Safety and effectiveness of selective carotid angioplasty prior to cardiac surgery: a single-centre matched case–control study
Author(s) -
Zahra Hasani,
R.W.M. Keunen,
D.L.J. Tavy,
Arne Mosch,
Barry MookKanamori,
Sebastiaan F.T.M. de Bruijn,
Ali M. Keyhan-Falsafi,
Gerard J.F. Hoohenkerk,
Gayleen Stephens,
Eric Teeuws,
J. van Alphen,
Hans van Overhagen,
Frank E.E. Treurniet,
Lucas van Dijk,
Paulien M. van Kampen
Publication year - 2017
Publication title -
interactive cardiovascular and thoracic surgery
Language(s) - English
Resource type - Journals
eISSN - 1569-9293
pISSN - 1569-9285
DOI - 10.1093/icvts/ivx415
Subject(s) - medicine , angioplasty , stroke (engine) , cardiogenic shock , cardiac surgery , surgery , complication , cardiology , stenosis , carotid artery disease , myocardial infarction , carotid endarterectomy , mechanical engineering , engineering
Reducing the rate of postoperative stroke after cardiac surgery remains challenging, especially in patients with occlusive cerebrovascular disease. Angioplasty in all patients with high-grade carotid artery stenosis has not been shown to be effective in reducing the post-surgical stroke rate. In this study, we present the initial results of a different approach using selective carotid angioplasty only in patients with poor intracranial collaterals.
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