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Original Article 


SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE

Chandana NC, Venugopal Ramrao, Sunil P K, Muralikrishna Nekkanti.

Abstract
Background
Atherosclerosis is a pathological process involving blood vessels all over the body in
varying intensity. Occurrence of significant carotid artery disease in patients requiring coronary artery bypass grafting (CABG) results in a dilemma regarding the best surgical strategy for addressing both. Our objective was to compare the efficacy of synchronous carotid endarterectomy(CEA) and CABG with staged CEA followed by CABG.

Methods
During a four year period, from April 2013 to March 2017, 42 patients underwent CEA with
CABG. Of these, 20 patients underwent synchronous procedure (group 1), and 22 underwent
staged procedures (group 2) within 30 days apart.

Results
42 patients underwent CEA with CABG either in synchronous or staged fashion. In
synchronous group, 2 patients (10%) had stroke, 3 patients (15%) had reversible ischemic
neurological deficit and 4 patients (20%) had convulsions. In the staged group, one patient (4.5%) required re-exploration for bleeding, 1 patient (4.5%) had stroke and 1 patient (4.5%) had convulsions. The result was found to be statistically significant on comparing group 1 with group 2.

Conclusion
Synchronous and staged procedures have their own merits and demerits. Patients with critically stenosed coronary and carotid artery lesions with accompanying severe comorbidities should preferably undergo synchronous procedures with CEA followed by CABG and staged procedures should be reserved for patients with chronic stable angina with lesser comorbidities.

Key words: Synchronous and staged carotid endarterectomy with CABG, Carotid Artery Stenting


 
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How to Cite this Article
Pubmed Style

NC C, Ramrao V, SPK, Nekkanti M. SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE. . 2021; 12(1): 32-38. doi:10.31838/jcdr.2021.12.01.09

Web Style

NC C, Ramrao V, SPK, Nekkanti M. SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE. http://www.jcdronline.org//?mno=7432 [Access: March 26, 2021]. doi:10.31838/jcdr.2021.12.01.09

AMA (American Medical Association) Style

NC C, Ramrao V, SPK, Nekkanti M. SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE. . 2021; 12(1): 32-38. doi:10.31838/jcdr.2021.12.01.09


Vancouver/ICMJE Style

NC C, Ramrao V, SPK, Nekkanti M. SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE. . (2021), [cited March 26, 2021]; 12(1): 32-38. doi:10.31838/jcdr.2021.12.01.09


Harvard Style

NC, C., Ramrao, . V., , . S. P. K. & Nekkanti, . M. (2021) SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE. , 12 (1), 32-38. doi:10.31838/jcdr.2021.12.01.09


Turabian Style

NC, Chandana, Venugopal Ramrao, Sunil P K, and Muralikrishna Nekkanti. 2021. SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE. Journal of Cardiovascular Disease Research, 12 (1), 32-38. doi:10.31838/jcdr.2021.12.01.09


Chicago Style

NC, Chandana, Venugopal Ramrao, Sunil P K, and Muralikrishna Nekkanti. "SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE." Journal of Cardiovascular Disease Research 12 (2021), 32-38. doi:10.31838/jcdr.2021.12.01.09


MLA (The Modern Language Association) Style

NC, Chandana, Venugopal Ramrao, Sunil P K, and Muralikrishna Nekkanti. "SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE." Journal of Cardiovascular Disease Research 12.1 (2021), 32-38. Print. doi:10.31838/jcdr.2021.12.01.09


APA (American Psychological Association) Style

NC, C., Ramrao, . V., , . S. P. K. & Nekkanti, . M. (2021) SYNCHRONOUS CAROTID ENDATERECTOMY AND CORONARY ARTERY BYPASS GRAFTING VERSUS STAGED PROCEDURE IN PATIENTS WITH SEVERE CAROTID AND CORONARY ARTERY DISEASE. Journal of Cardiovascular Disease Research, 12 (1), 32-38. doi:10.31838/jcdr.2021.12.01.09




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