Comparative characteristics staged versus synchronous carotid endarterectomy and coronary artery bypass grafting

Abstract

Aim. Assessment of the immediate results of staged versus synchronous carotid endarterectomy and coronary artery bypass grafting methods in patients with carotid artery stenosis and coronary artery disease.
Patients. The results of synchronous and staged surgeries conducted among 175 patients in the Republican research center of emergency medicine from 2014 to 2021 were analyzed. Patients were divided into
two groups: Group 1 – 75 patients who underwent carotid endarterectomy (CE) and aorto-coronary bypass grafting (CABG) synchronously on the working heart; Group 2 – 100 patients in whom CE and CABG
were performed in stages.
Results. Synchronous and staged interventions in combined carotid and coronary stenosis are accompanied by good results and demonstrated low rates of postoperative complications and case fatality (1.3% in
the synchronous group and 1.7% in the staged group).
Conclusion. The synchronous approach is accompanied by a lower frequency of perioperative complications, a shorter postoperative period and can be a method of choosing surgical treatment for carotid artery
stenosis and coronary artery disease.