CAROTID AND NON-CORONARY OPERATIONS - SIMULTANEOUS, STAGED, AND DELAYED

  • 1 January 1980
    • journal article
    • research article
    • Vol. 87  (1) , 1-8
Abstract
Carotid operation is effective in the control of stroke in patients with asymptomatic bruits and transient ischemic attacks (TIA). This procedure also is effective in the control of this disorder when performed simultaneously with coronary artery bypass operations. Similar studies are not reported in patients submitted to other operations. Patients (130) who first had carotid artery operation and then 215 noncoronary operations were studied. Simultaneous operation was performed in 42, staged in 40 and both in 8 patients. Forty patients were submitted to operation over 3 mo. after carotid operation. TIA and 1 stroke occurred after carotid operation but no deaths. The cumulative results were 8 TIA and 3 strokes. One patient died of stroke. Results were similar in all groups. Apparently, carotid operation reduces the incidence of stroke following these operations and simultaneous procedures are feasible in the majority of cases on a selective basis. Carotid operation seems to protect patients from stroke after operation performed months later.