Back to Search Start Over

The interval between carotid artery stenting and open heart surgery is related to perioperative complications

The interval between carotid artery stenting and open heart surgery is related to perioperative complications

Authors :
Runlin Gao
Hai-Yan Qian
Wuqiang Che
Hui Dong
Meng Peng
Lei Song
Bo Xu
Xiongjing Jiang
Yuejin Yang
Yubao Zou
Source :
Catheterization and Cardiovascular Interventions. 87:564-569
Publication Year :
2016
Publisher :
Wiley, 2016.

Abstract

Objectives To assess 30-day outcomes and the optimal interval between carotid artery stenting (CAS) and open heart surgery (OHS). Background Whether or not they show symptoms of carotid atherosclerosis, patients with significant carotid stenosis who underwent OHS face a high risk of perioperative stroke. Planning appropriate treatment for carotid stenosis before OHS has become an important clinical issue. Methods From January 2005 to June 2010, 154 inpatients scheduled for CAS and OHS were recruited and followed up for 30 days after OHS. The primary end point was a composite of major stroke or neurological death. The secondary end points included a composite of major stroke, myocardial infarction (MI) or any death, minor stroke, and acute kidney injury (AKI). Results The incidence of the primary end point, the composite of major stroke, MI or any death, minor stroke and AKI was 3.2%, 5.8%, 2.6%, and 4.5%, respectively. Only an interval between CAS and OHS of ≤5 days could independently predict the incidence of the primary end point (OR, 14.06, 95% CI, 1.52-130.13; P=0.020). Moreover, congestive heart failure (OR, 7.07, 95% CI, 1.55-21.27; P=0.012) and an interval between CAS and OHS of ≤5 days (OR, 7.05, 95% CI, 1.58-31.40; P=0.010) were identified as independent risk factors for the composite of major stroke, MI, or any death. Conclusions Our findings indicate that CAS followed by OHS is safe and feasible. More importantly, an interval between CAS and OHS of >5 days may decrease periprocedural complications, especially major stroke and neurological death.

Details

ISSN :
15221946
Volume :
87
Database :
OpenAIRE
Journal :
Catheterization and Cardiovascular Interventions
Accession number :
edsair.doi...........44f2131ee115465f0a2825fc787ab2af
Full Text :
https://doi.org/10.1002/ccd.26408