Matches in SemOpenAlex for { <https://semopenalex.org/work/W4317356987> ?p ?o ?g. }
- W4317356987 endingPage "1433.e1" @default.
- W4317356987 startingPage "1424" @default.
- W4317356987 abstract "Optimal temporal surgical management of significant carotid stenosis and coronary artery disease remains unknown. Carotid endarterectomy (CEA) and coronary artery bypass (CABG) are performed concurrently (CCAB) or in a staged (CEA-CABG or CABG-CEA) approach. Using the Vascular Quality Initiative-Vascular Implant Surveillance and Interventional Outcomes Coordinated Registry Network-Medicare-linked dataset, this study compared operative and long-term outcomes after CCAB and staged approaches.The Vascular Quality Initiative-Vascular Implant Surveillance and Interventional Outcomes Coordinated Registry Network dataset was used to identify CEAs from 2011 to 2018 with combined CABG or CABG within 45 days preceding or after CEA. Patients were stratified based on concurrent or staged approach. Primary outcomes were stroke, myocardial infarction (MI), all-cause mortality, stroke and death as composite (SD) and all as composite within 30 days from the last procedure as well as in the long term. Univariate analysis and risk-adjusted analysis using inverse propensity weighting were performed. Kaplan-Meier curves of stroke, MI, and death were created and compared.There were 1058 patients included: 643 CCAB and 415 staged (309 CEA-CABG and 106 CABG-CEA). Compared with staged patients, those undergoing CCAB had a higher preoperative rate of congestive heart failure (24.8% vs 18.4%; P = .01) and decreased renal function (14.9% vs 8.5%; P < .01), as well as fewer prior neurological events (23.5% vs 31.4%; P < .01). Patients undergoing CCAB had similar weighted rate of 30-day stroke (4.6% vs 4.1%; P = .72), death (7.0% vs 5.0%; P = .32), and composite outcomes (stroke and death, 9.8% vs 8.5%; P = .56; stroke, death, and MI, 14.7% vs 17.4%; P = .31), but a lower weighted rate of MI (5.5% vs 11.5%; P < .01) vs the staged cohort. Long-term adjusted risks of stroke (hazard ratio [HR], 0.85; 95% confidence interval [CI], 0.54-1.36; P = .51) and mortality (HR, 1.02; 95% CI, 0.76-1.36; P=.91) were similar between groups, but higher risk of MI long-term was seen in those staged (HR, 1.49; 95% CI, 1.07-2.08; P = .02).In patients undergoing CCAB or staged open revascularization for carotid stenosis and coronary artery disease, the staged approach had an increased risk of postoperative cardiac event, but the short- and long-term rates of stroke and mortality seem to be comparable. Adverse cardiovascular event risk is high between operations when staged and should be a consideration when selecting an approach. Although factors leading to staged sequencing performance need further clarity, CCAB seems to be safe and should be considered an equally reasonable option." @default.
- W4317356987 created "2023-01-19" @default.
- W4317356987 creator A5000216296 @default.
- W4317356987 creator A5005925770 @default.
- W4317356987 creator A5031439299 @default.
- W4317356987 creator A5038967888 @default.
- W4317356987 creator A5051811099 @default.
- W4317356987 creator A5057655069 @default.
- W4317356987 creator A5063394608 @default.
- W4317356987 creator A5065001569 @default.
- W4317356987 creator A5073503565 @default.
- W4317356987 date "2023-05-01" @default.
- W4317356987 modified "2023-09-27" @default.
- W4317356987 title "Operative and long-term outcomes of combined and staged carotid endarterectomy and coronary bypass" @default.
- W4317356987 cites W1876508038 @default.
- W4317356987 cites W1971186643 @default.
- W4317356987 cites W1976507848 @default.
- W4317356987 cites W1996926581 @default.
- W4317356987 cites W2004082515 @default.
- W4317356987 cites W2004950370 @default.
- W4317356987 cites W2008621417 @default.
- W4317356987 cites W2035387304 @default.
- W4317356987 cites W2041997330 @default.
- W4317356987 cites W2043488280 @default.
- W4317356987 cites W2059725984 @default.
- W4317356987 cites W2093023960 @default.
- W4317356987 cites W2094229992 @default.
