Standortbestimmung zur Frage der Simultan-Operation bei Patienten mit koronarer Herzkrankheit und extrakranieller cerebrovaskulärer Verschlußerkrankung

N. P. Körholz1, H. H. Schmitt1, K. Grabitz2, W. Sandmann2, H. D. Schulte1, E. Gams1
1Klinik für Thorax- und Kardiovaskularchirurgie, Heinrich-Heine Universität Düsseldorf, Düsseldorf
2Klinik für Gefäßchirurgie und Nierentransplantation, Heinrich-Heine Universität Düsseldorf, Düsseldorf

Tóm tắt

Die Indikationsstellung und das operative Vorgehen bei der Simultan-Operation ist uneinheitlich — dies wird durch die unterschiedlichen Letalitäts- und Morbiditätsraten der Herzzentren, die diese Operation durchführen, bestätigt. Der Zweck dieser Arbeit war es, anhand einer kurzen nationalen Umfrage zur Indikationsstellung und zum operativen Management eine Standortbestimmung für dieses Operationsverfahren in Deutschland zu geben.

Tài liệu tham khảo

Berner BJ, Brief DK, Alpert J, Goldenkranz RJ, Parsonnet V (1987) The risk of stroke in patients with asymptomatic carotid stenosis undergoing cardiac surgery: a follow up study. J Vasc Surg 5: 269–277 Bernhard VM, Johnson WD, Peterson JJ (1972) Carotid artery stenosis. Association with surgery for coronary artery disease. Arch Surg 105: 37–40 Breslau PJ, Fell G, Ivey TD, Baily WW, Miller DW, Strandness DE (1981) Carotid arterial disease in patients undergoing coronary artery bypass operations. J Thorac Cardiovasc Surg 82: 765–767 Carrol T, Stillhard G, Turina M (1992) Combined Carotid and Coronary Artery Surgery: Early and late results. Cardiology 1992, 80: 118–125 Duchateau, Nevelsteen A, Sergeant P, Flameng W, Suy R (1989) Combined myocardial and cerebral revascularisation. A ten year experience. J Cardiovasc Surg 30: 715–722 Gardner TJ, Horneffer PJ, Hoff SJ, Pearson TA (1986) Major stroke after coronary artery bypass surgery: changing magnitude of the problem. J Vasc Surg 3: 684–687 Hertzer NR (1982) Fatal myocardial infarktion following vascular operations. A study of 951 patients followed 6 to 11 years postoperatively. Cleve Clin Q 49: 1–11 Hertzer NR, Young JR, Beven EC (1985) Coronary angiography in 506 patients with extracranialcerebrovascular disease. Arch Intern Med 145: 849–852 Hertzer NR, Loop FD, Beuen EG, O’Hara PJ, Krajewski LP (1989) Surgical staging forsimultaneous coronary and carotid disease: A study including prospective randomisation. J Vasc Surg Vol 9 No 3, March 1989: 455–463 Ivey TD (1986) Combined carotid and coronary disease — A conservative strategy. J Vasc Surg Vol 3 No 4, April 1986: 687–689 Kartchner MM, McRae LP (1982) Carotid occlusive disease as a risk factor in major cardiovascularsurgery. Arch Surg 117: 1086–1088 Mackey CW, Khabbaz K, Bojar R, O’Donnell Jr Th F (1996) Simultaneous carotid endarterectomy and coronary bypass: Perioperative risk and long-term survival. J Vasc Surg July 1996: 58 Minami K, Gawaz M, Ohlmeier H, Vyska K, Körfer R (1989) Management of concomitant occlusive disease of coronary and carotid arteries using cardiopulmonary bypass for both procedures. J Cardiovasc Surg 30: 723–728 Ricotta JJ, Faggioli GL, Castilone A, Hasset JM (1995) Risk factors for stroke after cardiacsurgery. Buffalo Cardiac Cerebral Study Group. J vasc surg Feb. Vol 21, No 2, 359–363 Schlosser V, Fraedrich G, Seitelberger R, Schindler M, Hetzel A (1993) Combined stenosis of the supraaortic and coronary arteries: Indications for staged vs. simultaneous repair. Perspectives in Vasc Surg Vol 6, No 1 Sergeant P, Flameng W, Suy R (1988) The cerebrovascular risk in coronary surgery. Stroke 19: 18