Simultaneous carotid endarterectomy and myocardial revascularization by using cardiopulmonary bypass for both procedures

Basit Öğe Kaydı
dc.authorid0000-0002-0890-2506en_US
dc.contributor.authorYildirim, T
dc.contributor.authorKoksal, C
dc.contributor.authorKiniklioglu, H
dc.contributor.authorArsan, S
dc.date.accessioned2024-07-12T21:44:14Z
dc.date.available2024-07-12T21:44:14Z
dc.date.issued2005en_US
dc.departmentMaltepe Üniversitesien_US
dc.description.abstractObjective - The optimal treatment of patients with co-existing occlusive coronary and carotid arterial disease is controversial. This study reports our experience with simultaneous carotid endarterectomy and coronary bypass in conjunction with cardiopulmonary bypass with mild hypothermia. Methods and results - From March 2001 to June 2004, 72 patients underwent simultaneous coronary bypass and carotid endarterectomy. Their mean age was 68.9 years and there were 56 men and 16 women. The indication for carotid endarterectomy was a lumen diameter reduction of more than 75% and/or the presence of ulcerated/unstable plaque. Carotid endarterectomy was done during cardiopulmonary bypass under mild hypothermia, haemodilution, systemic heparinization and controlled haemodynamics under pulsatile perfusion for additional cerebral protection. The mean cardiopulmonary bypass time was 64.7 minutes and aortic cross-clamp time 32.4 minutes, and the mean number of grafts per patient was 2.7. Four patients had perioperative neurological complications (5.5%) and two had permanent deficits (2.7%). The procedure-related mortality was 3 (4.1%). Conclusions - We suggest that combining coronary revascularization and carotid endarterectomy and performing both under cardiopulmonary bypass is safe, offering acceptable morbidity and mortality rates.en_US
dc.identifier.doi10.2143/AC.60.6.2004928
dc.identifier.endpage579en_US
dc.identifier.issn0001-5385
dc.identifier.issn1784-973X
dc.identifier.issue6en_US
dc.identifier.pmid16385917en_US
dc.identifier.scopus2-s2.0-28944445998en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage575en_US
dc.identifier.urihttps://dx.doi.org/10.2143/AC.60.6.2004928
dc.identifier.urihttps://hdl.handle.net/20.500.12415/7699
dc.identifier.volume60en_US
dc.identifier.wosWOS:000234085000002en_US
dc.identifier.wosqualityQ4en_US
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakPubMed
dc.language.isoenen_US
dc.publisherTAYLOR & FRANCIS LTDen_US
dc.relation.ispartofACTA CARDIOLOGICAen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.snmzKY00027
dc.subjectcardiopulmonary bypassen_US
dc.subjectcarotid endarterectomyen_US
dc.subjectcoronary artery bypassen_US
dc.subjectsimultaneousen_US
dc.titleSimultaneous carotid endarterectomy and myocardial revascularization by using cardiopulmonary bypass for both proceduresen_US
dc.typeArticle
dspace.entity.typePublication

Dosyalar

Koleksiyon

WoS İndeksli Yayınlar Koleksiyonu
PubMed İndeksli Yayınlar Koleksiyonu
Scopus İndeksli Yayınlar Koleksiyonu