• Arch Iran Med · Mar 2019

    Comparative Study

    Different Strategies in Simultaneous Coronary and Carotid Artery Revascularization - A Single Center Experience.

    • Jianbin Zhang, Zhiqiang Dong, Peng Liu, Xueqiang Fan, Jie Chen, Xia Zheng, Bo Ma, and Zhidong Ye.
    • Department of Cardiovascular Surgery, China-Japan Friendship Hospital, Beijing 100029, China.
    • Arch Iran Med. 2019 Mar 1; 22 (3): 132-136.

    BackgroundThe optimal management for patients with concomitant severe coronary artery disease (CAD) and carotid artery stenosis (CAS) remains controversial. We reported our preliminary experience on a synchronous hybrid strategy.MethodsSeven patients with synchronous percutaneous coronary intervention (PCI)/carotid endarterectomy (CEA)/coronary artery bypass grafting (CABG) and 36 patients with synchronous CEA/CABG were enrolled. Then we analyzed the demographics, risk factors and 30-day results of the 2 groups, retrospectively.ResultsThe 2 groups were comparable in demographics. The operation time was 312.14 ± 40.08 minutes for synchronous PCI/ CEA/CABG and 294.58 ± 47.62 minutes for synchronous CEA/CABG (P = 0.367). The intraoperative blood loss was 814.29±195.18 mL for synchronous PCI/CEA/CABG and 769.44 ± 330.21 mL for synchronous CEA/CABG (P = 0.731). There was no death in the 2 groups within 30 days. The incidence of primary endpoint [stroke, myocardial infarction (MI) and death] was 14.29% (1/7) in synchronous PCI/CEA/CABG group and 5.56% (2/36) in synchronous CEA/CABG group. The difference between the 2 groups was not statistically significant (P = 0.421).ConclusionSynchronous PCI, CEA and CABG may be safe and effective in the management of patients with concomitant CAS and complicated multi-vessel CAD. The current data suggested that more studies and randomized controlled trials may be necessary to define whether this strategy is suitable for these patients.© 2019 The Author(s). This is an open-access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

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