Approach to concurrent coronary and carotid artery disease: Epidemiology, screening and treatment

• Autor(a) principal: Reis,Patrícia Feitosa Frota dos
• Data de Publicação: 2017
• Outros Autores: Linhares,Pedro Vieira, Pitta,Fábio Grunspun, Lima,Eduardo Gomes
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista da Associação Médica Brasileira (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0104-42302017001101012
• topic: coronary disease; carotid artery diseases; myocardial revascularization

Summary The concomitance between coronary artery disease and carotid artery disease is known and well documented. However, it is a fact that, despite the screening methods for these conditions and the advances in surgical treatment, little has been achieved in terms of reducing the risk of complications in the perioperative period. Publications are scarce, being mostly composed of reports or case series. There is little agreement on the best initial therapeutic approach (myocardial versus carotid revascularization) or the best technique to be used (surgery with or without extracorporeal circulation, hybrid treatments, etc.). The authors performed a review of the evidence in this clinical scenario, raising pragmatic questions that help in the therapeutic decision.