[HSF] a carotid and coronary case

[Tea Acuff]

Amen.
tea


----- Original Message ----
From: "hgrmd at aol.com" <hgrmd at aol.com>
To: OpenHeart-L at lists.hsforum.com
Sent: Tuesday, August 7, 2007 12:45:06 PM
Subject: Re: [HSF] a carotid and coronary case


Roberto,
  What that tell's me is that certain surgeons probably shouldn't be doing carotids.  I would bet you that the vast majority of experienced carotid surgeons would have better neurologic outcomes than the 6-8% complication rate I've seen with most carotid stent series.

Hal


-----Original Message-----
From: Dr. Roberto Battellini <battr at medizin.uni-leipzig.de>
To: OpenHeart-L at lists.hsforum.com
Sent: Tue, 7 Aug 2007 8:12 am
Subject: AW: AW: [HSF] a carotid and coronary case



Hal,
n an European randomized study the stroke % was the same with stent or
urgery, BUT the % difference  of complications between surgeons was greater
han between both methods. 
oberto
-----Ursprüngliche Nachricht-----
on: openheart-l-bounces at lists.hsforum.com
mailto:openheart-l-bounces at lists.hsforum.com] Im Auftrag von Hgrmd at aol.com
esendet: Montag, 6. August 2007 15:45
n: OpenHeart-L at lists.hsforum.com
etreff: Re: AW: [HSF] a carotid and coronary case
Tom,
I agree with Roberto about using combined CEA/CABG instead of  carotid 
tenting followed by CABG.  Is there any data to suggest that this  latter 
pproach results in fewer strokes?  If you don't routinely do CEA, I  can
nderstand 
hy you'd want to get the carotid stented first, but is it truly  the safer 
pproach?  From everything I've read, the stroke rate for stented  carotids,
even with the latest generation of protection devices, is consistently
igher 
han CEA.

al

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