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Study on Coronary Artery Bypass Grafting Combined with Carotid Endarterectomy in the Treatment of Elderly Coronary Heart Disease with Carotid Artery Stenosis

Author:McCormick, R. A. Date:June 09,2019 Hits:

Abstract

Objective To investigate the tolerance and follow-up results of coronary artery bypass grafting (CABG) combined with carotid endarterectomy (CEA) in the treatment of elderly coronary heart disease with carotid artery stenosis. Methods 180 cases of elderly patients with coronary heart disease admitted to our hospital from March 2012 to March 2013 were retrospectively analyzed, among which 90 cases were treated with CEA and CABG (observation group) at the same time and 90 cases were treated with CABG and CEA (control group) at the same time. Operative time, time of single carotid artery occlusion, bridge blood flow, ICU stay time, length of stay in the ICU, changes in internal diameter and flow velocity of carotid artery stenosis and LVEF were compared in the two groups, and the incidence of perioperative complications were recorded.Results the duration of operation in the observation group was significantly longer than that in the control group, while the length of stay and hospitalization in ICU were significantly shorter than that in the control group (P<0.05). Compared with preoperative comparison, the inner diameter and LVEF of carotid artery stenosis were significantly increased and the change of flow velocity was significantly decreased in the two groups (P<0.05), while there was no significant difference between the two groups (P>0.05). The incidence of perioperative complications in the observation group was significantly lower than that in the control group (P<0.05). Conclusion concurrent CEA and CABG in the treatment of elderly coronary heart disease with carotid artery stenosis has the same effect as staging surgery, but the former requires only one operation, which is conducive to promoting the recovery of patients and reducing the incidence of perioperative complications.

References

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Study on Coronary Artery Bypass Grafting Combined with Carotid Endarterectomy in the Treatment of Elderly Coronary Heart Disease with Carotid Artery Stenosis
McCormick, R. A. 
Monash University, Melbourne, Australia

Corresponding author: McCormick, R. A., Monash University, Melbourne, Australia.
How to cite this paper: McCormick, R. A. (2019). Study on Coronary Artery Bypass Grafting Combined with Carotid Endarterectomy in the Treatment of Elderly Coronary Heart Disease with Carotid Artery Stenosis. Open Access Library of Science A, 1(3), 26-32.
http://dx.doi.org/10.34038/oalsa.2019.03.001
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