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Stroke neurologists are commonly asked to review patients who require coronary artery bypass grafting (CABG) but who also have comorbid severe carotid stenosis; such patients may be offered simultaneous carotid endarterectomy (CEA). In Canada, 0.51% of CABG procedures were combined CEA-CABG. The adjusted stroke and death rate was 2.67-fold greater in the combined CEA-CABG group compared to CABG alone. Randomized trials of the combined procedure are needed.

Original publication

DOI

10.1212/01.WNL.0000158477.55659.FE

Type

Journal article

Journal

Neurology

Publication Date

26/04/2005

Volume

64

Pages

1435 - 1437

Keywords

Brain Ischemia, Canada, Carotid Stenosis, Cohort Studies, Comorbidity, Coronary Artery Bypass, Coronary Artery Disease, Endarterectomy, Carotid, Humans, Iatrogenic Disease, Mortality, Outcome Assessment (Health Care), Patient Selection, Postoperative Complications, Risk Assessment, Risk Factors, Stroke, Treatment Outcome