In Hospital Outcomes of Combined Coronary Artery Bypass Grafting (CABG) and Carotid Endarterectomy (CEA)

Authors

  • Allah Bakhsh
  • Iftikhar Paras
  • Ghulam Hussain
  • Muhammad Moeen
  • Nisar Ahmad
  • Naseem Ahmad
  • Mirza Ahmad Raza Baig

Keywords:

Carotid artery disease, Carotid endarterectomy, Coronary artery disease

Abstract

OBJECTIVE: To determine the early outcomes of surgery in patients who underwent CABG plus CEA and those in whom carotids left untreated in patients having concomitant coronary artery plus carotid artery disease.
METHODOLOGY: In this retrospective comparative analysis, we included 60 patients of severe coronary and carotid artery disease, 30 patients who underwent concomitant CABG plus CEA surgery and others who underwent only CABG and no CEA in spite of having severe carotid artery disease. All CEA patients were asymptomatic. These patients were operated from 1-Dec-2010 to 31-Dec-2015. Incidence of stroke and mortality were the primary study outcomes.
RESULTS: Mean age of patients in CABG+CEA group was 55.24+6.89 versus 57.53+9.42 years in CABG group. There were 80.0% males in CABG+CEA group and 73.3% in CABG group. 66.7% patients in CABG+CEA group were hypertensive and there were 63.3% hypertensive patients in CABG group. In patients of CABG+CEA, total 2 (6.6%) patients died. One patient died on operation day when he was on ventilator. His brain could not be assessed. One patient had stroke on opposite side of CEA. Doppler study showed stenosis of CEA graft, so its graft was revised. This patient expired after one week. In patients of CABG only, stroke occurred in one patient and that patients died on 5th operative day.
CONCLUSION: In present study, cerebral morbidity was little high in CABG+CEA patients but with in-significant statistical difference. There is no benefit of prophylactic CEA in cardiac surgery patients having severe asymptomatic carotid artery disease.

Downloads

Published

03-04-2019

How to Cite

1.
Bakhsh A, Paras I, Hussain G, Moeen M, Ahmad N, Ahmad N, Baig MAR. In Hospital Outcomes of Combined Coronary Artery Bypass Grafting (CABG) and Carotid Endarterectomy (CEA). J Liaq Uni Med Health Sci [Internet]. 2019 Apr. 3 [cited 2024 Nov. 15];17(04):272-5. Available from: http://121.52.154.205/index.php/jlumhs/article/view/42

Issue

Vol. 17 No. 04 (2018): Journal Of Liaquat University of Medical & Health Sciences

Section

Original Articles

License

Submission of a manuscript to the journal implies that all authors have read and agreed to the content of the undertaking form or the Terms and Conditions.

When an article is accepted for publication, the author(s) retain the copyright and are required to grant the publisher the right of first publication and other non-exclusive publishing rights to JLUMHS.

Articles published in the Journal of Liaquat University of Medical & health sciences are open access articles under a Creative Commons Attribution-Noncommercial - Share Alike 4.0 License. This license permits use, distribution and reproduction in any medium; provided the original work is properly cited and initial publication in this journal. This is in accordance with the BOAI definition of open access. In addition to that users are allowed to remix, tweak and build upon the work non-commercially as long as appropriate credit is given and the new creations are licensed under the identical terms. Or, in certain cases it can be stated that all articles and content there in are published under creative commons license unless stated otherwise.