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- W2140367076 abstract "The best approach to the management of concomitant severe carotid and coronary artery disease remains unanswered. The American College of Cardiology/American Heart Association (ACC/AHA) guidelines recommend carotid endarterectomy (CEA) in asymptomatic carotid stenosis of ≥ 80% either prior to or combined with coronary artery bypass surgery (CABG). Currently, there is no consensus as to which surgical approach is superior. More recently, carotid artery stenting (CAS) prior to CABG is emerging as an alternative option with promising results in asymptomatic patients considered 'high risk' for CEA. A <3% composite event rate has been set as a benchmark for isolated CAS or CEA in asymptomatic patients by the ACC/AHA; however, most CEA or CAS studies in patients requiring concomitant CABG have shown event rates ranging from 10-12%. This review examines the available data on carotid revascularisation in relation to CABG surgery to aid in the risk-benefit decision analysis in this controversial area." @default.
- W2140367076 created "2016-06-24" @default.
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- W2140367076 creator A5080587763 @default.
- W2140367076 date "2010-12-13" @default.
- W2140367076 modified "2023-10-14" @default.
- W2140367076 title "Contemporary management of concomitant carotid and coronary artery disease" @default.
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- W2140367076 doi "https://doi.org/10.1136/hrt.2010.203612" @default.
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