Approach to Patients With Coronary and Carotid Artery Disease: Single Center Experience and Clinical Results
Mazlum Şahin1, Fatma Tuba Ilal Mert1, Gokay Altaylı11Department of Cardiovascular Surgery, Haseki Training and Research Hospital, Istanbul, Turkey
Objectives: This study is an examination of revascularization methods used in cases of carotid and coronary artery disease, comparing the results of combined surgery and hybrid treatment. Methods: A total of 19 patients who underwent combined surgery (coronary artery bypass surgery with concomitant carotid endarterectomy) and 17 patients who received hybrid treatment (carotid artery stent and coronary artery bypass surgery on the same day) between January 2015 and January 2017 were enrolled and the results were examined retrospectively. Results: A hemorrhage revision was performed in 2 patients due to mediastinal bleeding (586.84±600.8 cc) in the combined surgery group, while hemorrhage revision (464.7±300.28 cc) was not required in the hybrid therapy group. No significant difference was observed between the 2 groups. The length of intensive care and hospital stay in the combined surgery group was 2.78±1.8 days and 6.94±1.6 days, respectively, while it was 1.64±0.33 days and 4.82±1.72 days, respectively, in the hybrid therapy group. A significant difference was found in the duration of both intensive care and total hospital stay (p<0.01). No minor or major neurological event or mortality was observed in either group. Conclusion: Considering the available data and information, the strategy to be utilized should be determined according to the clinical condition of the patient, as well as the experience of the team. An experienced team can apply a hybrid approach in appropriate cases with an acceptable level of mortality and morbidity and with the benefit of a shorter hospital stay.
Cite This Article
Şahin M, Ilal Mert F, Altaylı G. Approach to Patients With Coronary and Carotid Artery Disease: Single Center Experience and Clinical Results. EJMI. 2017; 1(2): 29-32
Corresponding Author: Mazlum Şahin