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Novel Stent/CEA Strategy for Patients with Bilateral Carotid Artery Stenosis and Coronary Artery Disease : Report of 2 Cases Hideo SHICHINOHE 1 , Satoshi KURODA 1 , Takeshi ASANO 2 , Satoshi USHIKOSHI 2 , Tatsuya ISHIKAWA 1 , Kiyohiro HOUKIN 3 , Toshifumi MURASHITA 4 , Yoshinobu IWASAKI 1 1Departments of Neurosurgery,Hokkaido University Graduate School of Medicine 2Department of Radiology,Hokkaido University Graduate School of Medicine 3Department of Neurological Surgery,Sapporo Medical University Hospital 4Department of Cardiovascular Surgery,Hokkaido University Graduate School of Medicine Keyword: internal carotid artery , coronary artery , stenting , carotid endarterectomy , ischemia pp.149-153
Published Date 2005/2/1
DOI https://doi.org/10.11477/mf.1436100033
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Recently,there are increasing numbers of patients with occlusive carotid artery disease and coronary artery disease. Simultaneous or two-staged surgery for both lesions has been recommended for these patients to reduce the incidence of perioperative complications. However, therapeutic options for the patients with bilateral carotid artery stenosis and coronary artery disease have not been established. In this report, we describe two patients who successfully underwent carotid endarterectomy (CEA) and carotid artery stenting (CAS) on each carotid artery in parallel with coronary artery bypass grafts (CABG).

 A 49-year-old male with severe stenosis of the bilateral internal carotid artery (ICA) and heart failure underwent CAS on the right side. Next day, he successfully underwent CABG and CEA on the left side at the same time. A 62-year-old male with severe stenosis of the bilateral ICA and coronary artery disease underwent CAS on the right side and CEA on the left side with an interval of 7 days. Subsequently, CABG was performed uneventfully. No perioperative complication occurred in either patient.

 The results suggest that combination therapy of CAS and CEA would be a valuable option for patients with complex carotid/coronary artery diseases.


Copyright © 2005, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1251 印刷版ISSN 0301-2603 医学書院

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