Karotis arter stentlemesi sonrası 48 saat içinde koroner arter baypas greft operasyonu güvenli mi?

Abstract

Objective: The purpose of this study was to assess the safety and effectiveness of the outcome of coronary artery bypass graft operation (CABG-O) in 48 hours following carotid artery stenting (CAS). Materials and Methods: We report the results of a retrospective, single-center study designed to evaluate the feasibility and safety of CAS before cardiac surgery in neurologically symptomatic or asymptomatic patients. Twenty-three patients to whom CAS was applied because of symptomatic or asymptomatic carotid vascular stenosis were included in the study. CAS was accomplished in all patients without any complication. The mean time from CAS to CABG-O was 15.7±7 hours (range 8-48 hours). All patients were followed up for 19 months (range, 9-47 months) for any adverse events such as stroke, acute myocardial infarction (AMI), stent restenosis and death. Results: Most patients with carotid artery lesion were asymptomatic (82.6%). Stroke and AMI did not occur in any CAS patients during the procedure and the time interval between CAS and CABG-O. Major stroke was observed in one patient at the arm of CAS, on the first day postoperatively. Conclusion: CABG-O in 48 hours following CAS is safe and not related to increasing the rate of AMI, stroke and death at 19 months of follow up.