Cremer J, Harringer W, Brandt M, Steinhoff G, Haverich A
Abteilung für Herz- und Gefässchirurgie, Christian-Albrechts-Universität Kiel.
Langenbecks Arch Chir Suppl Kongressbd. 1996;113:1021-3.
Comorbidity of coronary heart disease and carotid stenosis raises the question of surgical stratification. A simultaneous approach of carotid endarterectomy and coronary revascularization, both under conditions of moderate hypothermic extracorporeal circulation, was applied in 48 patients. Considering the complexity of the procedures required the 30-day mortality (2.1%) and perioperative incidence of permanent stroke (2.1%) or myocardial infarction (0%) appeared to be comparably low.
冠心病与颈动脉狭窄的合并症引发了手术分层的问题。48例患者采用了在中度低温体外循环条件下同时进行颈动脉内膜切除术和冠状动脉血运重建术的方法。考虑到所需手术的复杂性,30天死亡率(2.1%)以及永久性中风(2.1%)或心肌梗死(0%)的围手术期发生率似乎相对较低。