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Heart and Vessels

, Volume 15, Issue 6, pp 256–262 | Cite as

Conventional coronary artery bypass grafting in patients with total occlusion of the internal carotid artery

  • Y. Suematsu
  • Kiyoharu Nakano
  • Yoshikado Sasako
  • Junjirou Kobayashi
  • Souichirou Kitamura
  • Shinichi Takamoto
ORIGINAL ARTICLE

Abstract

The number of patients with coexisting disease of the coronary and carotid arteries is increasing. Patients with total occlusion of the carotid artery may have a higher risk of stroke during cardiopulmonary bypass surgery and in the perioperative period. We report our results for coronary artery bypass grafting (CABG) in patients with total occlusion of the carotid artery. We examined 269 patients who underwent carotid artery duplex scanning (CADS) before CABG between November 1995 and January 1998. Among them, 11 patients (4.1%) had total occlusion of a carotid artery. Four patients underwent elective CABG and five underwent emergency CABG. One patient underwent anastomosis of the superficial temporal artery to the middle cerebral artery (STMC) and one patient underwent a combined CABG and carotid endoarterectomy (CEA) procedure. A transient neurological event occurred in only one patient (9.1%). The other patients recovered uneventfully. Our results suggest that CABG can be performed without stroke in patients with total unilateral occlusion of a carotid artery using our strategies.

Key words CABG ICA occlusion 

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Copyright information

© Springer-Verlag Tokyo 2000

Authors and Affiliations

  • Y. Suematsu
    • 2
  • Kiyoharu Nakano
    • 3
  • Yoshikado Sasako
    • 1
  • Junjirou Kobayashi
    • 1
  • Souichirou Kitamura
    • 1
  • Shinichi Takamoto
    • 2
  1. 1.Department of Cardiovascular SurgeryNational Cardiovascular CenterOsakaJapan
  2. 2.Department of Cardiothoracic Surgery, University of TokyoTokyoJapan
  3. 3.Department of Cardiovascular SurgeryKanto Medical CenterTokyoJapan

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