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A Direct Comparison of Early and Late Outcomes with Three Approaches to Carotid Revascularization and Open Heart Surgery

Friday, August 2, 2013

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Source

Source Name: Journal of the American College of Cardiology

Source URL: http://content.onlinejacc.org/article.aspx?articleID=1723266

Author(s)

Mehdi H. Shishehbor; Sridhar Venkatachalam; Zhiyuan Sun; Jeevanantham Rajeswaran; Samir R. Kapadia; Christopher Bajzer; Heather L. Gornik; Bruce H. Gray; John R. Bartholomew; Daniel G. Clair; Joseph F. Sabik; Eugene H. Blackstone

This retrospective review evaluated combined carotid endarterectomy (CEA) and open heart surgery (OHS), staged CEA and OHS, or OHS combined with staged carotid artery stenting (CAS) using propensity score matching. Staged CAS-OHS and combined CEA-OHS had similar initial outcomes that were better than staged CEA-OHS owing to an increased risk of MI in the latter group. Staged CAS-OHS had better long-term outcomes compared to staged CEA-OHS and combined CEA-OHS. Overall, short-term and long-term outcomes appear to favor staged CAS-OHS.