Combined carotid endarterectomy and myocardial revascularization
From February 1971 through December 1987, 95 patients underwent combined carotid endarterectomy and myocardial revascularization. Mortality and postoperative stroke rates were 4 percent and 2 percent, respectively, for the 16-year experience. From 1980 to 1987, when 89 percent of patients had their...
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Veröffentlicht in: | The American journal of surgery 1989-11, Vol.158 (5), p.443-445 |
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container_title | The American journal of surgery |
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creator | Maki, Hope S. Kuehner, Marvin E. Ray, Jefferson F. |
description | From February 1971 through December 1987, 95 patients underwent combined carotid endarterectomy and myocardial revascularization. Mortality and postoperative stroke rates were 4 percent and 2 percent, respectively, for the 16-year experience. From 1980 to 1987, when 89 percent of patients had their operation, mortality and stroke rates were 1 percent and 2 percent, respectively. Follow-up carotid duplex scan in 41 patients revealed that 25 percent had more than 50 percent restenosis. Only two in this group were symptomatic. We conclude that the combined approach to concomitant carotid and coronary artery atherosclerosis can be done safely. Continued study with noninvasive testing is important to document restenosis rates. |
doi_str_mv | 10.1016/0002-9610(89)90283-3 |
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Mortality and postoperative stroke rates were 4 percent and 2 percent, respectively, for the 16-year experience. From 1980 to 1987, when 89 percent of patients had their operation, mortality and stroke rates were 1 percent and 2 percent, respectively. Follow-up carotid duplex scan in 41 patients revealed that 25 percent had more than 50 percent restenosis. Only two in this group were symptomatic. We conclude that the combined approach to concomitant carotid and coronary artery atherosclerosis can be done safely. Continued study with noninvasive testing is important to document restenosis rates.</description><identifier>ISSN: 0002-9610</identifier><identifier>EISSN: 1879-1883</identifier><identifier>DOI: 10.1016/0002-9610(89)90283-3</identifier><identifier>PMID: 2817227</identifier><identifier>CODEN: AJSUAB</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>Adult ; Aged ; Biological and medical sciences ; Carotid Arteries - surgery ; Carotid Artery Diseases - complications ; Carotid Artery Diseases - surgery ; Coronary Disease - complications ; Coronary Disease - surgery ; Endarterectomy - methods ; Female ; Humans ; Male ; Medical sciences ; Middle Aged ; Myocardial Revascularization - methods ; Neurosurgery ; Postoperative Complications ; Recurrence ; Reoperation ; Skull, brain, vascular surgery ; Surgery (general aspects). Transplantations, organ and tissue grafts. 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Mortality and postoperative stroke rates were 4 percent and 2 percent, respectively, for the 16-year experience. From 1980 to 1987, when 89 percent of patients had their operation, mortality and stroke rates were 1 percent and 2 percent, respectively. Follow-up carotid duplex scan in 41 patients revealed that 25 percent had more than 50 percent restenosis. Only two in this group were symptomatic. We conclude that the combined approach to concomitant carotid and coronary artery atherosclerosis can be done safely. Continued study with noninvasive testing is important to document restenosis rates.