Abstract
Stroke neurologists are commonly asked to review patients who require coronary artery bypass grafting (CABG) but who also have comorbid severe carotid stenosis; such patients may be offered simultaneous carotid endarterectomy (CEA). In Canada, 0.51% of CABG procedures were combined CEA-CABG. The adjusted stroke and death rate was 2.67-fold greater in the combined CEA-CABG group compared to CABG alone. Randomized trials of the combined procedure are needed.
Publication types
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Research Support, Non-U.S. Gov't
MeSH terms
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Brain Ischemia / prevention & control
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Brain Ischemia / surgery*
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Canada
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Carotid Stenosis / surgery
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Cohort Studies
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Comorbidity
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Coronary Artery Bypass / methods
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Coronary Artery Bypass / statistics & numerical data*
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Coronary Artery Disease / surgery
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Endarterectomy, Carotid / methods
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Endarterectomy, Carotid / statistics & numerical data*
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Humans
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Iatrogenic Disease / epidemiology
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Mortality
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Outcome Assessment, Health Care / statistics & numerical data*
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Patient Selection
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Postoperative Complications / etiology*
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Postoperative Complications / physiopathology
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Risk Assessment
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Risk Factors
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Stroke / etiology*
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Stroke / prevention & control
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Stroke / surgery*
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Treatment Outcome