Combined Carotid Endarterectomy and Coronary Bypass: A Decade Experience at UCLA

Michael M. Farooq, Todd D. Reil, Hugh A. Gelabert, Samuel S. Ahn, J. Dennis Baker, Wesley S. Moore, William J. Quiñones-Baldrich, Julie A. Freischlag

Research output: Contribution to journalArticle

Abstract

The purpose of this review was to determine outcomes for combined carotid endarterectomy (CEA) and coronary revascularization (CABG) in patients with asymptomatic carotid stenosis. We reviewed the medical records of consecutive combined procedures (CEA and CABG), performed at UCLA Medical Center from October, 1989 to January, 1999. There were 43 patients, 27 men and 16 women, with a mean age of 71 yr (range 51–87). Thirty-four patients 79% (34/43) had asymptomatic carotid stenosis. Stroke occurred in three patients (3/43 = 6.9%). Stroke ipsilateral to the CEA occurred in two patients: one asymptomatic (1/34 = 2.9%) and one symptomatic (1/9 = 11.1%). The majority of patients undergoing combined CEA/CABG have asymptomatic carotid stenosis identified in preparation for elective CABG. The asymptomatic carotid subset stroke rate of 2.9% resulting from a combined CEA/CABG is higher than our reported rate for CEA performed alone. In patients with asymptomatic carotid stenosis, the combined procedure should be selectively performed.

Original languageEnglish (US)
Pages (from-to)339-344
Number of pages6
JournalVascular
Volume9
Issue number4
DOIs
StatePublished - Aug 2001

Keywords

  • carotid endarterectomy
  • combined
  • coronary bypass
  • stroke

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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