AIM: Optimal strategy (staged or combined) for the treatment of @entity1 with concurrent severe carotid and @entity299 is still controversial. Moreover, @entity2998 ( @entity2998 ), has become a valid alternative to carotid endarterectomy (CEA) and has been proposed for the treatment of cardiac @entity1 . The authors report the preliminary results of a new therapeutic strategy consisting in combined @entity2998 and cardiac surgery. METHODS: An initial series of 22 @entity1 underwent combined @entity2998 and cardiac surgery in the same operating room and under general anesthesia. All filter-protected @entity2998 procedures were performed under only heparin and @entity117 . A cervical approach (3-cm cervicotomy) was used in @entity1 with documented vessel tortuosity or severe aorto-iliac occlusive @entity4065 . In all the other cases a femoral access was used. A double antiplatelet regimen was initiated in the early postoperative period, once major bleedings were excluded. RESULTS: Among the 22 @entity1 who underwent this combined procedure, no deaths, no @entity583 and one @entity64 (overall complication rate: 4.5%) were observed. This @entity64 was observed after transcervical @entity2998 , coronary artery bypass and mitral valve replacement. No major postoperative bleedings nor stent @entity715 were observed. CONCLUSIONS: Combined carotid stenting and cardiac surgery, performed in the same operating room under only heparin and @entity117 , seems a safe and effective strategy for the treatment of @entity1 with concomitant carotid and @entity299 .

Safety and effectiveness of combining XXXX with cardiac surgery: preliminary results of a single-center experience.

@entity1 :: ('9606', 'Species') :: ['patients'] @entity4065 :: ('MESH:C537440', 'Disease') :: ['arteriopathy'] @entity64 :: ('MESH:D020521', 'Disease') :: ['stroke', 'controlateral stroke'] @entity117 :: ('MESH:D001241', 'Chemical') :: ['aspirin'] @entity2998 :: ('MESH:D002340', 'Disease') :: ['carotid artery stenting', 'CAS'] @entity299 :: ('MESH:D006331', 'Disease') :: ['cardiac disease'] @entity583 :: ('MESH:D009203', 'Disease') :: ['myocardial infarctions'] @entity715 :: ('MESH:D013927', 'Disease') :: ['thrombosis']
@entity2998 :: (MESH:D002340,Disease) :: ['carotid artery stenting']
