{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,2,21]],"date-time":"2025-02-21T17:42:34Z","timestamp":1740159754978,"version":"3.37.3"},"reference-count":22,"publisher":"Wiley","license":[{"start":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T00:00:00Z","timestamp":1534377600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100001659","name":"Deutsche Forschungsgemeinschaft","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001659","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Open Access Publication Funds of the G\u00f6ttingen University"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["International Journal of Vascular Medicine"],"published-print":{"date-parts":[[2018,8,16]]},"abstract":"<jats:p><jats:italic>Objective.<\/jats:italic> Carotid artery stenosis in patients undergoing open-heart surgery may increase risk and deteriorate outcome. The aim of the study was the analysis of risks and outcome after simultaneous carotid and cardiac surgery.<jats:italic> Methods.<\/jats:italic> We retrospectively reviewed the medical records of 100 consecutive patients who underwent simultaneous carotid surgery and open-heart surgery during a 5-year period (from 2006 to 2010). Seventy patients were male and 30 female; the mean age was 70.9\u00b17.9 years (median: 71.8 years). Seventy-three patients underwent coronary bypass grafting (CABG), 18 patients combined CABG and valve procedures, 7 patients CABG combined with other procedures, and 3 patients isolated valve surgery. More than half of patients had had bilateral carotid artery pathology (n=51) including contralateral carotid artery occlusion in 12 cases.<jats:italic> Results.<\/jats:italic> Carotid artery patch plasty was performed in 71 patients and eversion technique in 29. In 75 cases an intraluminal shunt was used. Thirty-day mortality rate was 7% due to cardiac complications (n=5), metabolic disturbance (n=1), and diffuse cerebral embolism (n=1). There were no carotid surgery-related deaths. Postoperatively, transient cerebral ischemia occurred in one patient and stroke with mild permanent neurological deficit (Rankin level 2) in another patient.<jats:italic> Conclusion.<\/jats:italic> Simultaneous carotid artery surgery and open-heart surgery have low risk. The underlying cardiac disease influences outcome.<\/jats:p>","DOI":"10.1155\/2018\/7205903","type":"journal-article","created":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T19:31:09Z","timestamp":1534447869000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Risk and Outcome after Simultaneous Carotid Surgery and Cardiac Surgery: Single Centre Experience"],"prefix":"10.1155","volume":"2018","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8152-2510","authenticated-orcid":true,"given":"Theodor","family":"Tirilomis","sequence":"first","affiliation":[{"name":"Department for Thoracic, Cardiac, and Vascular Surgery, University of G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dieter","family":"Zenker","sequence":"additional","affiliation":[{"name":"Department for Thoracic, Cardiac, and Vascular Surgery, University of G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tomislav","family":"Stojanovic","sequence":"additional","affiliation":[{"name":"Department for Thoracic, Cardiac, and Vascular Surgery, University of G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Stella","family":"Malliarou","sequence":"additional","affiliation":[{"name":"Department of Neurology and Neurological Rehabilitation, Asklepios Clinics Schildautal, Seesen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich A.","family":"Schoendube","sequence":"additional","affiliation":[{"name":"Department for Thoracic, Cardiac, and Vascular Surgery, University of G\u00f6ttingen, G\u00f6ttingen, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMra062668"},{"key":"2","doi-asserted-by":"publisher","DOI":"10.1016\/s0003-4975(02)04370-9"},{"key":"3","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2044.1997.136-az0129.x"},{"key":"4","doi-asserted-by":"publisher","DOI":"10.1053\/j.jvca.2017.10.010"},{"key":"5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jns.2017.10.004"},{"key":"6","doi-asserted-by":"publisher","DOI":"10.1055\/s-2003-37282"},{"key":"7","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.02.039"},{"key":"8","doi-asserted-by":"publisher","DOI":"10.1177\/1538574410393752"},{"key":"9","doi-asserted-by":"publisher","DOI":"10.1007\/BF02000757"},{"key":"10","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-011-0825-x"},{"key":"11","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2011.02.053"},{"key":"12","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.04.022"},{"key":"13","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijcard.2003.10.044"},{"key":"14","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijsu.2015.12.067"},{"key":"15","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2010.11.006"},{"key":"16","doi-asserted-by":"publisher","DOI":"10.1111\/j.1747-4949.2011.00687.x"},{"key":"17","doi-asserted-by":"publisher","DOI":"10.1161\/STROKEAHA.117.017570"},{"key":"18","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.2002.1895"},{"key":"19","doi-asserted-by":"publisher","DOI":"10.1007\/BF02015313"},{"key":"20","doi-asserted-by":"publisher","DOI":"10.1053\/ejvs.2000.1237"},{"key":"21","doi-asserted-by":"publisher","DOI":"10.1007\/s00595-009-4238-8"},{"key":"22","doi-asserted-by":"publisher","DOI":"10.1097\/00000658-198108000-00016"}],"container-title":["International Journal of Vascular Medicine"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijvm\/2018\/7205903.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijvm\/2018\/7205903.xml","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/downloads.hindawi.com\/journals\/ijvm\/2018\/7205903.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2018,8,16]],"date-time":"2018-08-16T19:31:16Z","timestamp":1534447876000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.hindawi.com\/journals\/ijvm\/2018\/7205903\/"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,8,16]]},"references-count":22,"alternative-id":["7205903","7205903"],"URL":"https:\/\/doi.org\/10.1155\/2018\/7205903","relation":{},"ISSN":["2090-2824","2090-2832"],"issn-type":[{"type":"print","value":"2090-2824"},{"type":"electronic","value":"2090-2832"}],"subject":[],"published":{"date-parts":[[2018,8,16]]}}}