Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?

donmez, halil; KIRMAN, Mustafa; ERDEM, Kemalettin; ÖZDEMİR, Levent; MERCAN, Hasan; BOZOĞLAN, Orhan

Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?

Kemalettin ERDEM, (Abant İzzet Baysal Üniversitesi, Tıp Fakültesi, Kardiyovasküler Cerrahi Bölümü, Bolu, Türkiye)

Levent ÖZDEMİR, (Acıbadem Hastanesi, Kardiyoloji Kliniği, İstanbul, Türkiye)

Hasan MERCAN, (Anakalp Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Kayseri, Türkiye)

Orhan BOZOĞLAN, (Sütçü İmam Üniversitesi, Tıp Fakültesi, Kardiyovasküler Cerrahisi Kliniği, Kahramanmaraş, Türkiye)

Halil DÖNMEZ, (Erciyes Üniversitesi, Tıp Fakültesi, Radyoloji Anabilim Dalı, Kayseri, Türkiye)

Mustafa KIRMAN (Anakalp Hastanesi, Kalp ve Damar Cerrahisi Kliniği, Kayseri, Türkiye)

Erciyes Tıp Dergisi

2 0

Yıl: 2013 Cilt: 35 Sayı: 3 Sayfa Aralığı: 148 - 152 Metin Dili: Diğer İndeks Tarihi: 29-07-2022

Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?

Öz:

Amaç: Çalışmamızın amacı karotis arter stentleme (KAS)’sinden sonraki 48 saat içinde yapılan koroner arter bypass cerrahisi (KABC)’nin güvenliğini ve etkinliğini değerlendirmektir. Gereç ve Yöntemler: Çalışmamızda, nörolojik olarak semptomatik ya da asemptomatik hastalarda kalp cerrahisinden önce uygulanan KAS’ın güvenliğini ve etkinliğini değerlendirmek için tek merkezde yapılan retrospektif araştırmanın sonuçlarını bildirmeyi amaçladık. Semptomatik ya da asemptomatik karotis arter hastalığı nedeni ile KAS uygulanan toplam 23 hasta çalışmaya dahil edildi. KAS tüm hastalarda başarılıydı. KAS dan KABC arasındaki ortalama beklem süresi 15,7±7 saatti (aralık 8-48 saat). Hastaların tamamı inme, stent restenozu, akut miyokard enfaktüsü (AME) ve ölüm için ortalama 19 ay takip edildi. Bulgular: Karotis arter lezyonu olan hastaların çoğunluğu asemptomatikti (%82,6). KAS sırasında yada KAS ile KABC arasındaki bekleme süresince hiç bir inme ya da akut miyokart enfaktüsü görülmedi. Postoperatif birinci günde bir hastada KAS yapılan tarafta major inme tespit edildi. İnme, akut miyokart enfaktüsü, stent restenozu ve ölüm postoperatif orta dönem takipler süresince gözlenmedi. Sonuç: KAS’ı takiben 48 saat içinde uygulanan KABC güvenlidir ve yaklaşık 19 aylık takiplerde inme akut miyokart enfaktüsü ve ölüm artışı ile ilişkili değildir.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Karotis arter stentlemesi sonrası 48 saat içinde koroner arter baypas greft operasyonu güvenli mi?

Öz:

Objective: The purpose of this study was to assess the safety and effectiveness of the outcome of coronary artery bypass graft operation (CABG-O) in 48 hours following carotid artery stenting (CAS). Materials and Methods: We report the results of a retrospective, single-center study designed to evaluate the feasibility and safety of CAS before cardiac surgery in neurologically symptomatic or asymptomatic patients. Twenty-three patients to whom CAS was applied because of symptomatic or asymptomatic carotid vascular stenosis were included in the study. CAS was accomplished in all patients without any complication. The mean time from CAS to CABG-O was 15.7±7 hours (range 8-48 hours). All patients were followed up for 19 months (range, 9-47 months) for any adverse events such as stroke, acute myocardial infarction (AMI), stent restenosis and death. Results: Most patients with carotid artery lesion were asymptomatic (82.6%). Stroke and AMI did not occur in any CAS patients during the procedure and the time interval between CAS and CABG-O. Major stroke was observed in one patient at the arm of CAS, on the first day postoperatively. Conclusion: CABG-O in 48 hours following CAS is safe and not related to increasing the rate of AMI, stroke and death at 19 months of follow up.

Anahtar Kelime:

Konular: Genel ve Dahili Tıp

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	ERDEM K, ÖZDEMİR L, MERCAN H, BOZOĞLAN O, donmez h, KIRMAN M (2013). Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. , 148 - 152.
Chicago	ERDEM Kemalettin,ÖZDEMİR Levent,MERCAN Hasan,BOZOĞLAN Orhan,donmez halil,KIRMAN Mustafa Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. (2013): 148 - 152.
MLA	ERDEM Kemalettin,ÖZDEMİR Levent,MERCAN Hasan,BOZOĞLAN Orhan,donmez halil,KIRMAN Mustafa Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. , 2013, ss.148 - 152.
AMA	ERDEM K,ÖZDEMİR L,MERCAN H,BOZOĞLAN O,donmez h,KIRMAN M Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. . 2013; 148 - 152.
Vancouver	ERDEM K,ÖZDEMİR L,MERCAN H,BOZOĞLAN O,donmez h,KIRMAN M Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. . 2013; 148 - 152.
IEEE	ERDEM K,ÖZDEMİR L,MERCAN H,BOZOĞLAN O,donmez h,KIRMAN M "Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?." , ss.148 - 152, 2013.
ISNAD	ERDEM, Kemalettin vd. "Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?". (2013), 148-152.

APA	ERDEM K, ÖZDEMİR L, MERCAN H, BOZOĞLAN O, donmez h, KIRMAN M (2013). Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. Erciyes Tıp Dergisi, 35(3), 148 - 152.
Chicago	ERDEM Kemalettin,ÖZDEMİR Levent,MERCAN Hasan,BOZOĞLAN Orhan,donmez halil,KIRMAN Mustafa Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. Erciyes Tıp Dergisi 35, no.3 (2013): 148 - 152.
MLA	ERDEM Kemalettin,ÖZDEMİR Levent,MERCAN Hasan,BOZOĞLAN Orhan,donmez halil,KIRMAN Mustafa Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. Erciyes Tıp Dergisi, vol.35, no.3, 2013, ss.148 - 152.
AMA	ERDEM K,ÖZDEMİR L,MERCAN H,BOZOĞLAN O,donmez h,KIRMAN M Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. Erciyes Tıp Dergisi. 2013; 35(3): 148 - 152.
Vancouver	ERDEM K,ÖZDEMİR L,MERCAN H,BOZOĞLAN O,donmez h,KIRMAN M Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?. Erciyes Tıp Dergisi. 2013; 35(3): 148 - 152.
IEEE	ERDEM K,ÖZDEMİR L,MERCAN H,BOZOĞLAN O,donmez h,KIRMAN M "Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?." Erciyes Tıp Dergisi, 35, ss.148 - 152, 2013.
ISNAD	ERDEM, Kemalettin vd. "Is coronary artery bypass graft operation in 48 hours following carotid stenting safe?". Erciyes Tıp Dergisi 35/3 (2013), 148-152.