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. 1983 Dec;198(6):705–712. doi: 10.1097/00000658-198312000-00007

The impact of coronary artery disease on carotid endarterectomy.

T F O'Donnell Jr, A D Callow, C Willet, D Payne, R J Cleveland
PMCID: PMC1353218  PMID: 6605729

Abstract

In a series of 531 CENDX, preoperative cardiac risk was categorized by clinical criteria. Patients with CAD (history of previous MI, angina, congestive heart failure, and/or electrocardiographic evidence of CAD were selected for more invasive studies based on clinical criteria. The overall incidence of postoperative myocardial infarction was 2.5% and increased slightly to 4% in patients with symptomatic cardiac disease. More importantly, the overall mortality was 0.9% and only 3 of 13 (23%) postoperative myocardial infarctions were fatal. Neurologic complications averaged 1.4% and approximately 70% were related to preceding cardiac events. Twenty-two patients or 4% of the entire series underwent carotid endarterectomy combined with coronary artery bypass graft and this approach was associated with one death and one stroke. Therefore, we conclude that a selective approach to coronary arteriography and subsequent CABG based on clinical criteria is associated with an acceptably low mortality and cardiac morbidity.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

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