颈动脉与冠状动脉同期血运重建专家共识

Expert consensus on simultaneous revascularization of carotid artery and coronary artery

颈动脉粥样硬化性狭窄与冠状动脉病变共病情况很常见,且在单独进行冠状动脉或颈动脉血运重建手术过程中,双方常互为术后并发症的重要危险因素。因此,同期进行颈动脉与冠状动脉血运重建无疑是较为理想的方法。临床研究证实,只有在容量大的医疗机构,由多学科专业医师协作才能最大程度地减少或避免主要心脑血管并发症。本共识结合文献研究,针对颈动脉与冠状动脉同期血运重建的术式及术式组合进行推荐,以期对相关科室医师的临床实践提供理论指导。

Comorbidities between carotid stenosis and coronary artery disease are common.In the process of coronary artery or carotid artery revascularization surgery,one usually is important risk factor of postoperative complications for the other.Simultaneous carotid and coronary revascularization is undoubtedly an ideal method.Clinical studies have confirmed that major cardiovascular and cerebrovascular complications can be minimized or avoided only in high-volume institutional medical facilities with collaboration among multidisciplinary physicians.This consensus,combined with literature review,recommends the operative methods and combination of operative methods for simultaneous revascularization of carotid artery and coronary artery,so as to provide theoretical guidance for clinicians of related departments in clinical practice.