{"title":"首次使用主动脉内球囊泵作为关键症状性颈动脉和冠状动脉疾病手术之间的桥梁","authors":"R.E. Brightwell , S.A.M. Nashef","doi":"10.1016/j.ejvsextra.2013.08.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><p>The optimal management of concomitant, unstable atherosclerotic coronary and carotid artery disease is unclear. We present the first use of an intra-aortic balloon pump (IABP) as a bridge between carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) in a high-risk patient.</p></div><div><h3>Report</h3><p>A 62-year-old man with multiple comorbidities presented with unstable disease in both coronary and carotid territories. He was unsuitable for endovascular management of either lesion. An IABP was used to safely bridge him between carotid and coronary revascularisation.</p></div><div><h3>Discussion</h3><p>We propose that where both coronary and carotid circulations are critically compromised, this approach may offer a way out of an otherwise impossible situation.</p></div>","PeriodicalId":100397,"journal":{"name":"EJVES Extra","volume":"26 5","pages":"Pages e43-e45"},"PeriodicalIF":0.0000,"publicationDate":"2013-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.08.001","citationCount":"0","resultStr":"{\"title\":\"First Use of an Intra-aortic Balloon Pump as a Bridge Between Surgery for Critical, Symptomatic Carotid and Coronary Disease\",\"authors\":\"R.E. Brightwell , S.A.M. Nashef\",\"doi\":\"10.1016/j.ejvsextra.2013.08.001\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><p>The optimal management of concomitant, unstable atherosclerotic coronary and carotid artery disease is unclear. We present the first use of an intra-aortic balloon pump (IABP) as a bridge between carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) in a high-risk patient.</p></div><div><h3>Report</h3><p>A 62-year-old man with multiple comorbidities presented with unstable disease in both coronary and carotid territories. He was unsuitable for endovascular management of either lesion. An IABP was used to safely bridge him between carotid and coronary revascularisation.</p></div><div><h3>Discussion</h3><p>We propose that where both coronary and carotid circulations are critically compromised, this approach may offer a way out of an otherwise impossible situation.</p></div>\",\"PeriodicalId\":100397,\"journal\":{\"name\":\"EJVES Extra\",\"volume\":\"26 5\",\"pages\":\"Pages e43-e45\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2013-11-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"https://sci-hub-pdf.com/10.1016/j.ejvsextra.2013.08.001\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"EJVES Extra\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S1533316713000289\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"\",\"JCRName\":\"\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"EJVES Extra","FirstCategoryId":"1085","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1533316713000289","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
First Use of an Intra-aortic Balloon Pump as a Bridge Between Surgery for Critical, Symptomatic Carotid and Coronary Disease
Introduction
The optimal management of concomitant, unstable atherosclerotic coronary and carotid artery disease is unclear. We present the first use of an intra-aortic balloon pump (IABP) as a bridge between carotid endarterectomy (CEA) and coronary artery bypass grafting (CABG) in a high-risk patient.
Report
A 62-year-old man with multiple comorbidities presented with unstable disease in both coronary and carotid territories. He was unsuitable for endovascular management of either lesion. An IABP was used to safely bridge him between carotid and coronary revascularisation.
Discussion
We propose that where both coronary and carotid circulations are critically compromised, this approach may offer a way out of an otherwise impossible situation.