New approach for combined carotid and coronary disease

A hybrid revascularization with carotid artery stenting followed immediately by coronary artery bypass graft surgery is feasible in high-risk patients, Italian researchers report. Published in the JACC Cardiovascular Interventions Journal, the multicentre study included 101 consecutive patients with severe carotid and coronary artery disease and a standard EuroSCORE of more than 5 who underwent on-pump CABG immediately after CAS. The overall procedural success rate was 98%, the researchers reported. At 30 days, 4% of patients experienced the study’s primary endpoint of a disabling stroke, acute myocardial infarction, or death. Two patients with severe CAD had a stroke immediately after stenting and two patients with a EuroSCORE of more than 8 died of multiple organ failure following CABG. One patient had a brief transient ischemic attack that resolved at the end of the stenting procedure....