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- Title
Evaluation of Staged TCAR and Cardiac Surgery or Structural Heart Intervention.
- Authors
Almenoff, Maxwell; Garrett Jr, H. Edward
- Abstract
Introduction: The optimal treatment strategy for patients with concomitant carotid and cardiac disease remains controversial. Transcarotid artery revascularization stenting with reversed flow protection (TCAR) has achieved results equivalent to carotid endarterectomy (CEA) in high risk patients. Methods: A retrospective review of all patients at a single center who received staged TCAR prior to cardiac intervention was performed. Results: 37 patients underwent 42 TCAR procedures prior to cardiac intervention (25 requiring open cardiac surgery and 12 requiring percutaneous intervention). There were no myocardial or neurological complications following TCAR prior to cardiac intervention. Three patients (8%) developed a neck hematoma which required evacuation. Conclusion: A staged approach to combined carotid and cardiac pathology with TCAR prior to cardiac intervention appears to be a safe and effective strategy.
- Subjects
CARDIAC surgery; HEMATOMA; TRANSLUMINAL angioplasty; CAROTID artery stenosis; RETROSPECTIVE studies; SURGICAL complications; SURGICAL stents; TREATMENT effectiveness; DESCRIPTIVE statistics; HEART diseases; PATIENT safety; DISEASE risk factors
- Publication
Vascular & Endovascular Surgery, 2021, Vol 55, Issue 7, p702
- ISSN
1538-5744
- Publication type
Article
- DOI
10.1177/15385744211017704