Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease

Shailesh Kumar Yadav

doi:doi:10.11648/j.ijcts.20210702.13

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Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease

Shailesh Kumar Yadav

Published in International Journal of Cardiovascular and Thoracic Surgery (Volume 7, Issue 2)

Received: 6 May 2021 Accepted: 21 May 2021 Published: 31 May 2021

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Abstract

CABG surgery is the utmost frequently performed major cardiovascular operation. Carotid artery stenosis is present-day in 6% to 8% of all patients undergoing CABG and is related with an increased risk of stroke during and after CABG. It is well recognized that the presence of carotid artery stenosis is a significant forecaster of poor consequences in patients undergoing coronary bypass graft surgery (CABG). The incidence of coexisting coronary and carotid artery disease varies between 2% and 14% and approximately 8% of patients undergoing CABG have a significant stenosis in an extra cranial carotid artery. The stated occurrence of carotid artery disease in patients experiencing cardiac surgery has diverse from 2 to 22%, with an average of 8% increasing with age. This prospective observational study was conducted in patients undergoing off-pump coronary artery bypass grafting with carotid artery stenosis from May 2015 to Feb 2017. A total of 2126 patients were observed and classified to three groups based on the grade of carotid artery stenosis in which 221 patients (group A) were Symptomatic or (asymptomatic with ≥ 70% carotid stenosis, unilateral or bilateral), 583 patients (group B) < 70% carotid stenosis, unilateral or bilateral and asymptomatic and 1332 patients (group C) No carotid stenosis. 221 patients were having ≥ 70% Carotid stenosis of which 95% of patients undertook CABG and 4.52% patients undertook CABG with carotid endartrectomy. 583 patients were having < 70% Carotid stenosis of which 99.7% patients undertook CABG. 1322 patients were without Carotid stenosis and all the patients underwent CABG. The nasty age of the patients in group A was 60.93±9.03, in group B 61.30±9.49 and in group C are 61.91±8.95, p=0.18. Postoperative TIA showed statistically noteworthy between the groups p=<0.0001. Means of hospital stay was more in patients with >70% carotid stenosis group (p=0.0004). In our study 6 patients (2.71%) presented with stroke in group A. The frequency in group B and C were 0.69% and 0.08% respectively, and were statistically (p=<0.001). Most of the patients in group A had experienced concomitment endarctectomy of carotid with (4.52%) compared to group B and C (0.17% and 0%). The occurrence of previous history of stroke/TIA was higher in group A compared to other groups (p<0.001) [Previous h/o stroke was seen in 74 (6.3%), 32 (5.4%) and 29 (2.19%) patients in respective groups]. Previous history of stroke has proved a vital role in decisive the outcome of these patients. Higher grade of Carotid stenosis doesn’t affect mortality, ICU stay and the need for dialysis as proved in this study.

Published in	International Journal of Cardiovascular and Thoracic Surgery (Volume 7, Issue 2)
DOI	10.11648/j.ijcts.20210702.13
Page(s)	20-29
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Coronary Artery Bypass Grafting, Stroke, Carotid Stenosis

References

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APA Style

Shailesh Kumar Yadav. (2021). Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease. International Journal of Cardiovascular and Thoracic Surgery, 7(2), 20-29. https://doi.org/10.11648/j.ijcts.20210702.13

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ACS Style

Shailesh Kumar Yadav. Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease. Int. J. Cardiovasc. Thorac. Surg. 2021, 7(2), 20-29. doi: 10.11648/j.ijcts.20210702.13

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AMA Style

Shailesh Kumar Yadav. Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease. Int J Cardiovasc Thorac Surg. 2021;7(2):20-29. doi: 10.11648/j.ijcts.20210702.13

