Evidence map›Paper›PMID 35331026›Full record

ArticleInterventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences2023

Carotid artery stenting prior to coronary artery bypass grafting in patients with carotid stenosis: Clinical outcomes.

Reza Mohammadian, Ali Tarighatnia, Ehsan Sharifipour, Eskandar Nourizadeh, Rezayat Parvizi, Camille T Applegate, Nader D Nader

Open access · greenAbstract readComparative Study
PubMed Full text at PMC Publisher
In one paragraph

Article in Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.9field-weighted citation impact, top 26% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 6 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 3 institutions in 2 countries.

Reza MohammadianRadiology Department, East Clinical University Hospital, Stradins University, Riga, Latvia.
Ali TarighatniaDepartment Interventional Radiology, Aalinasab Hospital, ISSO, Tabriz, Iran.
Ehsan SharifipourNeuroscience Research Center, 154202Qom University of Medical Sciences, Qom University of Medical Sciences, Qom, Iran.
Eskandar NourizadehDepartment Interventional Radiology, Aalinasab Hospital, ISSO, Tabriz, Iran.
Rezayat ParviziCardiovascular Research Center, 48432Tabriz University of Medical Sciences, Shahid Madani Heart Center, Tabriz, Iran.
Camille T Applegate12291Jacobs School of Medicine and Biomedical Sciences, 955 Main Street, Buffalo, NY 14203, USA.
Nader D NaderDept. of Anesthesiology & Surgery, 12291Jacobs School of Medicine and Biomedical Sciences, UB-Gateway Building, 77 Goodell Street, Suite 550, Buffalo, NY 14203.ORCID 0000-0002-5744-7319
Jacobs Institute · USQom University of Medical Science and Health Services · IRTabriz University of Medical Sciences · IR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesManagement of patients undergoing coronary artery bypass grafting (CABG) with obstructive disease of the carotid arteries is still a matter of debate. We compared the results of staged carotid artery stenting (CAS) before CABG in patients with carotid lesions. MATERIALS AND

methodPatients with significant carotid artery disease who were deemed to simultaneously suffer from an obstructive coronary artery disease requiring CABG from 2008 to 2018 were screened and enrolled in this study. We performed a staged CAS in cases with ≥60% stenosis and neurological symptoms or asymptomatic patients with ≥80% carotid artery stenosis. Patients with bilateral carotid lesions received sequential CAS within three weeks. Six weeks after the CAS procedure, all patients underwent CABG.

resultsA total of 142 patients were included. Eighty-five of these had neurological symptoms, while the remaining 40% were asymptomatic. Thirty-one patients underwent sequential CAS for bilateral lesions. The cerebrovascular event (CVE) following CAS (3 patients) and CABG (3 patients) was 4.2%. There was only a single case of mortality in this cohort. Although it was not statistically significant, CVE after CABG was more frequent in patients with bilateral carotid disease.

conclusionsOur results showed that staged CAS could be performed with minimal adverse outcomes in patients suffering from a simultaneous occlusive disease of carotids and coronary arteries before CABG. Bilateral CAS will further decrease cerebrovascular events and could be performed consequently or concomitantly.

Indexed as

Carotid StenosisEndarterectomy, CarotidStrokeCarotid ArteriesCoronary Artery BypassHumansRisk FactorsStentsTreatment OutcomeCarotid artery stentingcoronary artery bypass graftscoronary artery diseasestroke

Identifiers

PMID35331026
PMCPMC9893238
OpenAlexW4221090232

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.