Journal of Cardiothoracic and Vascular Anesthesia
Volume 20, Issue 6 , Pages 796-802 , December 2006

Increased Risk Associated With Combined Carotid Endarterectomy and Coronary Artery Bypass Graft Surgery: A Propensity-Matched Comparison With Isolated Coronary Artery Bypass Graft Surgery

  • Jacek B. Cywinski, MD

      Affiliations

    • Department of General Anesthesia, The Cleveland Clinic Foundation, Cleveland, OH
    • Corresponding Author InformationAddress reprint requests to Jacek B. Cywinski, MD, Department of General Anesthesia, The Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195.
    • ,
  • Colleen Gorman Koch, MD, MS

      Affiliations

    • Department of Cardiothoracic Anesthesia, The Cleveland Clinic Foundation, Cleveland, OH
    • ,
  • Leonard P. Krajewski, MD

      Affiliations

    • Department of Vascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH
    • ,
  • Nicholas Smedira, MD

      Affiliations

    • Department of Thoracic and Cardiovascular Surgery, The Cleveland Clinic Foundation, Cleveland, OH
    • ,
  • Liang Li, PhD

      Affiliations

    • Department of Quantitative Health Sciences, The Cleveland Clinic Foundation, Cleveland, OH.
    • ,
  • Norman J. Starr, MD

      Affiliations

    • Department of Cardiothoracic Anesthesia, The Cleveland Clinic Foundation, Cleveland, OH

References 

  1. Char D, Cuadra S, Ricotta J, et al. Combined coronary artery bypass and carotid endarterectomy: long-term results. Cardiovasc Surg. 2002;10:111–115
  2. Naylor R, Cuffe RL, Rothwell PM, et al. A systematic review of outcome following synchronous carotid endarterectomy and coronary artery bypass: Influence of surgical and patient variables. Eur J Vasc Endovasc Surg. 2003;26:230–241
  3. Borger M, Fremes S, Weisel R, et al. Coronary bypass and carotid endarterectomy: Does a combined approach increase risk? (A metaanalysis). Ann Thorac Surg. 1999;68:14–21
  4. Evagelopoulos N, Trenz M, Beckmann A, et al. Simultaneous carotid endarterectomy and coronary artery bypass grafting in 313 patients. Cardiovasc Surg. 2000;8:31–40
  5. Trachiotis GD, Pfister AJ. Management strategy for simultaneous carotid endarterectomy and coronary revascularization. Ann Thorac Surg. 1997;64:1013–1018
  6. Bilfinger TV, Reda H, Giron F, et al. Coronary and carotid operations under prospective standardized conditions: Incidence and outcome. Ann Thorac Surg. 2000;69:1792–1798
  7. Ricotta JJ, Char DJ, Cuadra SA, et al. Modeling stroke risk after coronary artery bypass and carotid endarterectomy. Stroke. 2003;34:1212–1217
  8. Crisby M. Risk stratification by clinical symptoms and timing of carotid endarterectomy: How could it optimize our decision-making and benefit patients with carotid stenosis?. Stroke. 2003;34:2302–2303
  9. Feasby TE. How appropriate is carotid endarterectomy?. Stroke. 2003;34:1471–1472
  10. Halm EA, Chassin MR, Tuhrim S, et al. Revisiting the appropriateness of carotid endarterectomy. Stroke. 2003;34:1464–1471
  11. Naylor AR, Cuffee RL, Rothwell PM, et al. A systematic review of outcomes following staged and synchronous carotid endarterectomy and coronary artery bypass. Eur J Vasc Endovasc Surg. 2003;25:380–389
  12. Reducing Bias in a Propensity Score Matched-Pair Sample Using Greedy Matching Techniques. Proceedings of the 25th Annual SAS Users Group International Conference. Cary, NC, SAS Institute, 2001
  13. Zacharias A, Schwann TA, Riordan CJ, et al. Operative and 5-year outcomes of combined carotid and coronary revascularization: Review of a large contemporary experience. Ann Thorac Surg. 2002;73:491–497
  14. Hertzer NR, Loop FD, Beven EG, et al. Surgical staging for simultaneous coronary and carotid disease: A study including prospective randomization. J Vasc Surg. 1989;9:455–463
  15. Ricotta JJ, Wall LP, Blackstone E. The influence of concurrent carotid endarterectomy on coronary bypass: A case-controlled study. J Vasc Surg. 2005;41:397–401
  16. Hirotani T, Kameda T, Kumamoto T, et al. Stroke after coronary artery bypass grafting in patients with cerebrovascular disease. Ann Thorac Surg. 2000;70:1571–1576
  17. Vitali E, Lanfranconi M, Bruschi G, et al. Combined surgical approach to coexistent carotid and coronary artery disease: Early and late results. Cardiovasc Surg. 2003;11:113–119

PII: S1053-0770(06)00056-5

doi: 10.1053/j.jvca.2006.01.022

Journal of Cardiothoracic and Vascular Anesthesia
Volume 20, Issue 6 , Pages 796-802 , December 2006

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