Carotid surgery in candidate patients for cardiac surgery: What procedure should be followed

Jaume Dilmé Muñoz, Montserrat Yeste, Ottorino Del Foco, J. Román Escudero, Secundino Llagostera, Emilio Viver

Research output: Contribution to journalArticleResearchpeer-review

Abstract

There exists a certain degree of controversy with respect to the attitude towards patients with concomitant carotid disease and ischemic cardiopathy. In our centre, as shown in the case study, sequential surgery is preferred, reserving the initial operation for the carotid territory with the objective to decrease the neurologic morbidity during the cardiac surgery and postoperative period. Concomitant surgery is reserved for the cases of severe bilateral stenosis, unilateral stenosis with contralateral occlusions and in patients with repeated neurologic event and severe ischemic cardiopathy. In these cases, we believe the initial procedure should be a carotid endarterectomy under monitored local-regional anaesthesia followed by cardiac surgery under general anaesthesia.
Original languageEnglish
Pages (from-to)198-203
JournalAnales de Cirugia Cardiaca y Vascular
Volume8
Issue number4
Publication statusPublished - 1 Sep 2002

Keywords

  • Cardiopathy
  • Carotid disease
  • Concomitant surgery and sequential surgery

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