Coetaneous Open Heart Surgery and Carotid Artery Stenting (CAS)

Background: Some admissions of the patient for cardiac surgery have concomitant carotid artery disease and their treatment options remains disputable. The customary methods engage staged or amalgamated carotid endarterectomy and cardiac surgery. The study assesses the possibilities and carotid angioplasty safety to reduce the risk of perioperative stroke in treatment of carotid stenosis in patients undergoing cardiac operations. Am: To assess the feasibility to decrease the peril of perioperative stroke. Methods: This non-randomized and prospective study was carried out at Department of Cardiothoracic Surgery, Shaikh Zayed Hospital, Lahore from 1st January 2016 to 31st December 2017. We evaluate 92 continuous patients who needs heart surgery with concomitant acute carotid artery illness. We experienced one stage carotid artery stenting and heart surgery. All patients arranged for heart surgery and before operation screened by colour duplex ultrasonography for carotid illness. In indicative patients carotid stenoses >= 60% and >= 70% in symptomless patients cured by using carotid artery stenting (CAS) beneath local anesthesia instantly before open heart surgery. In all the cases, brainy protections were used. Clopidogrel and aspirin did not received by patients before starting the procedure. Results: Even though the high baseline risks profile, outcomes of our study were inspiring. In all patients, carotid stenting was successful. During procedure of carotid stenting, there was no occurrence of neurologic complexity. Death / Stroke rate is 2.2% in which 1 death and one contralateral stroke. There seems no occurrence of myocardial infarction (MI) which generally known as a heart attack. During intermediate follow-up, zero rate of carotid restenosis was found. Conclusion: In our experience, instantly cardiac surgery and carotid artery stenting (CAS) is safe as well as symbolize a sensible option for chosen patients presenting with acute carotid illness and coronary illness.