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| Predicate | Object |
|---|---|
| rdf:type | |
| lifeskim:mentions | |
| pubmed:issue |
2
|
| pubmed:dateCreated |
1991-9-30
|
| pubmed:abstractText |
From January 1987 to December 1989, 80 patients with carotid bruit and/or history of transient ischaemic attack/stroke underwent digital subtraction angiography (DSA) prior to consideration for coronary artery bypass graft. Thirty-eight patients (Group I) out of the 80 had coronary artery bypass graft done with postoperative stroke in five (13.2%); this contrasted with a group of 320 patients (Group II) without cerebrovascular disease who underwent coronary artery bypass graft during the same period with postoperative stroke in two cases (0.63%) (p less than 0.0005). Carotid artery stenosis was noted on the DSA in 66% of Group I patients, with significant disease (greater than 70% occlusion) in 15%, while the study was normal in 34% of cases. Combined carotid endarterectomy and coronary artery bypass graft was done in five of Group I patients, with postoperative stroke in one; this was the only one among the stroke patients with significant carotid disease. All strokes, except in one patient, resolved within one to 6 1/2 months. These results suggest that the risk of stroke after coronary artery bypass graft is increased in patients with carotid bruit or history of transient ischaemic attack/stroke and in the presence of established carotid artery disease. The place of combined carotid endarterectomy and coronary artery bypass graft in these cases remains to be determined.
|
| pubmed:language |
eng
|
| pubmed:journal | |
| pubmed:citationSubset |
IM
|
| pubmed:status |
MEDLINE
|
| pubmed:month |
Mar
|
| pubmed:issn |
0304-4602
|
| pubmed:author | |
| pubmed:issnType |
Print
|
| pubmed:volume |
20
|
| pubmed:owner |
NLM
|
| pubmed:authorsComplete |
Y
|
| pubmed:pagination |
228-30
|
| pubmed:dateRevised |
2004-11-17
|
| pubmed:meshHeading |
pubmed-meshheading:1883181-Angiography, Digital Subtraction,
pubmed-meshheading:1883181-Cerebrovascular Disorders,
pubmed-meshheading:1883181-Coronary Artery Bypass,
pubmed-meshheading:1883181-Coronary Disease,
pubmed-meshheading:1883181-Endarterectomy,
pubmed-meshheading:1883181-Follow-Up Studies,
pubmed-meshheading:1883181-Heart Sounds,
pubmed-meshheading:1883181-Hospitals, University,
pubmed-meshheading:1883181-Humans,
pubmed-meshheading:1883181-Incidence,
pubmed-meshheading:1883181-Postoperative Complications,
pubmed-meshheading:1883181-Risk Factors,
pubmed-meshheading:1883181-Singapore
|
| pubmed:year |
1991
|
| pubmed:articleTitle |
Myocardial revascularisation in patients with carotid artery disease.
|
| pubmed:affiliation |
Department of Surgery, National University Hospital, Singapore.
|
| pubmed:publicationType |
Journal Article
|