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Anesthesiol Clin. 2014 Sep;32(3):699-721. doi: 10.1016/j.anclin.2014.05.005. Epub 2014 Jul 3.

Perioperative management of combined carotid and coronary artery bypass grafting procedures.

Author information

1
Division of Cardiothoracic Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University Medical Center, 300 Pasteur Drive H3580, MC 5640, Stanford, CA 94305, USA. Electronic address: doakes@stanford.edu.
2
Division of Cardiothoracic Anesthesia, Department of Anesthesiology, Perioperative and Pain Medicine, Stanford University Medical Center, 300 Pasteur Drive H3580, MC 5640, Stanford, CA 94305, USA.

Abstract

The objective of this review is to provide a high level overview on current thinking for treatment of patients with combined carotid and coronary artery disease given that these patients are at higher risk of adverse cardiac events, stroke, and death. This review discusses (1) the current literature addressing perioperative stroke risk in the setting of coronary artery bypass graft, (2) the literature regarding different surgical approaches when both carotid and coronary revascularization are being considered, and (3) the data available to guide optimal management of this complex patient population to minimize complications regardless of the surgical approach taken.

KEYWORDS:

Carotid artery stenosis; Carotid artery stenting; Carotid endarterectomy; Combined carotid and coronary artery bypass graft surgery; Perioperative anesthetic management; Staged carotid and coronary artery bypass graft surgery

PMID:
25113728
DOI:
10.1016/j.anclin.2014.05.005
[Indexed for MEDLINE]

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