Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience
Objective. Carotid artery stenosis in patients undergoing open-heart surgery may increase risk and deteriorate outcome. The aim of the study was the analysis of risks and outcome after simultaneous carotid and cardiac surgery. Methods. We retrospectively reviewed the medical records of 100 consecuti...
Saved in:
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2018-01-01
|
| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2018/7205903 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850173417136848896 |
|---|---|
| author | Theodor Tirilomis Dieter Zenker Tomislav Stojanovic Stella Malliarou Friedrich A. Schoendube |
| author_facet | Theodor Tirilomis Dieter Zenker Tomislav Stojanovic Stella Malliarou Friedrich A. Schoendube |
| author_sort | Theodor Tirilomis |
| collection | DOAJ |
| description | Objective. Carotid artery stenosis in patients undergoing open-heart surgery may increase risk and deteriorate outcome. The aim of the study was the analysis of risks and outcome after simultaneous carotid and cardiac surgery. Methods. We retrospectively reviewed the medical records of 100 consecutive patients who underwent simultaneous carotid surgery and open-heart surgery during a 5-year period (from 2006 to 2010). Seventy patients were male and 30 female; the mean age was 70.9±7.9 years (median: 71.8 years). Seventy-three patients underwent coronary bypass grafting (CABG), 18 patients combined CABG and valve procedures, 7 patients CABG combined with other procedures, and 3 patients isolated valve surgery. More than half of patients had had bilateral carotid artery pathology (n=51) including contralateral carotid artery occlusion in 12 cases. Results. Carotid artery patch plasty was performed in 71 patients and eversion technique in 29. In 75 cases an intraluminal shunt was used. Thirty-day mortality rate was 7% due to cardiac complications (n=5), metabolic disturbance (n=1), and diffuse cerebral embolism (n=1). There were no carotid surgery-related deaths. Postoperatively, transient cerebral ischemia occurred in one patient and stroke with mild permanent neurological deficit (Rankin level 2) in another patient. Conclusion. Simultaneous carotid artery surgery and open-heart surgery have low risk. The underlying cardiac disease influences outcome. |
| format | Article |
| id | doaj-art-d2d8eb7205a24d82ae36950720f483a6 |
| institution | OA Journals |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-d2d8eb7205a24d82ae36950720f483a62025-08-20T02:19:51ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322018-01-01201810.1155/2018/72059037205903Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre ExperienceTheodor Tirilomis0Dieter Zenker1Tomislav Stojanovic2Stella Malliarou3Friedrich A. Schoendube4Department for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, GermanyDepartment for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, GermanyDepartment for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, GermanyDepartment of Neurology and Neurological Rehabilitation, Asklepios Clinics Schildautal, Seesen, GermanyDepartment for Thoracic, Cardiac, and Vascular Surgery, University of Göttingen, Göttingen, GermanyObjective. Carotid artery stenosis in patients undergoing open-heart surgery may increase risk and deteriorate outcome. The aim of the study was the analysis of risks and outcome after simultaneous carotid and cardiac surgery. Methods. We retrospectively reviewed the medical records of 100 consecutive patients who underwent simultaneous carotid surgery and open-heart surgery during a 5-year period (from 2006 to 2010). Seventy patients were male and 30 female; the mean age was 70.9±7.9 years (median: 71.8 years). Seventy-three patients underwent coronary bypass grafting (CABG), 18 patients combined CABG and valve procedures, 7 patients CABG combined with other procedures, and 3 patients isolated valve surgery. More than half of patients had had bilateral carotid artery pathology (n=51) including contralateral carotid artery occlusion in 12 cases. Results. Carotid artery patch plasty was performed in 71 patients and eversion technique in 29. In 75 cases an intraluminal shunt was used. Thirty-day mortality rate was 7% due to cardiac complications (n=5), metabolic disturbance (n=1), and diffuse cerebral embolism (n=1). There were no carotid surgery-related deaths. Postoperatively, transient cerebral ischemia occurred in one patient and stroke with mild permanent neurological deficit (Rankin level 2) in another patient. Conclusion. Simultaneous carotid artery surgery and open-heart surgery have low risk. The underlying cardiac disease influences outcome.http://dx.doi.org/10.1155/2018/7205903 |
| spellingShingle | Theodor Tirilomis Dieter Zenker Tomislav Stojanovic Stella Malliarou Friedrich A. Schoendube Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience International Journal of Vascular Medicine |
| title | Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience |
| title_full | Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience |
| title_fullStr | Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience |
| title_full_unstemmed | Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience |
| title_short | Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience |
| title_sort | risk and outcome after simultaneous carotid surgery and cardiac surgery single centre experience |
| url | http://dx.doi.org/10.1155/2018/7205903 |
| work_keys_str_mv | AT theodortirilomis riskandoutcomeaftersimultaneouscarotidsurgeryandcardiacsurgerysinglecentreexperience AT dieterzenker riskandoutcomeaftersimultaneouscarotidsurgeryandcardiacsurgerysinglecentreexperience AT tomislavstojanovic riskandoutcomeaftersimultaneouscarotidsurgeryandcardiacsurgerysinglecentreexperience AT stellamalliarou riskandoutcomeaftersimultaneouscarotidsurgeryandcardiacsurgerysinglecentreexperience AT friedrichaschoendube riskandoutcomeaftersimultaneouscarotidsurgeryandcardiacsurgerysinglecentreexperience |