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  • Title: Surgical management of synchronous carotid and coronary artery disease.
    Author: Cosgrove DM, Hertzer NR, Loop FD.
    Journal: J Vasc Surg; 1986 Apr; 3(4):690-2. PubMed ID: 3959273.
    Abstract:
    To determine the safest method of treating simultaneously occurring coronary artery disease and asymptomatic carotid stenosis, patients were randomly assigned to either combined operation or a staged procedure with coronary artery surgery done first, followed by carotid endarterectomy. In the initial 70 patients, there were two strokes (5.9%) and two deaths (5.9%) in the combined group and four strokes (11%) and one death (2.8%) in the group with coronary artery surgery performed first.
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