Open AccessCombining carotid endarterectomy with off-pump coronary artery bypass graft surgery is safe and effective
Author(s) -
Arun Garg,
Atma Ram Bansal,
Dilip Singh,
Manisha Mishra,
Pooja Sharma,
Ravi R Kasliwal,
Naresh Trehan
Publication year - 2015
Publication title -
annals of indian academy of neurology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.427
H-Index - 31
eISSN - 1998-3549
pISSN - 0972-2327
DOI - 10.4103/0972-2327.165457
Subject(s) - medicine , carotid endarterectomy , asymptomatic , stenosis , perioperative , stroke (engine) , myocardial infarction , surgery , endarterectomy , coronary artery bypass surgery , cardiology , guideline , artery , mechanical engineering , pathology , engineering
We, as neurologists, are frequently consulted to give neurological clearance for surgery in patients who are undergoing coronary artery bypass graft (CABG) surgery and have suffered from stroke or transient ischemic attack (TIA) in past. Similarly clearance is also sought in another group of patients who, though have not suffered from stroke or TIA, but found to have significant carotid stenosis on routine screening prior to surgery. Cardiac surgeons and anesthetists want to know the risk of perioperative stroke in such patients and should carotid endarterectomy (CEA) be done along with CABG. In absence of any clear-cut guideline, neurologists often fail to give any specific recommendation.