Do patients with severe asymptomatic carotid artery stenosis have a higher risk of stroke and mortality following coronary artery bypass grafting?




Background


The development of stroke is a major concern in patients undergoing coronary artery bypass grafting (CABG) with concomitant severe carotid artery stenosis (CAS). Whether synchronous carotid revascularization reduces this risk is unclear.




Methods


A retrospective analysis of 8595 patients who underwent isolated CABG from January 2003 to December 2009 was performed. Preoperative carotid duplex ultrasound was performed in 898 patients who fulfilled our preoperative guidelines. Severe CAS was identified in 117 of these patients. Patients with severe CAS were compared to those without severe CAS to assess the rates of stroke and mortality during surgical hospitalization.




Methods


A retrospective analysis of 8595 patients who underwent isolated CABG from January 2003 to December 2009 was performed. Preoperative carotid duplex ultrasound was performed in 898 patients who fulfilled our preoperative guidelines. Severe CAS was identified in 117 of these patients. Patients with severe CAS were compared to those without severe CAS to assess the rates of stroke and mortality during surgical hospitalization.

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Nov 16, 2017 | Posted by in CARDIOLOGY | Comments Off on Do patients with severe asymptomatic carotid artery stenosis have a higher risk of stroke and mortality following coronary artery bypass grafting?

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