</description><subject>Adult</subject><subject>Aged</subject><subject>Biological and medical sciences</subject><subject>Carotid Arteries - surgery</subject><subject>Carotid Artery Diseases - complications</subject><subject>Carotid Artery Diseases - surgery</subject><subject>Coronary Disease - complications</subject><subject>Coronary Disease - surgery</subject><subject>Endarterectomy - methods</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Myocardial Revascularization - methods</subject><subject>Neurosurgery</subject><subject>Postoperative Complications</subject><subject>Recurrence</subject><subject>Reoperation</subject><subject>Skull, brain, vascular surgery</subject><subject>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</subject><issn>0002-9610</issn><issn>1879-1883</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1989</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp9kE1LAzEQhoMotVb_gcIeRPSwmo92k1xEKX5BwYuew2wyC5HdTU22hfrr3bWlR0_D8D4zzDyEnDN6yygr7iilPNcFo9dK32jKlcjFARkzJXXOlBKHZLxHjslJSl99y9hUjMiIKyY5l2PyMA9N6Vt0mYUYOu8ybB3EDiPaLjSbDFqXNZvQp85DnUVcQ7KrGqL_gc6H9pQcVVAnPNvVCfl8fvqYv-aL95e3-eMit0IVXQ5lUWkAxVUJSii0MONcY0mdLkGyKZ1R5CUDW4GlUBUzDSjdlDOopGQcxIRcbfcuY_heYepM45PFuoYWwyoZqQWXkqoenG5BG0NKESuzjL6BuDGMmkGcGayYwYpR2vyJM6Ifu9jtX5UNuv3QzlSfX-7y_n-oqwit9WmPFQVnWhQ9dr_FsHex9hhNsh5bi84PRo0L_v87fgEiwoqd</recordid><startdate>19891101</startdate><enddate>19891101</enddate><creator>Maki, Hope S.</creator><creator>Kuehner, Marvin E.</creator><creator>Ray, Jefferson F.</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19891101</creationdate><title>Combined carotid endarterectomy and myocardial revascularization</title><author>Maki, Hope S. ; Kuehner, Marvin E. ; Ray, Jefferson F.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c386t-ab6f9aa828ba838eca5229eb0d9ba714050e2b1acfac0af659ae7d421af7712a3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1989</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Biological and medical sciences</topic><topic>Carotid Arteries - surgery</topic><topic>Carotid Artery Diseases - complications</topic><topic>Carotid Artery Diseases - surgery</topic><topic>Coronary Disease - complications</topic><topic>Coronary Disease - surgery</topic><topic>Endarterectomy - methods</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Myocardial Revascularization - methods</topic><topic>Neurosurgery</topic><topic>Postoperative Complications</topic><topic>Recurrence</topic><topic>Reoperation</topic><topic>Skull, brain, vascular surgery</topic><topic>Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Maki, Hope S.</creatorcontrib><creatorcontrib>Kuehner, Marvin E.</creatorcontrib><creatorcontrib>Ray, Jefferson F.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>The American journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Maki, Hope S.</au><au>Kuehner, Marvin E.</au><au>Ray, Jefferson F.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Combined carotid endarterectomy and myocardial revascularization</atitle><jtitle>The American journal of surgery</jtitle><addtitle>Am J Surg</addtitle><date>1989-11-01</date><risdate>1989</risdate><volume>158</volume><issue>5</issue><spage>443</spage><epage>445</epage><pages>443-445</pages><issn>0002-9610</issn><eissn>1879-1883</eissn><coden>AJSUAB</coden><abstract>From February 1971 through December 1987, 95 patients underwent combined carotid endarterectomy and myocardial revascularization. Mortality and postoperative stroke rates were 4 percent and 2 percent, respectively, for the 16-year experience. From 1980 to 1987, when 89 percent of patients had their operation, mortality and stroke rates were 1 percent and 2 percent, respectively. Follow-up carotid duplex scan in 41 patients revealed that 25 percent had more than 50 percent restenosis. Only two in this group were symptomatic. We conclude that the combined approach to concomitant carotid and coronary artery atherosclerosis can be done safely. Continued study with noninvasive testing is important to document restenosis rates.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>2817227</pmid><doi>10.1016/0002-9610(89)90283-3</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Aged Biological and medical sciences Carotid Arteries - surgery Carotid Artery Diseases - complications Carotid Artery Diseases - surgery Coronary Disease - complications Coronary Disease - surgery Endarterectomy - methods Female Humans Male Medical sciences Middle Aged Myocardial Revascularization - methods Neurosurgery Postoperative Complications Recurrence Reoperation Skull, brain, vascular surgery Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases |
title | Combined carotid endarterectomy and myocardial revascularization |
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