지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2011.1
- 수록면
- 61 - 66 (6page)
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Purpose: Between combined and staged operations of carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) for patients with concurrent coronary and carotid disease, each treatment strategy has its own advantages and disadvantages. We attempted to compare early surgical results between the two operations.
Methods: We retrospectively reviewed medical records of 71 patients who underwent either combined CEA & CABG (n=37) or staged CABG & CEA (n=34) in a single institute between January 2001 and March 2010. After comparing patients’ demographics and preoperative neurologic and cardiac status, we compared early (＜1 month) postoperative cardiac or neurologic complications and surgical mortality between the 2 groups.
Results: There was no significant difference in patients’ demographics and indications for operation the between 2 groups. There were 2 (5.4%) cases of postoperative stroke in combined groups and 1 (2.9%) in staged group. However, there was no myocardial infarction or death. In staged operation group, during the interval time between the two operations, 5 cases (14.7%) of stroke developed, of which, all patients recovered without any sequelae by anticoagulation.
Conclusion: After experiencing low postoperative cardiac or neurologic morbidity or mortality after combined CABG and CEA, we conclude that combined CABG and CEA was a safe and feasible treatment option for patients with neurologic symptoms and in stable cardiac status. In the staged operation group of patients, we observed development of neurologic events during the interval period between CABG and CEA. To attain optimal treatment strategy in asymptomatic patients, further prospective study would be required.
Methods: We retrospectively reviewed medical records of 71 patients who underwent either combined CEA & CABG (n=37) or staged CABG & CEA (n=34) in a single institute between January 2001 and March 2010. After comparing patients’ demographics and preoperative neurologic and cardiac status, we compared early (＜1 month) postoperative cardiac or neurologic complications and surgical mortality between the 2 groups.
Results: There was no significant difference in patients’ demographics and indications for operation the between 2 groups. There were 2 (5.4%) cases of postoperative stroke in combined groups and 1 (2.9%) in staged group. However, there was no myocardial infarction or death. In staged operation group, during the interval time between the two operations, 5 cases (14.7%) of stroke developed, of which, all patients recovered without any sequelae by anticoagulation.
Conclusion: After experiencing low postoperative cardiac or neurologic morbidity or mortality after combined CABG and CEA, we conclude that combined CABG and CEA was a safe and feasible treatment option for patients with neurologic symptoms and in stable cardiac status. In the staged operation group of patients, we observed development of neurologic events during the interval period between CABG and CEA. To attain optimal treatment strategy in asymptomatic patients, further prospective study would be required.
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REFERENCES
참고문헌 (21)
참고문헌 신청
1. [학술지(정기간행물)] - Faggioli GL / 1990 / The role of carotid screening before coronary artery bypass / J Vasc Surg 12 : 724 ~ 729
2. [학술지(정기간행물)] - Jausseran JM / 1989 / Single staged carotid and coronary arteries surgery. Indications and results / J Cardiovasc Surg (Torino) 30 : 407 ~ 413
3. [학술지(정기간행물)] - Ricotta JJ / 2005 / The influence of concurrent carotid endarterectomy on coronary bypass: a case-controlled study / J Vasc Surg 41 : 397 ~ 401
4. [학술지(정기간행물)] - Perler BA / 2009 / Managing patients with clinically significant cardiac and carotid artery occlusive disease / Arch Surg 144 : 998 ~ 999
5. [학술지(정기간행물)] - Li Y / 2009 / Strokes after cardiac surgery and relationship to carotid stenosis / Arch Neurol 66 : 1091 ~ 1096
2. [학술지(정기간행물)] - Jausseran JM / 1989 / Single staged carotid and coronary arteries surgery. Indications and results / J Cardiovasc Surg (Torino) 30 : 407 ~ 413
3. [학술지(정기간행물)] - Ricotta JJ / 2005 / The influence of concurrent carotid endarterectomy on coronary bypass: a case-controlled study / J Vasc Surg 41 : 397 ~ 401
4. [학술지(정기간행물)] - Perler BA / 2009 / Managing patients with clinically significant cardiac and carotid artery occlusive disease / Arch Surg 144 : 998 ~ 999
5. [학술지(정기간행물)] - Li Y / 2009 / Strokes after cardiac surgery and relationship to carotid stenosis / Arch Neurol 66 : 1091 ~ 1096
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