Synchronous XXXX and open heart surgery.

@entity1 @entity64 @entity455 @entity66 @entity301 @entity1397 @entity117 @entity16 @entity2998 @entity583 @entity543
BACKGROUND: The optimal management of the @entity1 requiring cardiac surgery with concomitant severe @entity66 remains a controversy. The traditional approach involves staged or combined carotid endarterectomy and cardiac surgery. This study evaluated the feasibility and safety of angioplasty and stenting for the treatment of @entity543 concomitantly to cardiac operations to reduce the risk of perioperative @entity64 . METHODS: All @entity1 scheduled for cardiac surgery were screened preoperatively by color duplex ultrasonography for @entity66 . Carotid stenoses >= 60% in symptomatic @entity1 and >= 70% in asymptomatic @entity1 were treated using @entity2998 ( @entity2998 ) under local anesthesia immediately before the open heart surgery. Cerebral protection devices were used in all cases. @entity1 did not receive @entity117 or @entity1397 before the procedure. In a prospective, nonrandomized study, we analyzed 90 consecutive @entity1 requiring cardiac surgery with concomitant severe carotid @entity455 who underwent one stage @entity2998 and cardiac surgery. RESULTS: Despite the high baseline risk profile, our results were encouraging. Carotid stenting was successful in all @entity1 . No @entity16 occurred during the carotid stenting procedures. The 30-day death/ @entity64 rate was 2.2% (one death, one @entity64 ). No @entity583 occurred. The carotid restenosis rate was zero during the intermediate-term follow-up. CONCLUSIONS: In our experience, @entity2998 followed immediately by cardiac surgery is safe and represents a reasonable option for selected @entity1 presenting with severe carotid and @entity301 .
