Naslov
Simultaneus carotid and cardiac operations

Autori
Šnajdar, Irena ; Halužan, Damir ; Figl, Josip ; Crkvenac Gregorek, Andrea ; Meštrović, Tomislav ; Škorak, Ivan ; Brižić, Ivan ; Mitar, Davorin ; Fiolić, Zlatko ; Petrunić, Mladen

Vrsta, podvrsta i kategorija rada
Sažeci sa skupova, sažetak, stručni

Izvornik
Acta chirurgica Croatica, 15 (2018), Suppl 1 / - , 2018, 29-29

Skup
7. hrvatski kirurški kongres s međunarodnim sudjelovanjem ; 2. simpozij medicinskih sestara i tehničara digestivne kirurgije

Mjesto i datum
Vodice, Hrvatska, 08.10.2018. - 11.10.2018

Vrsta sudjelovanja
Predavanje

Vrsta recenzije
Domaća recenzija

Ključne riječi
simultaneus carotid and cardiac operations

Sažetak
Introduction: The results of concomitant carotid endarterectomy with cardiac operation vary be tween institutions. Indications for such procedures are still under discussion. Aim: We reviewed our results of carotid endarterectomy and cardiac surgery done as a simultane ous procedure. Methods: Between January 2008 and September 2018, 75 patients underwent a simultaneous car diac operation (Coronary Artery Bypass - CABG, valve replacement or both) and carotid endarter ectomy (CEA). There were 33 males and 27 females. Mean age was 69.05 years. Carotid stenosis was >90% in 33 patients and 70-89% in 40 patients. Sixty patients had asymptomatic carotid stenosis and 15 had either TIA or stroke. Results: CEA was performed using a Dacron patch in 66 patients and autologous vein was used in two patients. In seven cases eversion TEA was done. Intraoperative shunt was used in 31 patients. Only six procedures were done "off-pump". Perioperative TIA was registered in three patients and five patients suffered a stroke. Local complications (neck hematoma) occurred in 10 patients, but only five needed an additional procedure. One patient had a perioperative myocardial infarction and in seven patients pneumonia was diagnosed. One patient died postoperatively. Conclusions: Simultaneous carotid endarterectomy with cardiac surgery is a safe and effective pro cedure in patients with significant carotid disease.

Izvorni jezik
Hrvatski

Znanstvena područja
Kliničke medicinske znanosti

POVEZANOST RADA