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.
|Journal||Anales de Cirugia Cardiaca y Vascular|
|Publication status||Published - 1 Sep 2002|
- Carotid disease
- Concomitant surgery and sequential surgery