- W4317356987 cites W2113527893 @default.
- W4317356987 cites W2116828080 @default.
- W4317356987 cites W2124691842 @default.
- W4317356987 cites W2126355194 @default.
- W4317356987 cites W2151038501 @default.
- W4317356987 cites W2167317158 @default.
- W4317356987 cites W2586081019 @default.
- W4317356987 cites W2589737038 @default.
- W4317356987 cites W2745403241 @default.
- W4317356987 cites W2888730369 @default.
- W4317356987 cites W2916424659 @default.
- W4317356987 cites W2944355590 @default.
- W4317356987 cites W2969446150 @default.
- W4317356987 cites W3006152048 @default.
- W4317356987 cites W3031384625 @default.
- W4317356987 cites W3173746046 @default.
- W4317356987 cites W3176010948 @default.
- W4317356987 cites W4212938848 @default.
- W4317356987 cites W4280505765 @default.
- W4317356987 cites W4282961220 @default.
- W4317356987 cites W4295357450 @default.
- W4317356987 doi "https://doi.org/10.1016/j.jvs.2023.01.015" @default.
- W4317356987 hasPubMedId "https://pubmed.ncbi.nlm.nih.gov/36681256" @default.
- W4317356987 hasPublicationYear "2023" @default.
- W4317356987 type Work @default.
- W4317356987 citedByCount "1" @default.
- W4317356987 countsByYear W43173569872023 @default.
- W4317356987 crossrefType "journal-article" @default.
- W4317356987 hasAuthorship W4317356987A5000216296 @default.
- W4317356987 hasAuthorship W4317356987A5005925770 @default.
- W4317356987 hasAuthorship W4317356987A5031439299 @default.
- W4317356987 hasAuthorship W4317356987A5038967888 @default.
- W4317356987 hasAuthorship W4317356987A5051811099 @default.
- W4317356987 hasAuthorship W4317356987A5057655069 @default.
- W4317356987 hasAuthorship W4317356987A5063394608 @default.
- W4317356987 hasAuthorship W4317356987A5065001569 @default.
- W4317356987 hasAuthorship W4317356987A5073503565 @default.
- W4317356987 hasConcept C126322002 @default.
- W4317356987 hasConcept C127413603 @default.
- W4317356987 hasConcept C141071460 @default.
- W4317356987 hasConcept C144301174 @default.
- W4317356987 hasConcept C164705383 @default.
- W4317356987 hasConcept C2778198053 @default.
- W4317356987 hasConcept C2779745121 @default.
- W4317356987 hasConcept C2780007028 @default.
- W4317356987 hasConcept C2780645631 @default.
- W4317356987 hasConcept C2781068581 @default.
- W4317356987 hasConcept C38180746 @default.
- W4317356987 hasConcept C500558357 @default.
- W4317356987 hasConcept C71924100 @default.
- W4317356987 hasConcept C78519656 @default.
- W4317356987 hasConceptScore W4317356987C126322002 @default.
- W4317356987 hasConceptScore W4317356987C127413603 @default.
- W4317356987 hasConceptScore W4317356987C141071460 @default.
- W4317356987 hasConceptScore W4317356987C144301174 @default.
- W4317356987 hasConceptScore W4317356987C164705383 @default.
- W4317356987 hasConceptScore W4317356987C2778198053 @default.
- W4317356987 hasConceptScore W4317356987C2779745121 @default.
- W4317356987 hasConceptScore W4317356987C2780007028 @default.
- W4317356987 hasConceptScore W4317356987C2780645631 @default.
- W4317356987 hasConceptScore W4317356987C2781068581 @default.
- W4317356987 hasConceptScore W4317356987C38180746 @default.
- W4317356987 hasConceptScore W4317356987C500558357 @default.
- W4317356987 hasConceptScore W4317356987C71924100 @default.
- W4317356987 hasConceptScore W4317356987C78519656 @default.
- W4317356987 hasFunder F4320337338 @default.
- W4317356987 hasIssue "5" @default.
- W4317356987 hasLocation W43173569871 @default.
- W4317356987 hasLocation W43173569872 @default.
- W4317356987 hasOpenAccess W4317356987 @default.
- W4317356987 hasPrimaryLocation W43173569871 @default.