 3 patients died because of chronic renal disease, a traffic accident, and for an unknown reason, respectively. Midterm survival in the group was 91.2%. The study showed that same-day carotid artery stenting and coronary artery bypass grafting for concomitant carotid and coronary disease treatment could be a promising and feasible therapeutic strategy.

UI MeSH Term Description Entries
D009203 Myocardial Infarction NECROSIS of the MYOCARDIUM caused by an obstruction of the blood supply to the heart (CORONARY CIRCULATION). Cardiovascular Stroke,Heart Attack,Myocardial Infarct,Cardiovascular Strokes,Heart Attacks,Infarct, Myocardial,Infarction, Myocardial,Infarctions, Myocardial,Infarcts, Myocardial,Myocardial Infarctions,Myocardial Infarcts,Stroke, Cardiovascular,Strokes, Cardiovascular
D002339 Carotid Arteries Either of the two principal arteries on both sides of the neck that supply blood to the head and neck; each divides into two branches, the internal carotid artery and the external carotid artery. Arteries, Carotid,Artery, Carotid,Carotid Artery
D003324 Coronary Artery Disease Pathological processes of CORONARY ARTERIES that may derive from a congenital abnormality, atherosclerotic, or non-atherosclerotic cause. Arteriosclerosis, Coronary,Atherosclerosis, Coronary,Coronary Arteriosclerosis,Coronary Atherosclerosis,Left Main Coronary Artery Disease,Left Main Coronary Disease,Left Main Disease,Arterioscleroses, Coronary,Artery Disease, Coronary,Artery Diseases, Coronary,Atheroscleroses, Coronary,Coronary Arterioscleroses,Coronary Artery Diseases,Coronary Atheroscleroses,Left Main Diseases
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D001026 Coronary Artery Bypass Surgical therapy of ischemic coronary artery disease achieved by grafting a section of saphenous vein, internal mammary artery, or other substitute between the aorta and the obstructed coronary artery distal to the obstructive lesion. Aortocoronary Bypass,Bypass, Coronary Artery,Bypass Surgery, Coronary Artery,Coronary Artery Bypass Grafting,Coronary Artery Bypass Surgery,Aortocoronary Bypasses,Artery Bypass, Coronary,Artery Bypasses, Coronary,Bypass, Aortocoronary,Bypasses, Aortocoronary,Bypasses, Coronary Artery,Coronary Artery Bypasses
D015607 Stents Devices that provide support for tubular structures that are being anastomosed or for body cavities during skin grafting. Stent
D016893 Carotid Stenosis Narrowing or stricture of any part of the CAROTID ARTERIES, most often due to atherosclerotic plaque formation. Ulcerations may form in atherosclerotic plaques and induce THROMBUS formation. Platelet or cholesterol emboli may arise from stenotic carotid lesions and induce a TRANSIENT ISCHEMIC ATTACK; CEREBROVASCULAR ACCIDENT; or temporary blindness (AMAUROSIS FUGAX). (From Adams et al., Principles of Neurology, 6th ed, pp 822-3) Carotid Artery Narrowing,Carotid Ulcer,Carotid Artery Plaque,Carotid Artery Stenosis,Carotid Artery Ulcerating Plaque,Common Carotid Artery Stenosis,External Carotid Artery Stenosis,Internal Carotid Artery Stenosis,Plaque, Ulcerating, Carotid Artery,Stenosis, Common Carotid Artery,Stenosis, External Carotid Artery,Ulcerating Plaque, Carotid Artery,Artery Narrowing, Carotid,Artery Narrowings, Carotid,Artery Plaque, Carotid,Artery Plaques, Carotid,Artery Stenoses, Carotid,Artery Stenosis, Carotid,Carotid Artery Narrowings,Carotid Artery Plaques,Carotid Artery Stenoses,Carotid Stenoses,Carotid Ulcers,Narrowing, Carotid Artery,Narrowings, Carotid Artery,Plaque, Carotid Artery,Plaques, Carotid Artery,Stenoses, Carotid,Stenoses, Carotid Artery,Stenosis, Carotid,Stenosis, Carotid Artery,Ulcer, Carotid,Ulcers, Carotid
D016894 Endarterectomy, Carotid The excision of the thickened, atheromatous tunica intima of a carotid artery. Carotid Endarterectomy,Carotid Endarterectomies,Endarterectomies, Carotid
D016896 Treatment Outcome Evaluation undertaken to assess the results or consequences of management and procedures used in combating disease in order to determine the efficacy, effectiveness, safety, and practicability of these interventions in individual cases or series. Rehabilitation Outcome,Treatment Effectiveness,Clinical Effectiveness,Clinical Efficacy,Patient-Relevant Outcome,Treatment Efficacy,Effectiveness, Clinical,Effectiveness, Treatment,Efficacy, Clinical,Efficacy, Treatment,Outcome, Patient-Relevant,Outcome, Rehabilitation,Outcome, Treatment,Outcomes, Patient-Relevant,Patient Relevant Outcome,Patient-Relevant Outcomes
D020521 Stroke A group of pathological conditions characterized by sudden, non-convulsive loss of neurological function due to BRAIN ISCHEMIA or INTRACRANIAL HEMORRHAGES. Stroke is classified by the type of tissue NECROSIS, such as the anatomic location, vasculature involved, etiology, age of the affected individual, and hemorrhagic vs. non-hemorrhagic nature. (From Adams et al., Principles of Neurology, 6th ed, pp777-810) Apoplexy,Cerebral Stroke,Cerebrovascular Accident,Cerebrovascular Apoplexy,Vascular Accident, Brain,CVA (Cerebrovascular Accident),Cerebrovascular Accident, Acute,Cerebrovascular Stroke,Stroke, Acute,Acute Cerebrovascular Accident,Acute Cerebrovascular Accidents,Acute Stroke,Acute Strokes,Apoplexy, Cerebrovascular,Brain Vascular Accident,Brain Vascular Accidents,CVAs (Cerebrovascular Accident),Cerebral Strokes,Cerebrovascular Accidents,Cerebrovascular Accidents, Acute,Cerebrovascular Strokes,Stroke, Cerebral,Stroke, Cerebrovascular,Strokes,Strokes, Acute,Strokes, Cerebral,Strokes, Cerebrovascular,Vascular Accidents, Brain

Related Publications

Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
January 2013, The Journal of invasive cardiology,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
October 2008, Zhonghua xin xue guan bing za zhi,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
January 2006, Indian heart journal,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
April 2008, The Journal of cardiovascular surgery,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
July 2016, ANZ journal of surgery,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
January 2006, Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
January 2018, Postepy w kardiologii interwencyjnej = Advances in interventional cardiology,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
January 2007, Cardiology,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
November 2014, European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery,
Igor Zivkovic, and Stasa Krasic, and Petar Milacic, and Miroslav Milicic, and Petar Vukovic, and Zoran Tabakovic, and Dragan Sagic, and Nenad Ilijevski, and Ivana Petrovic, and Miodrag Peric, and Milovan Bojic, and Slobodan Micovic
May 2006, The Annals of thoracic surgery,
Copied contents to your clipboard!