Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?
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Dosyalar
Tarih
2013
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Çalışmamızın amacı karotis arter stentleme (KAS)’sinden sonraki 48 saat içinde yapılan koroner arter bypass cerrahisi (KABC)’nin güvenliğini ve etkinliğini değerlendirmektir. Gereç ve Yöntemler: Çalışmamızda, nörolojik olarak semptomatik ya da asemptomatik hastalarda kalp cerrahisinden önce uygulanan KAS’ın güvenliğini ve etkinliğini değerlendirmek için tek merkezde yapılan retrospektif araştırmanın sonuçlarını bildirmeyi amaçladık. Semptomatik ya da asemptomatik karotis arter hastalığı nedeni ile KAS uygulanan toplam 23 hasta çalışmaya dahil edildi. KAS tüm hastalarda başarılıydı. KAS dan KABC arasındaki ortalama beklem süresi 15,7±7 saatti (aralık 8-48 saat). Hastaların tamamı inme, stent restenozu, akut miyokard enfaktüsü (AME) ve ölüm için ortalama 19 ay takip edildi. Bulgular: Karotis arter lezyonu olan hastaların çoğunluğu asemptomatikti (%82,6). KAS sırasında yada KAS ile KABC arasındaki bekleme süresince hiç bir inme ya da akut miyokart enfaktüsü görülmedi. Postoperatif birinci günde bir hastada KAS yapılan tarafta major inme tespit edildi. İnme, akut miyokart enfaktüsü, stent restenozu ve ölüm postoperatif orta dönem takipler süresince gözlenmedi. Sonuç: KAS’ı takiben 48 saat içinde uygulanan KABC güvenlidir ve yaklaşık 19 aylık takiplerde inme akut miyokart enfaktüsü ve ölüm artışı ile ilişkili değildir.
Objective: The purpose of this study was to assess the safety and effectiveness of the outcome of coronary artery bypass graft operation (CABG-O) in 48 hours following carotid artery stenting (CAS). Materials and Methods: We report the results of a retrospective, single-center study designed to evaluate the feasibility and safety of CAS before cardiac surgery in neurologically symptomatic or asymptomatic patients. Twenty-three patients to whom CAS was applied because of symptomatic or asymptomatic carotid vascular stenosis were included in the study. CAS was accomplished in all patients without any complication. The mean time from CAS to CABG-O was 15.7±7 hours (range 8-48 hours). All patients were followed up for 19 months (range, 9-47 months) for any adverse events such as stroke, acute myocardial infarction (AMI), stent restenosis and death. Results: Most patients with carotid artery lesion were asymptomatic (82.6%). Stroke and AMI did not occur in any CAS patients during the procedure and the time interval between CAS and CABG-O. Major stroke was observed in one patient at the arm of CAS, on the first day postoperatively. Conclusion: CABG-O in 48 hours following CAS is safe and not related to increasing the rate of AMI, stroke and death at 19 months of follow up.
Objective: The purpose of this study was to assess the safety and effectiveness of the outcome of coronary artery bypass graft operation (CABG-O) in 48 hours following carotid artery stenting (CAS). Materials and Methods: We report the results of a retrospective, single-center study designed to evaluate the feasibility and safety of CAS before cardiac surgery in neurologically symptomatic or asymptomatic patients. Twenty-three patients to whom CAS was applied because of symptomatic or asymptomatic carotid vascular stenosis were included in the study. CAS was accomplished in all patients without any complication. The mean time from CAS to CABG-O was 15.7±7 hours (range 8-48 hours). All patients were followed up for 19 months (range, 9-47 months) for any adverse events such as stroke, acute myocardial infarction (AMI), stent restenosis and death. Results: Most patients with carotid artery lesion were asymptomatic (82.6%). Stroke and AMI did not occur in any CAS patients during the procedure and the time interval between CAS and CABG-O. Major stroke was observed in one patient at the arm of CAS, on the first day postoperatively. Conclusion: CABG-O in 48 hours following CAS is safe and not related to increasing the rate of AMI, stroke and death at 19 months of follow up.
Açıklama
Anahtar Kelimeler
Carotid Artery Disease, Carotid Artery Stenting, Coronary Artery Bypass Graft Operation, Karotis Arter Hastalığı, Karotis Arter Stentleme, Koroner Arter Bypass
Kaynak
Erciyes Tıp Dergisi
WoS Q Değeri
N/A
Scopus Q Değeri
N/A
Cilt
35
Sayı
3
