Chiariello Luigi, Tomai Fabrizio, Zeitani Jacob, Versaci Francesco
Divisione di Cardiochirurgia, Università Tor Vergata, Rome, Italy.
Ann Thorac Surg. 2006 May;81(5):1883-5. doi: 10.1016/j.athoracsur.2005.04.086.
Surgical treatment of simultaneous coronary and carotid disease is still controversial, because of the high risk of morbidity and mortality after combined or staged carotid artery endoarterectomy and the coronary artery bypass grafting approach. We report the first 10 patients with concomitant coronary and carotid disease successfully treated with an alternative strategy consisting of simultaneous hybrid revascularization by carotid artery stenting and coronary artery bypass grafting.
同时患有冠状动脉疾病和颈动脉疾病的手术治疗仍存在争议，因为在联合或分期进行颈动脉内膜切除术和冠状动脉搭桥术之后，发病和死亡风险很高。我们报告了首批10例同时患有冠状动脉疾病和颈动脉疾病的患者，他们通过一种替代策略成功接受了治疗，该策略包括同时进行颈动脉支架置入术和冠状动脉搭桥术的混合血运重建。