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@article{10.11648/j.ijcts.20210702.13,
  author = {Shailesh Kumar Yadav},
  title = {Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {7},
  number = {2},
  pages = {20-29},
  doi = {10.11648/j.ijcts.20210702.13},
  url = {https://doi.org/10.11648/j.ijcts.20210702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20210702.13},
  abstract = {CABG surgery is the utmost frequently performed major cardiovascular operation. Carotid artery stenosis is present-day in 6% to 8% of all patients undergoing CABG and is related with an increased risk of stroke during and after CABG. It is well recognized that the presence of carotid artery stenosis is a significant forecaster of poor consequences in patients undergoing coronary bypass graft surgery (CABG). The incidence of coexisting coronary and carotid artery disease varies between 2% and 14% and approximately 8% of patients undergoing CABG have a significant stenosis in an extra cranial carotid artery. The stated occurrence of carotid artery disease in patients experiencing cardiac surgery has diverse from 2 to 22%, with an average of 8% increasing with age. This prospective observational study was conducted in patients undergoing off-pump coronary artery bypass grafting with carotid artery stenosis from May 2015 to Feb 2017. A total of 2126 patients were observed and classified to three groups based on the grade of carotid artery stenosis in which 221 patients (group A) were Symptomatic or (asymptomatic with ≥ 70% carotid stenosis, unilateral or bilateral), 583 patients (group B) 70% carotid stenosis group (p=0.0004). In our study 6 patients (2.71%) presented with stroke in group A. The frequency in group B and C were 0.69% and 0.08% respectively, and were statistically (p=<0.001). Most of the patients in group A had experienced concomitment endarctectomy of carotid with (4.52%) compared to group B and C (0.17% and 0%). The occurrence of previous history of stroke/TIA was higher in group A compared to other groups (p<0.001) [Previous h/o stroke was seen in 74 (6.3%), 32 (5.4%) and 29 (2.19%) patients in respective groups]. Previous history of stroke has proved a vital role in decisive the outcome of these patients. Higher grade of Carotid stenosis doesn’t affect mortality, ICU stay and the need for dialysis as proved in this study.},
 year = {2021}
}

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TY  - JOUR
T1  - Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease
AU  - Shailesh Kumar Yadav
Y1  - 2021/05/31
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcts.20210702.13
DO  - 10.11648/j.ijcts.20210702.13
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 20
EP  - 29
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20210702.13
AB  - CABG surgery is the utmost frequently performed major cardiovascular operation. Carotid artery stenosis is present-day in 6% to 8% of all patients undergoing CABG and is related with an increased risk of stroke during and after CABG. It is well recognized that the presence of carotid artery stenosis is a significant forecaster of poor consequences in patients undergoing coronary bypass graft surgery (CABG). The incidence of coexisting coronary and carotid artery disease varies between 2% and 14% and approximately 8% of patients undergoing CABG have a significant stenosis in an extra cranial carotid artery. The stated occurrence of carotid artery disease in patients experiencing cardiac surgery has diverse from 2 to 22%, with an average of 8% increasing with age. This prospective observational study was conducted in patients undergoing off-pump coronary artery bypass grafting with carotid artery stenosis from May 2015 to Feb 2017. A total of 2126 patients were observed and classified to three groups based on the grade of carotid artery stenosis in which 221 patients (group A) were Symptomatic or (asymptomatic with ≥ 70% carotid stenosis, unilateral or bilateral), 583 patients (group B) 70% carotid stenosis group (p=0.0004). In our study 6 patients (2.71%) presented with stroke in group A. The frequency in group B and C were 0.69% and 0.08% respectively, and were statistically (p=<0.001). Most of the patients in group A had experienced concomitment endarctectomy of carotid with (4.52%) compared to group B and C (0.17% and 0%). The occurrence of previous history of stroke/TIA was higher in group A compared to other groups (p<0.001) [Previous h/o stroke was seen in 74 (6.3%), 32 (5.4%) and 29 (2.19%) patients in respective groups]. Previous history of stroke has proved a vital role in decisive the outcome of these patients. Higher grade of Carotid stenosis doesn’t affect mortality, ICU stay and the need for dialysis as proved in this study.
VL  - 7
IS  - 2
ER  -

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Shailesh Kumar Yadav

Cardiovascular Thoracic Surgery, Fortis Escorts Heart Institute, New Delhi, India

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Shailesh Kumar Yadav. (2021). Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease. International Journal of Cardiovascular and Thoracic Surgery, 7(2), 20-29. https://doi.org/10.11648/j.ijcts.20210702.13

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ACS Style

Shailesh Kumar Yadav. Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease. Int. J. Cardiovasc. Thorac. Surg. 2021, 7(2), 20-29. doi: 10.11648/j.ijcts.20210702.13

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AMA Style

Shailesh Kumar Yadav. Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease. Int J Cardiovasc Thorac Surg. 2021;7(2):20-29. doi: 10.11648/j.ijcts.20210702.13

