Combined Carotid and Coronary Artery Disease

  • Salah E. Altarabsheh
  • Carolyn Chang
  • Yakov E. Elgudin
  • Salil V. DeoEmail author


Concomitant coronary and carotid artery disease is reported in 14% patients scheduled for coronary artery bypass grafting. However, when to surgically intervene on the carotid lesion is a controversial issue. Both concomitant and staged procedures have their proponents and opponents alike. In this chapter we present our argument for a selective approach towards carotid artery screening. We also provide a synopsis of accepted management strategies for patients with concomitant carotid and coronary artery disease and outline contemporary outcomes.


Carotid artery stenosis Carotid artery stenting Carotid endarterectomy Concomitant procedure Duplex carotid ultrasound Staged procedure 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Salah E. Altarabsheh
    • 1
  • Carolyn Chang
    • 2
  • Yakov E. Elgudin
    • 2
    • 3
    • 4
  • Salil V. Deo
    • 2
    • 4
    Email author
  1. 1.Division of Cardiovascular SurgeryQueen Alia Heart InstituteAmmanJordan
  2. 2.Case School of MedicineCase Western Reserve UniversityClevelandUSA
  3. 3.Division of Cardiothoracic SurgeryLouis Stokes Cleveland VA Medical CenterClevelandUSA
  4. 4.Division of Cardiac Surgery, Harrington Heart and Vascular InstituteUniversity HospitalsClevelandUSA

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