Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 355-361.e1 , August 2008

Trends and outcomes of concurrent carotid revascularization and coronary bypass

Presented at the Thirty-second Annual Meeting of the Southern Association for Vascular Surgery, Naples, Fla, Jan 16-19, 2007.

  • Carlos H. Timaran, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Tex
    • Dallas Veterans Affairs Medical Center, Dallas, Tex.
    • Corresponding Author InformationCorrespondence: Carlos H. Timaran, MD, University of Texas Southwestern Medical Center, 5909 Harry Hines Blvd, Dallas, TX 75390-9157.
  • ,
  • Eric B. Rosero, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Tex
  • ,
  • Stephen T. Smith, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Tex
  • ,
  • R. James Valentine, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Tex
  • ,
  • J. Gregory Modrall, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Tex
    • Dallas Veterans Affairs Medical Center, Dallas, Tex.
  • ,
  • G. Patrick Clagett, MD

      Affiliations

    • Division of Vascular and Endovascular Surgery, Department of Surgery, University of Texas Southwestern Medical Center, Dallas, Tex

Received 23 January 2008 ,Accepted 13 March 2008.

References 

  1. Hertzer NR, Mascha EJ. A personal experience with coronary artery bypass grafting, carotid patching, and other factors influencing the outcome of carotid endarterectomy. J Vasc Surg. 2006;5:959–968
  2. Naylor AR, Cuffe RL, Rothwell PM, Bell PR. A systematic review of outcomes following staged and synchronous carotid endarterectomy and coronary artery bypass. Eur J Vasc Endovasc Surg. 2003;5:380–389
  3. Ricotta JJ, Char DJ, Cuadra SA, Bilfinger TV, Wall LP, Giron F, et al. Modeling stroke risk after coronary artery bypass and combined coronary artery bypass and carotid endarterectomy. Stroke. 2003;5:1212–1217
  4. Brown KR, Kresowik TF, Chin MH, Kresowik RA, Grund SL, Hendel ME. Multistate population-based outcomes of combined carotid endarterectomy and coronary artery bypass. J Vasc Surg. 2003;1:32–39
  5. Naylor AR, Mehta Z, Rothwell PM, Bell PR. Carotid artery disease and stroke during coronary artery bypass: a critical review of the literature. Eur J Vasc Endovasc Surg. 2002;4:283–294
  6. Ricotta JJ, Wall LP, Blackstone E. The influence of concurrent carotid endarterectomy on coronary bypass: a case-controlled study. J Vasc Surg. 2005;3:397–401
  7. Myers SI, Valentine RJ, Estrera A, Clagett GP. The intra-aortic balloon pump, a novel addition to staged repair of combined symptomatic cerebrovascular and coronary artery disease. Ann Vasc Surg. 1993;3:239–242
  8. Veith FJ, Amor M, Ohki T, Beebe HG, Bell PRF, Bolia A, et al. Current status of carotid bifurcation angioplasty and stenting based on a consensus of opinion leaders. J Vasc Surg. 2001;2:S111–S116
  9. Ohki T, Timaran CH, Yadav JS. Technique of carotid angioplasty and stenting. In:  Moore WS editors. Vascular and endovascular surgery: a comprehensive review. 7th ed.. Philadelphia, PA: Saunders Elsevier; 2006;p. 355–382
  10. Ziada KM, Yadav JS, Mukherjee D, Lauer MS, Bhatt DL, Kapadia S, et al. Comparison of results of carotid stenting followed by open heart surgery versus combined carotid endarterectomy and open heart surgery (coronary bypass with or without another procedure). Am J Cardiol. 2005;4:519–523
  11. Kovacic JC, Roy PR, Baron DW, Muller DW. Staged carotid artery stenting and coronary artery bypass graft surgery: initial results from a single center. Catheter Cardiovasc Interv. 2006;1:142–148
  12. Randall MS, McKevitt FM, Cleveland TJ, Gaines PA, Venables GS. Is there any benefit from staged carotid and coronary revascularization using carotid stents? (A single-center experience highlights the need for a randomized controlled trial). Stroke. 2006;2:435–439
