Related Experiment Video

Updated: Aug 11, 2025

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia
07:46

Bilateral Common Carotid Artery Occlusion as an Adequate Preconditioning Stimulus to Induce Early Ischemic Tolerance to Focal Cerebral Ischemia

Published on: May 9, 2013

29.3K

Same-Day Carotid Artery Stenting and Coronary Artery Bypass Surgery

Igor Zivkovic1, Stasa Krasic2, Petar Milacic1,3

  • 1Department of Cardiac Surgery, Dedinje Cardiovascular Institute, Belgrade, Serbia.

Texas Heart Institute Journal
|February 3, 2023
PubMed

Insights

Same-day carotid artery stenting and coronary artery bypass grafting is a feasible strategy for treating severe carotid and coronary artery disease. This combined procedure showed promising short- and midterm results with low adverse events.

Area of Science:

  • Cardiovascular Surgery
  • Interventional Cardiology
  • Vascular Surgery

Background:

  • Optimal treatment for severe carotid artery disease in patients undergoing coronary artery bypass grafting remains a challenge.
  • The necessity of treating significant carotid disease concurrently with coronary artery bypass grafting is a critical clinical question.

Purpose of the Study:

  • To analyze the short- and midterm outcomes of performing same-day carotid artery stenting and coronary artery bypass grafting.
  • To evaluate the feasibility and safety of a combined therapeutic approach for patients with concomitant carotid and coronary artery disease.

Main Methods:

  • A prospective study involving 69 patients from 2013 to 2020.
  • All patients underwent same-day carotid artery stenting and coronary artery bypass grafting.
  • Primary endpoints included stroke, myocardial infarction, and death rates at short and midterm follow-up.

Main Results:

  • The 30-day mortality rate was 0%.
  • Perioperative adverse events included stroke (1.4%), myocardial infarction (1.4%), and transient ischemic attack (5.8%).
  • Midterm survival was 91.2% over a mean follow-up of 28 months, with 8.8% mortality from various causes including stroke.

Conclusions:

  • Same-day carotid artery stenting and coronary artery bypass grafting is a promising and feasible strategy for managing combined carotid and coronary artery disease.
  • The combined procedure demonstrates acceptable short- and midterm safety and efficacy profiles.
Abstract

Keywords:
Coronary diseaseLyme carditiscarotid artery stentingcarotid diseasecomplete heart blockcoronary artery bypass grafting surgeryright bundle branch block

More Related Videos

Vascular Gene Transfer from Metallic Stent Surfaces Using Adenoviral Vectors Tethered through Hydrolysable Cross-linkers12:30

Vascular Gene Transfer from Metallic Stent Surfaces Using Adenoviral Vectors Tethered through Hydrolysable Cross-linkers

Published on: August 12, 2014

9.9K
Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery09:12

Surgical Swine Model of Chronic Cardiac Ischemia Treated by Off-Pump Coronary Artery Bypass Graft Surgery

Published on: March 27, 2018

9.5K

Related Concept Videos

Coronary Artery Disease V: Interprofessional Care01:27

Coronary Artery Disease V: Interprofessional Care

Interprofessional care for coronary artery disease includes pharmacological therapy and revascularization procedures.Pharmacological therapy for Coronary Artery Disease (CAD) aims to manage symptoms, prevent complications, and improve patient outcomes through various classes of medications:Antiplatelet Agents:Aspirin and Clopidogrel: These medications inhibit platelet aggregation, preventing blood clots, which is crucial for avoiding heart attacks and strokes. Doctors often prescribe these...
21
Acute Coronary Syndrome IV: Interprofessional Care01:28

Acute Coronary Syndrome IV: Interprofessional Care

IntroductionThe management of Acute Coronary Syndrome (ACS) aims to minimize myocardial damage, preserve myocardial function, and prevent complications.Initial ManagementInpatient management involves continuous cardiac monitoring, preferably in an ICU, focusing on blood pressure, serum sodium, potassium, and creatinine levels, and urine output. Ongoing pharmacologic management is crucial for stabilizing the patient.Supplemental Oxygen: Administer supplemental oxygen if oxygen saturation is...
19
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
17
Acute Coronary Syndrome I: Introduction01:30

Acute Coronary Syndrome I: Introduction

Acute Coronary Syndrome (ACS) encompasses a spectrum of heart conditions caused by sudden obstruction of coronary arteries, typically resulting from the rupture of an atherosclerotic plaque and subsequent thrombus (blood clot) formation. This obstruction can lead to partial or complete blockage of blood flow, causing varying degrees of myocardial ischemia or infarction.ACS includes the following clinical entities:Unstable Angina (UA)Non-ST-Elevation Myocardial Infarction (NSTEMI)ST-Elevation...
49