Chapter

Coexistent Severe Coronary and Carotid Artery Disease

Louis R. Caplan

in Stroke

Published on behalf of Oxford University Press

Published in print October 2010 | ISBN: 9780199739141
Published online April 2013 | e-ISBN: 9780199322978 | DOI: http://dx.doi.org/10.1093/med/9780199739141.003.026

Series: What Do I Do Now

Coexistent Severe Coronary and Carotid Artery Disease

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Most patients with asymptomatic carotid artery stenosis undergoing coronary artery bypass graft (CABG) are not at increased risk of perioperative stroke. The most common mechanism of perioperative stroke in patients with carotid stenosis is embolism from the heart or aorta. Only rare strokes are caused by hypoperfusion. Routine revascularization of patients with carotid stenosis is not warranted in patients undergoing CABG as it exposes the patient to the risks associated with two procedures.

Chapter.  1356 words. 

Subjects: Neurology

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