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Simultaneous Hybrid Revascularization by Carotid Stenting and Coronary Artery Bypass Grafting  Luigi Chiariello, MD, Fabrizio Tomai, MD, Jacob Zeitani,

Published byTine Christoffersen Modified over 5 years ago

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Presentation on theme: "Simultaneous Hybrid Revascularization by Carotid Stenting and Coronary Artery Bypass Grafting  Luigi Chiariello, MD, Fabrizio Tomai, MD, Jacob Zeitani,"— Presentation transcript:

1 Simultaneous Hybrid Revascularization by Carotid Stenting and Coronary Artery Bypass Grafting 
Luigi Chiariello, MD, Fabrizio Tomai, MD, Jacob Zeitani, MD, Francesco Versaci, MD  The Annals of Thoracic Surgery  Volume 81, Issue 5, Pages (May 2006) DOI: /j.athoracsur Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

2 Fig 1 Flow chart of peri-procedural pharmacologic protocol. Aspirin (ASA) (100 mg once per day) had to be started at least 2 days before the procedure. Heparin (1 mg/kg) was administrated as a bolus intra-arterially immediately before the stent implantation procedure and in the operating room (2 mg/kg) before the cardiopulmonary bypass. Clopidogrel (300 mg as a loading dose, followed by 75 mg per day for 1 month) was started in the intensive care unit 6 hours after the end of coronary artery bypass grafting (CABG), provided that surgical bleeding from the thoracic drainages had definitely stopped, or when it was less than 50 mL/hr for 3 consecutive hours from the sixth hour. (CAS = carotid artery stenting.) The Annals of Thoracic Surgery  , DOI: ( /j.athoracsur ) Copyright © 2006 The Society of Thoracic Surgeons Terms and Conditions

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