Journal ArticleDOI
Prophylactic carotid artery surgery in patients requiring a second operation.
Lefrak Ea,Guinn Ga +1 more
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In this paper, the carotid artery reconstructive procedures were performed in 34 patients with concomitant atherosclerotic arterial disease which had been diagnosed during the first operation.Abstract:
:Thirty-four neurologically asymptomatic patients had 42 prophylactic carotid artery reconstructive procedures before another major operation. Thirty-one of the 34 planned second operations in these patients were for management of concomitant atherosclerotic arterial disease which had producread more
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Journal ArticleDOI
Improved results of carotid endarterectomy in patients with symptomatic coronary disease: an analysis of 1,546 consecutive carotid operations.
C L Ennix,Gerald M. Lawrie,George C. Morris,Crawford Es,Jimmy F. Howell,Michael J. Reardon,S. C. Weatherford +6 more
TL;DR: The greatly unproved survival in those patients with symptomatic coronary disease who had a coronary artery bypass prior to or at the same time as carotid endarterectomy, and the absence of permanent neurological deficit in the 51 of these 135 patients who had simultaneous carotids endartrectomy and coronary arteries bypass suggests that significantly improved survival can be achieved in these high risk patients by the use of simultaneous coronary artery coronary bypass surgery.
Journal ArticleDOI
Carotid artery stenosis - hemodynamic significance and clinical course.
TL;DR: Patients with hemodynamically significant stenosis treated nonoperatively have a greater risk of cerebrovascular death, stroke, and TIA than patients treated with carotid endarterectomy.
Journal ArticleDOI
Carotid bruit and the risk of stroke in elective surgery.
TL;DR: The finding of a carotid-artery bruit before elective surgery leads to a variety of actions among different physicians, and many consider the bruit to be an unimportant risk factor for perioperative or intraoperative stroke.
Journal ArticleDOI
Asymptomatic carotid stenosis. Immediate and long-term results after prophylactic endarterectomy.
TL;DR: Prophylactic carotid endarterectomy in the experience of vascular surgeons who can offer a low operative morbidity and mortality appears to be reasonable therapy in preventing stroke and prolonging survival until a randomized controlled study comparing surgery with the natural history of untreated patients shows evidence to the contrary.
Journal ArticleDOI
Continuing controversy in the management of concomitant coronary and carotid disease: an overview
TL;DR: Stroke at CABG is due to multiple risk factors, one of which is high-grade carotid stenosis, and pathophysiology of stroke, although multifactorial, supports embolism rather than flow limitation as the primary mechanism.