Conclusions
The tactics choice for the treatment of the coronary and carotid
arteries combined atherosclerotic lesions has been a problem for
clinicians for four decades. In the absence of randomized controlled
trials, recommendations for these patients management are based on the
single-center retrospective studies results. The surgical treatment
options multitude for both conditions makes it difficult to reach a
clear consensus on the optimal one. In our opinion, the lesion
angiographic picture in planned patients, together with the clinical
picture, should play a key role in choosing the surgical treatment
tactics. In a critical lesion case in both arterial basins, performing
simultaneous reconstruction allows preventing vascular events that may
occur with the staged interventions’ nature. The complications risks
with the coronary and carotid arteries simultaneous revascularization in
a more severe patients cohort, as well as long-term survival and freedom
from vascular events, don’t differ in comparison with patients who
received staged interventions in the coronary and carotid basins.