The impact of coronary artery disease on carotid endarterectomy.


Journal Article

In a series of 531 CENDX, preoperative cardiac risk was categorized by clinical criteria. Patients with CAD (history of previous MI, angina, congestive heart failure, and/or electrocardiographic evidence of CAD were selected for more invasive studies based on clinical criteria. The overall incidence of postoperative myocardial infarction was 2.5% and increased slightly to 4% in patients with symptomatic cardiac disease. More importantly, the overall mortality was 0.9% and only 3 of 13 (23%) postoperative myocardial infarctions were fatal. Neurologic complications averaged 1.4% and approximately 70% were related to preceding cardiac events. Twenty-two patients or 4% of the entire series underwent carotid endarterectomy combined with coronary artery bypass graft and this approach was associated with one death and one stroke. Therefore, we conclude that a selective approach to coronary arteriography and subsequent CABG based on clinical criteria is associated with an acceptably low mortality and cardiac morbidity.

Full Text

Duke Authors

Cited Authors

  • O'Donnell, TF; Callow, AD; Willet, C; Payne, D; Cleveland, RJ

Published Date

  • December 1, 1983

Published In

Volume / Issue

  • 198 / 6

Start / End Page

  • 705 - 712

PubMed ID

  • 6605729

Pubmed Central ID

  • 6605729

International Standard Serial Number (ISSN)

  • 0003-4932

Digital Object Identifier (DOI)

  • 10.1097/00000658-198312000-00007


  • eng

Conference Location

  • United States