CABG with Carotid Endarterectomy Treatment in India
About CABG with Carotid Endarterectomy
Key Highlights
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Addresses two critical vascular issues (heart and brain) in one surgery.Reduces the combined risk of perioperative heart attack and stroke.May lead to a more streamlined recovery compared to two separate procedures.Performed by specialized cardiac surgery teams for coordinated care.Aims to improve long-term survival and quality of life by preventing major cardiovascular events.
Who is this surgery for?
- Patients with significant, symptomatic coronary artery disease requiring CABG, who also have high-grade (typically >70-80%) stenosis of the carotid artery.
- Asymptomatic patients with severe carotid stenosis undergoing CABG, especially if there is a history of prior stroke or transient ischemic attack (TIA).
- Presence of unstable cardiac symptoms (like angina) alongside evidence of carotid artery disease.
- When diagnostic tests indicate a high risk of stroke during or after isolated heart surgery due to carotid blockages.
- Patients with multiple risk factors like diabetes, hypertension, and a history of smoking, which contribute to widespread atherosclerosis.
How to prepare
- Comprehensive evaluation including cardiac catheterization, carotid ultrasound (Doppler), and possibly CT or MR angiography.
- Detailed review of all medications; some (like blood thinners) may need to be adjusted or stopped days before surgery.
- Pre-operative counseling with the cardiac surgeon, anesthesiologist, and possibly a neurologist.
- Routine pre-surgical tests: blood work, chest X-ray, ECG, and assessment of kidney function.
- Fasting for 8-12 hours prior to the procedure as instructed.
- Informed consent process detailing the risks, benefits, and alternatives of the combined procedure.
Risks & possible complications
- General surgical risks: Bleeding, infection, and adverse reactions to anesthesia.
- Cardiac-specific risks: Heart attack, arrhythmias (irregular heartbeat), or low cardiac output.
- Neurological risks: Stroke, transient ischemic attack (TIA), or nerve injury affecting the face or voice.
- Carotid artery-related risks: Restenosis (re-narrowing), blood clot formation, or injury to the artery.
- Other risks: Wound healing issues, pulmonary complications, kidney dysfunction, and in rare cases, death.
Recovery & hospital stay
- Initial recovery in the Intensive Care Unit (ICU) for 1-2 days for close monitoring of heart, brain, and vital signs.
- Hospital stay typically involves monitoring for any neurological changes, pain management, and gradual mobilization.
- Incision care is crucial; keeping the chest and neck wounds clean and dry to prevent infection.
- Prescribed medications will include antiplatelets (like aspirin), statins, and possibly drugs for blood pressure and heart rate control.
- Cardiac rehabilitation is a cornerstone of recovery, involving supervised exercise, dietary counseling, and lifestyle education.
- Regular follow-up appointments with the cardiac surgeon and primary care physician to monitor recovery and graft/artery health.
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Typical hospital stay:
7-14 days
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Expected recovery time:
6-12 weeks
Frequently Asked Questions
If you are considering cabg with carotid endarterectomy in India, these questions and answers can help you make a confident, informed decision.
Popular choices for cabg with carotid endarterectomy in India include Miot Hospital Chennai, Kamineni Hospital, King Koti, Kamineni Hospital, Tadigadapa, Manipal Hospital Old Airport Road, Manipal Hospital Bhubaneswar, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform cabg with carotid endarterectomy. MediFyr helps you compare cardiac surgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
Procedure cost in other countries
Here is an overview of how the estimated cost, hospital stay, and recovery time for cabg with carotid endarterectomy compare across other countries where we have data.
Top hospitals for CABG with Carotid Endarterectomy in India
These partner hospitals in India have dedicated cardiac surgery teams and experience managing patients undergoing cabg with carotid endarterectomy.
Hyderabad, India
20 Doctors
Anjali Kumar, a 58-year-old high school...
Anjali Kumar, a 58-year-old high school principal, had always been the pillar of her family and school. For months, she dismissed her increasing fatigue and occasional chest tightness as stress. A terrifying episode of slurred speech and right arm weakness, a transient ischemic attack (TIA), forced her to the ER. Diagnostic tests revealed a grim combination: severe triple-vessel coronary artery disease and a 90% blockage in her left internal carotid artery. Her cardiologist explained that performing a Coronary Artery Bypass Graft (CABG) alone carried a high risk of stroke due to the carotid blockage. He recommended a combined CABG and Carotid Endarterectomy to address both life-threatening issues in one operation. Anjali was terrified, fearing she wouldn't wake up or would be mentally impaired. The surgery was long but successful. Her recovery in the Cardiac ICU was challenging, with pain and profound fatigue, but each day she grew stronger. After three weeks of cardiac rehab, she returned home with a new appreciation for life. The emotional journey was from seeing herself as an invincible caretaker to a vulnerable patient, and finally to a grateful survivor determined to prioritize her health and model resilience for her students.
Cardiac surgeons for CABG with Carotid Endarterectomy
Explore experienced cardiac surgeons who regularly perform cabg with carotid endarterectomy and provide pre- and post-operative care in India.
- 31 Years Experience
- Pediatric Cardiac surgeon
Miot Hospital Chennai, Chennai
- 37 Years Experience
- Cardiac surgeon
Miot Hospital Chennai, Chennai
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 21 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Sarjapur Road, Bangalore
- 13 Years Experience
- Cardiac surgeon
- 31 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Whitefield, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 30 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 16 Years Experience
- Cardiac surgeon
Manipal Hospital Old Airport Road, Bangalore
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Mysore, Mysore
- 13 Years Experience
- Cardiac surgeon
Manipal Hospital Vijayawada, vijayawada
- 23 Years Experience
- Cardiac surgeon
Manipal Hospital Malleshwaram, Bangalore
- 37 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 8 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 17 Years Experience
- Cardiac surgeon
SIMS Hospital Vadapalani, Chennai
- 11 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore
- 15 Years Experience
- Cardiac surgeon
Manipal Hospital Hebbal, Bangalore