Coronary artery bypass grafting in patients with cerebrovascular disease

The incidence of carotid artery disease in patients undergoing coronary artery bypass grafting appears to be increasing as our population ages. The optimal treatment for these high-risk patients with concomitant carotid and coronary artery disease remains controversial. This review focuses on the ma...

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Veröffentlicht in:	The Annals of Thoracic Surgery 1998-09, Vol.66 (3), p.968-974
Hauptverfasser:	Lazar, Harold L, Menzoian, James O
Format:	Artikel
Sprache:	eng
Schlagworte:	Biological and medical sciences Brain - blood supply Cardiology. Vascular system Cardiopulmonary Bypass Carotid Stenosis - complications Carotid Stenosis - surgery Comorbidity Coronary Artery Bypass Coronary Artery Disease - complications Coronary Artery Disease - surgery Coronary heart disease Endarterectomy, Carotid Heart Humans Medical sciences Treatment Outcome
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Zusammenfassung:	The incidence of carotid artery disease in patients undergoing coronary artery bypass grafting appears to be increasing as our population ages. The optimal treatment for these high-risk patients with concomitant carotid and coronary artery disease remains controversial. This review focuses on the management of patients with coexistent carotid and coronary arteriosclerosis. The significance and management of the patient with an asymptomatic carotid stenosis in patients undergoing coronary artery bypass grafting and the role of combined coronary artery bypass grafting and carotid endarterectomy in these patients will be discussed.
ISSN:	0003-4975 1552-6259
DOI:	10.1016/S0003-4975(98)00687-0