CORONARY-DISEASE AND CAROTID STENOSIS

In around 2.5 % of patients with coronary artery diseases (CAOD), cons iderably oclusive changes in carotid arteries were also registred at t he same time. In the period from March 1982 to February 15, 1993, at t he University Clinic of Cardiovascular surgery in Novi Sad, a total of 5,701 patients underwent aortocoronary by-pass (ACBG). In 137 (2.4 %) patients an additionaly endarterectomy of carotid arteries (EAC) were also performed. Bad left ventricle function (EF < 30 %) was registere d in 30 pts (22 %). Endarterectomy on one or more arteries had to be p erformed in 45 % patients because diffuse and distal occlusive changes . Two stage operations were performed in 62 cases. Three stages operat ions (bilat. EAC) in 24 and simultaneous in 51. Operative mortality (3 0 days) was registred in 5 (3 %) pts. Neurologic deficit (ND) happened in two (1.4 %) pts, TIA in 3 pt (2.2 %). Comparing our results in sim ultaneous and stage procedure, operative risk is higher in simultaneou s operations, and only in case of unstable angina we prefer simultaneo us operations.)J Mal Vasc, 1993, 18, pp. 219-223).