Karolina Dzierwa, Anna Kedziora, Lukasz Tekieli, Adam Mazurek, Robert Musial, Elzbieta Dobrowolska, Justyna Stefaniak, Piotr Pieniazek, Piotr Paluszek, Janusz Konstanty-Kalandyk, Robert Sobczynski, Boguslaw Kapelak, Pawel Kleczynski, Andrzej Brzychczy, Tomasz Kwiatkowski, Mariusz Trystula, Jacek Piatek, Piotr Musialek
BACKGROUND: In patients at urgent need for cardiac surgery coexisting with increased-stroke-risk carotid stenosis, any staged intervention increases the risk of complications from the primarily unaddressed pathology. In this challenging cohort, we assessed safety and feasibility of endovascular carotid revascularization under open-chest extracorporeal circulation (ECC) combined with cardiac surgery (hybrid-room true simultaneous treatment). METHODS: Per-protocol (PP), after general anesthesia induction, chest-opening and ECC stand-by installation, carotid stenting (CAS) was performed (femoral/radial or direct carotid access) with ad-hoc/on-hand switch to ECC cardiac surgery...
December 11, 2023: Journal of Cardiovascular Surgery