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Staged Carotid Angioplasty and Stenting Followed by Cardiac Surgery in Patients With Severe Asymptomatic Carotid Artery Stenosis
Author(s) -
Jan Van der Heyden,
Maarten J. Suttorp,
Egbert T. Bal,
Jef M.P.G. Ernst,
R.G.A. Ackerstaff,
Jeroen Schaap,
Johannes C. Kelder,
M A A M Schepens,
H. W. M. Plokker
Publication year - 2007
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.106.658625
Subject(s) - medicine , asymptomatic , stenosis , angioplasty , carotid arteries , carotid stenting , cardiology , cardiac surgery , surgery , radiology , carotid endarterectomy
The strategy for treating patients with severe asymptomatic carotid artery stenosis and cardiac disease remains unresolved. Staged or combined carotid endarterectomy in these patients offers the potential benefit of decreased neurological morbidity during and after cardiac surgery; however, in high-risk patients with severe coronary artery disease, chronic obstructive pulmonary disease, or renal impairment, the incidence of death and stroke is significantly higher.

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