Please use this identifier to cite or link to this item:
|Title:||Managing patients with symptomatic coronary and carotid artery disease.|
|Citation:||PERSPECT VASC SURG ENDOVASC THER, 2010, 22 (2), pp. 70-76|
|Abstract:||The management of patients with concurrent carotid and cardiac disease remains enduringly controversial. National and international guidelines provide no real consensus, and there is poor-quality natural history data to inform the debate. Systematic reviews suggest that coronary artery bypass grafting (CABG) plus either staged or synchronous carotid endarterectomy (CEA) or carotid artery stenting (CAS) are associated with a 9% risk of procedural stroke or death. Given that about 90% of these procedures are performed in asymptomatic individuals, it is questionable whether any benefit is actually being conferred to the patient. A few contemporary studies have now shown that the risk of stroke in neurologically asymptomatic patients with a unilateral 70% to 99% stenosis undergoing an isolated CABG is extremely low. These data, therefore, challenge current practice and mandate a radical review of evidence and guidelines.|
|Appears in Collections:||Published Articles, Dept. of Cardiovascular Sciences|
Files in This Item:
There are no files associated with this item.
Items in LRA are protected by copyright, with all rights reserved, unless otherwise indicated.