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  • Title: Simultaneous carotid endarterectomy and coronary artery bypass surgery in Canada.
    Author: Hill MD, Shrive FM, Kennedy J, Feasby TE, Ghali WA.
    Journal: Neurology; 2005 Apr 26; 64(8):1435-7. PubMed ID: 15851737.
    Abstract:
    Stroke neurologists are commonly asked to review patients who require coronary artery bypass grafting (CABG) but who also have comorbid severe carotid stenosis; such patients may be offered simultaneous carotid endarterectomy (CEA). In Canada, 0.51% of CABG procedures were combined CEA-CABG. The adjusted stroke and death rate was 2.67-fold greater in the combined CEA-CABG group compared to CABG alone. Randomized trials of the combined procedure are needed.
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