Simultaneous Hybrid Revascularization by Carotid Stenting and Coronary Artery Bypass Grafting

Abstract

Our findings indicate that in high-risk patients with coronary artery disease suitable for CABG and carotid artery disease, the hybrid revascularization by CAS immediately followed by CABG is a promising and feasible therapeutic strategy.

Percutaneous Angioplasty of Severe Concomitant Carotid, Coronary, and Peripheral Arteriosclerosis: A Case Report and Literature Review

“…Therefore, intensive hydration and close monitoring of renal function are mandatory. Although Surgical interventions and percutaneous coronary intervention (PCI) have been performed in concomitant lesions (11,15), reports about percutaneous intervention, as a single revascularization technique, are not available in similar cases.…”

Hybrid strategy for unstable patients with severe carotid and cardiac disease requiring surgery

“…Moreover, there are some reports that have shown the feasibility and safety of staged CAS and CABG [13,14]. But, unstable patients requiring an urgent OHS, who also have a severe carotid artery disease, represent an extremely high risk subgroup of patients, where a combined approach with a less invasive strategy, like CAS, to solve carotid artery stenosis which can increase stroke risk for OHS, with a simultaneous cardiovascular surgery, may reduce the global risk of both procedures appearing as an appealing strategy for patients with aggressive atherosclerotic disease manifestation [15].…”

The factors of unfavorable prognosis of various surgical strategies in patients with combined coronary and brachiocephalic lesion in remote postoperative period

“…According to world literature critical carotid stenosis is not only cause but the risk factor for stroke/TIA [13][14][15][16]. Moreover, important factors are cerebral hyperperfusion syndrome immediately after CEE, supraventricular rhythm disturbances, low ejection fraction, postoperative hypercoagulability and cerebral embolization by atherothrombotic substances as a result of aortic manipulation [17][18][19].…”

“…По данным мировой литературы [13][14][15][16], критиче-ские стенозы БЦА скорее являются не единственной при-чиной, а фактором риска развития ОНМК/ТИА. Наряду с этим важными факторами являются такие, как синдром гиперперфузии головного мозга непосредственно после выполнения КЭЭ, суправентрикулярное нарушение рит-ма, низкая фракция выброса (ФВ), послеоперационная гиперкоагуляция, а также эмболизация церебральных ар-терий атеротромботическими субстанциями в результате манипуляций на аорте [17][18][19].…”