A comparison of two different management plans for patients requiring both carotid endarterectomy and coronary artery bypass grafting

Ecevit A. N., KARACA O. G., Kalender M., Bekmezci M., SUNGUR M. A., Darcin O. T.

CARDIOVASCULAR JOURNAL OF AFRICA, cilt.32, sa.3, ss.129-132, 2021 (SCI-Expanded) identifier identifier identifier

  • Yayın Türü: Makale / Tam Makale
  • Cilt numarası: 32 Sayı: 3
  • Basım Tarihi: 2021
  • Doi Numarası: 10.5830/cvja-2020-042
  • Dergi Adı: CARDIOVASCULAR JOURNAL OF AFRICA
  • Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, CAB Abstracts, EMBASE, MEDLINE, Veterinary Science Database
  • Sayfa Sayıları: ss.129-132
  • Anahtar Kelimeler: carotid endarterectomy, cervical block anaesthesia, general anaesthesia, coronary artery bypass grafting, GENERAL-ANESTHESIA, LOCAL-ANESTHESIA, STROKE, DEATH, STENOSIS, RISKS
  • Akdeniz Üniversitesi Adresli: Evet

Özet

Background: Carotid endarterectomy (CEA) is a prophylactic operation that is used to mitigate the risk of stroke caused by embolism of atherosclerotic plaques in the carotid bifurcation. Previously, the large, multicentre, randomised, controlled GALA study found no significant differences in clinical outcomes between patients treated using general or local anaesthesia. While this study provided important insights into disease outcomes based on treatment modalities, it did not answer questions regarding the safety of CEA under local anaesthesia in patients at high risk for cardiovascular complications. Here, we examined the use of two different management plans in patients requiring both carotid endarterectomy and coronary artery bypass grafting (CABG), in terms of their effects on hospital mortality.