Carotid endarterectomy is not indicated for most patients scheduled for coronary artery bypass grafting

Klarin et  al1 evaluated whether performing concomitant carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) in patients with concurrent carotid and coronary atherosclerotic disease is associated with reduced postoperative stroke rates compared with those undergoing CABG alone (ie, without CEA).1 They included 994 off-pump CABG patients (497 CABG only and 497 CABG-CEA) and 5952 on-pump CABG patients (2976 CABG only and 2976 CABG-CEA). For on-pump operations, patients undergoing concomitant CEA and CABG had no difference in rates of in-hospital stroke (odds ratio [OR], 0.93; 95% confi dence interval [CI], 0.72-1.21; P = .6) compared with those undergoing CABG only.
Source: Journal of Vascular Surgery - Category: Surgery Authors: Tags: Letter to the Editor Source Type: research