Abstract:
:Patients with severe carotid and coronary disease-especially if they require coronary artery bypass grafting (CABG)-are at high risk of cardiac events and stroke. Carotid revascularization should be considered for patients with symptomatic carotid disease and bilateral severe asymptomatic carotid stenosis. In patients with unilateral asymptomatic carotid stenosis, decision to proceed to revascularization should be based more on a perspective of long-term stroke prevention than of perioperative stroke reduction. Compared with endarterectomy, carotid artery stenting is associated with a lower incidence of periprocedural myocardial infarction, an event linked to long-term mortality. This observation may be particularly relevant for patients with advanced coronary artery disease such as those undergoing CABG. Irrespective of the carotid revascularization strategy, a broad disease management approach based on lifestyle modification and pharmacologic cardiovascular prevention is more likely to affect both the quality and duration of life than revascularization itself.
journal_name
Curr Cardiol Repjournal_title
Current cardiology reportsauthors
Roffi M,Ribichini F,Castriota F,Cremonesi Adoi
10.1007/s11886-012-0246-1subject
Has Abstractpub_date
2012-04-01 00:00:00pages
125-34issue
2eissn
1523-3782issn
1534-3170journal_volume
14pub_type
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