o:2951 Investigation of the postoperative complications rate and predictors in patients undergoing surgery due to associated carotid and coronary occlusive disease en BACKGRUND: The aim of this study was to evaluate the frequency of postoperative complications in patients who underwent coronary artery bypass grafting (CABG) and simultaneous carotid endarterectomy (CEA) and find predictors of postoperative complications. METHODS: We retrospectively evaluated 86 patients after simultaneous CABG and CEA. Inclusion criteria were: patients with asymptomatic carotid stenosis with a reduction of the carotid lumen diameter of more than 70% detected with Doppler ultrasound and diagnosed with one, two, or three vessel coronary artery disease with coronary stenosis more than 75% and hemodynamic significant stenosis of the left main artery. Exclusion criteria were patients with urgent and previous cardiac surgery and patients with myocardial infarction and stroke in the past one month. We monitored preoperative (ejection fraction, coronarography status), operative (number of grafts, on-pump or off-pump technique) and postoperative (extubation, unit care and hospital stay, bleeding and reoperation) details and complications (myocardial infarction, neurological events, inotropic agents and transfusion requiry, infection, arrhythmic complication, renal failure, mortality). RESULTS: Postoperative complications were observed in 18 (29.9%) patients. Two patients (2.3%) had postoperative stroke and one patient (1.2%) had transient ischemic attack (TIA). Previous stroke was a predictor for increased postoperative neurological events (P < .05). Intrahospital mortality was 8.1%. CONCLUSION: Simultaneous CEA and CABG were performed with low rates of stroke and TIA. Previous stroke was identified as a predictor for increased postoperative neurological complications. Key words: coronary occlusive disease, carotid, postoperative complications 91552100 126047753 1552101 1098-3511 1552099 10.1532/hsf.2005 2023-10-12T09:10:27.638Z 44 yes 46 Vladimir Jovičić 35414119 0009-0006-4897-4930 2019 46 Svetozar Putnik 12828263 0000-0002-0665-2961 2019 46 Aleksandar Đorđević 68427785 2019 46 Anita Grgurević 23529063 0000-0002-6611-9931 2019 46 Igor Atanasijević 29986919 0000-0002-8460-1975 2019 46 Duško Terzić 14760295 0000-0002-9779-8164 2019 46 Milica Jovičić 105207049 0000-0003-1949-9828 2019 application/pdf 138917 https://unilib.phaidrabg.rs/o:2951 no yes 1 70 616.132.2/.133 92000001 71A11 The heart surgery forum 22 5 385 (E385) 389 (E389) 2019