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Cerebral protection during simultaneous cerebrovascular and cardiac surgery using extracorporeal circulation for both procedures

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Cerebral Protection in Cerebrovascular and Aortic Surgery

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Summary

Concomitant significant arteriosclerotic disease of coronary and carotid arteries is a frequent entity and simultaneous surgery appears to be indicated in certain cases.

The time sequence of the two revascularisation procedures, however, has been controversial. Whereas in the past carotid endarterectomy (CEA) was performed before extracorporeal circulation (ecc), we now have routinely applied a concept where the carotid intervention was performed after distal coronary anastomoses, in hypothermia and during ecc.

The results are analysed of 28 patients who underwent this procedure.

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Authors and Affiliations

  1. Heart Institute Cottbus, Thiemstr. 111, 03048, Cottbus, Germany

    Y. F. Finkbeiner M.D. & A. Schiessler

  2. Heart Institute Lahr/Baden, Germany

    J. Ennker

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  1. Y. F. Finkbeiner M.D.
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  2. A. Schiessler
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  3. J. Ennker
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Editors and Affiliations

  1. Heart Institute Lahr/Baden, Hobergweg 7, D-77933, Lahr, Germany

    J. Ennker M.D.

  2. 6560 Fannin, # 1144, Houston, TX, 77030, USA

    Joseph S. Coselli M.D.

  3. Dept. of Cardiothoracic Surgery, St. George Hospital, Blackshow Road, London, SW17 0QT, Great Britain

    T. Treasure M.D., MS, FRCS

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© 1997 Dr. Dietrich Steinkopff Verlag GmbH & Co. KG, Darmstadt

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Finkbeiner, Y.F., Schiessler, A., Ennker, J. (1997). Cerebral protection during simultaneous cerebrovascular and cardiac surgery using extracorporeal circulation for both procedures. In: Ennker, J., Coselli, J.S., Treasure, T. (eds) Cerebral Protection in Cerebrovascular and Aortic Surgery. Steinkopff. https://doi.org/10.1007/978-3-642-95987-5_11

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  • DOI: https://doi.org/10.1007/978-3-642-95987-5_11

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