Simultaneous revascularization for critical coronary and peripheral vascular ischemia

Area of Science:

• Cardiovascular Surgery
• Vascular Surgery
• Atherosclerosis Research

Background:

• Coronary artery disease (CAD) frequently coexists with peripheral vascular disease (PVD).
• Patients with CAD often have significant vascular involvement, and vice versa.
• Diffuse atherosclerosis complicates treatment decisions for these patients.

Purpose of the Study:

• To evaluate the safety and efficacy of simultaneous coronary artery bypass grafting (CABG) and surgical treatment of PVD.
• To assess the short-term and long-term outcomes of combined revascularization procedures.
• To determine the prognosis improvement in patients with diffuse atherosclerosis undergoing combined procedures.

Main Methods:

• Retrospective analysis of 32 patients who underwent simultaneous CABG and PVD treatment between 1980 and 1990.
• Inclusion criteria: strong indications for CABG and critical peripheral vascular ischemia.
• Data collection focused on hospital mortality, early mortality, and 8-year actuarial survival.

Main Results:

• Overall hospital mortality was 3.1%.
• Early mortality was 0% for elective operations.
• Eight-year actuarial survival rate was 87.5%.
• One death occurred due to myocardial infarction post-urgent revascularization.

Conclusions:

• Simultaneous CABG and PVD treatment can be performed with acceptable risk.
• These combined procedures demonstrate encouraging long-term results.
• Combined revascularization may improve the prognosis for patients with diffuse atherosclerosis and critical ischemia.