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@article{10.11648/j.ijcts.20210702.13,
  author = {Shailesh Kumar Yadav},
  title = {Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease},
  journal = {International Journal of Cardiovascular and Thoracic Surgery},
  volume = {7},
  number = {2},
  pages = {20-29},
  doi = {10.11648/j.ijcts.20210702.13},
  url = {https://doi.org/10.11648/j.ijcts.20210702.13},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ijcts.20210702.13},
  abstract = {CABG surgery is the utmost frequently performed major cardiovascular operation. Carotid artery stenosis is present-day in 6% to 8% of all patients undergoing CABG and is related with an increased risk of stroke during and after CABG. It is well recognized that the presence of carotid artery stenosis is a significant forecaster of poor consequences in patients undergoing coronary bypass graft surgery (CABG). The incidence of coexisting coronary and carotid artery disease varies between 2% and 14% and approximately 8% of patients undergoing CABG have a significant stenosis in an extra cranial carotid artery. The stated occurrence of carotid artery disease in patients experiencing cardiac surgery has diverse from 2 to 22%, with an average of 8% increasing with age. This prospective observational study was conducted in patients undergoing off-pump coronary artery bypass grafting with carotid artery stenosis from May 2015 to Feb 2017. A total of 2126 patients were observed and classified to three groups based on the grade of carotid artery stenosis in which 221 patients (group A) were Symptomatic or (asymptomatic with ≥ 70% carotid stenosis, unilateral or bilateral), 583 patients (group B) 70% carotid stenosis group (p=0.0004). In our study 6 patients (2.71%) presented with stroke in group A. The frequency in group B and C were 0.69% and 0.08% respectively, and were statistically (p=<0.001). Most of the patients in group A had experienced concomitment endarctectomy of carotid with (4.52%) compared to group B and C (0.17% and 0%). The occurrence of previous history of stroke/TIA was higher in group A compared to other groups (p<0.001) [Previous h/o stroke was seen in 74 (6.3%), 32 (5.4%) and 29 (2.19%) patients in respective groups]. Previous history of stroke has proved a vital role in decisive the outcome of these patients. Higher grade of Carotid stenosis doesn’t affect mortality, ICU stay and the need for dialysis as proved in this study.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Prospective Analysis of Prevalence of Carotid Artery Disease and Neurological Outcomes After CABG in Patients with Significant Carotid Artery Disease
AU  - Shailesh Kumar Yadav
Y1  - 2021/05/31
PY  - 2021
N1  - https://doi.org/10.11648/j.ijcts.20210702.13
DO  - 10.11648/j.ijcts.20210702.13
T2  - International Journal of Cardiovascular and Thoracic Surgery
JF  - International Journal of Cardiovascular and Thoracic Surgery
JO  - International Journal of Cardiovascular and Thoracic Surgery
SP  - 20
EP  - 29
PB  - Science Publishing Group
SN  - 2575-4882
UR  - https://doi.org/10.11648/j.ijcts.20210702.13
AB  - CABG surgery is the utmost frequently performed major cardiovascular operation. Carotid artery stenosis is present-day in 6% to 8% of all patients undergoing CABG and is related with an increased risk of stroke during and after CABG. It is well recognized that the presence of carotid artery stenosis is a significant forecaster of poor consequences in patients undergoing coronary bypass graft surgery (CABG). The incidence of coexisting coronary and carotid artery disease varies between 2% and 14% and approximately 8% of patients undergoing CABG have a significant stenosis in an extra cranial carotid artery. The stated occurrence of carotid artery disease in patients experiencing cardiac surgery has diverse from 2 to 22%, with an average of 8% increasing with age. This prospective observational study was conducted in patients undergoing off-pump coronary artery bypass grafting with carotid artery stenosis from May 2015 to Feb 2017. A total of 2126 patients were observed and classified to three groups based on the grade of carotid artery stenosis in which 221 patients (group A) were Symptomatic or (asymptomatic with ≥ 70% carotid stenosis, unilateral or bilateral), 583 patients (group B) 70% carotid stenosis group (p=0.0004). In our study 6 patients (2.71%) presented with stroke in group A. The frequency in group B and C were 0.69% and 0.08% respectively, and were statistically (p=<0.001). Most of the patients in group A had experienced concomitment endarctectomy of carotid with (4.52%) compared to group B and C (0.17% and 0%). The occurrence of previous history of stroke/TIA was higher in group A compared to other groups (p<0.001) [Previous h/o stroke was seen in 74 (6.3%), 32 (5.4%) and 29 (2.19%) patients in respective groups]. Previous history of stroke has proved a vital role in decisive the outcome of these patients. Higher grade of Carotid stenosis doesn’t affect mortality, ICU stay and the need for dialysis as proved in this study.
VL  - 7
IS  - 2
ER  -

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