  13. Mendiz O, Fava C, Valdivieso L, Dulbecco E, Raffaelli H, Lev G, et al. Synchronous carotid stenting and cardiac surgery: an initial single-center experience. Catheter Cardiovasc Interv. 2006;3:424–428
  14. Overview of the Nationwide Inpatient Sample (NIS) of the Healthcare Cost and Utilization Project (HCUP). http://www.hcup-us.ahrq.gov/nisoverview.jspAccessed: Jan 4, 2008
  15. Nowygrod R, Egorova N, Greco G, Anderson P, Gelijns A, Moskowitz A, et al. Trends, complications, and mortality in peripheral vascular surgery. J Vasc Surg. 2006;2:205–216
  16. McPhee JT, Hill JS, Ciocca RG, Messina LM, Eslami MH. Carotid endarterectomy was performed with lower stroke and death rates than carotid artery stenting in the United States in 2003 and 2004. J Vasc Surg. 2007;6:1112–1118
  17. Healthcare Cost and Utilization Project (HCUP) Clinical Classifications Software (CCS). http://www.hcup-us.ahrq.gov/toolssoftware/ccs/ccs.jspAccessed: Jan 4, 2008
  18. Deyo RA, Cherkin DC, Ciol MA. Adapting a clinical comorbidity index for use with ICD-9-CM administrative databases. J Clin Epidemiol. 1992;6:613–619
  19. Karp HR, Flanders WD, Shipp CC, Taylor B, Martin D. Carotid endarterectomy among Medicare beneficiaries: a statewide evaluation of appropriateness and outcome. Stroke. 1998;1:46–52
  20. Healthcare Cost and Utilization Project (HCUP). Quality control procedures. http://www.hcup-us.ahrq.gov/db/quality.jspAccessed: Jan 2, 2008
  21. Eagle KA, Guyton RA, Davidoff R, Ewy GA, Fonger J, Gardner TJ, et al. ACC/AHA guidelines for coronary artery bypass graft surgery: executive summary and recommendations: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Committee to revise the 1991 guidelines for coronary artery bypass graft surgery). Circulation. 1999;13:1464–1480
  22. Yadav JS, Wholey MH, Kuntz RE, Fayad P, Katzen BT, Mishkel GJ, et al. Protected carotid-artery stenting versus endarterectomy in high-risk patients. N Engl J Med. 2004;15:1493–1501
  23. Gray WA, Hopkins LN, Yadav S, Davis T, Wholey M, Atkinson R, et al. Protected carotid stenting in high-surgical-risk patients: the ARCHeR results. J Vasc Surg. 2006;2:258–268
  24. Fairman R, Gray WA, Scicli AP, Wilburn O, Verta P, Atkinson R, et al. The CAPTURE registry: analysis of strokes resulting from carotid artery stenting in the post approval setting: timing, location, severity, and type. Ann Surg. 2007;4:551–556
  25. Van der HJ, Suttorp MJ, Bal ET, Ernst JM, Ackerstaff RG, Schaap J, et al. Staged carotid angioplasty and stenting followed by cardiac surgery in patients with severe asymptomatic carotid artery stenosis: early and long-term results. Circulation. 2007;18:2036–2042
  26. Kramer J, Abraham J, Jones PA. Carotid artery stenting before CABG: a better alternative to treat concomitant coronary and carotid artery disease. Stroke. 2006;6:1359
  27. Ringleb PA, Allenberg J, Bruckmann H, Eckstein HH, Fraedrich G, Hartmann M, et al. 30 day results from the SPACE trial of stent-protected angioplasty versus carotid endarterectomy in symptomatic patients: a randomised non-inferiority trial. Lancet. 2006;9543:1239–1247
  28. Mas JL, Chatellier G, Beyssen B, Branchereau A, Moulin T, Becquemin JP, et al. Endarterectomy versus stenting in patients with symptomatic severe carotid stenosis. N Engl J Med. 2006;16:1660–1671
  29. Chiariello L, Tomai F, Zeitani J, Versaci F. Simultaneous hybrid revascularization by carotid stenting and coronary artery bypass grafting. Ann Thorac Surg. 2006;5:1883–1885
  30. Gupta R, bou-Chebl A, Bajzer CT, Schumacher HC, Yadav JS. Rate, predictors, and consequences of hemodynamic depression after carotid artery stenting. J Am Coll Cardiol. 2006;8:1538–1543

 Competition of interest: none.

 Additional material for this article may be found online at www.jvascsurg.org.

PII: S0741-5214(08)00443-6

doi: 10.1016/j.jvs.2008.03.031

Journal of Vascular Surgery
Volume 48, Issue 2 , Pages 355-361.e1 , August 2008