During a period from November 2012 through November 2018, 54 patients (36 males, an average age 65.8±7.3 years) underwent hybrid procedure. The primary endpoints were the occurrence of perioperative cerebral stroke, transient ischemic attack (TIA), acute myocardial infarction (AMI), bleeding or death. The mean follow-up period was 30 months.
Thirty-day mortality was 0%. Periprocedural incidence of stroke and TIA were 1.9 % and 7.6 %, respectively, while AMI occurred in one patient (1.9 %). No pts required rethoracotomy for bleeding. Four patients died during follow-up (7.6 %), 2 dues to the stroke (3.8%), one due to the heart failure (1.9%), and one due to the multiorgan failure (1.9%). In-stent restenosis of the carotid artery occurred in one case (1.9%).
In this small group of patients, the hybrid procedure was proved to be a safe and efficient way of treatment for patients with concomitant carotid and cardiac diseases. The low rate of perioperative complications and good midterm results are encouraging.
Copyright © 2020. Published by Elsevier Inc.