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2017; 63(11):1012-1016
e da evolução do tratamento cirúrgico, pouco se tem con-
seguido em termos de redução de risco de complicações
no perioperatório. As publicações são escassas, sendo em
sua maior parte compostas por relatos ou séries de caso.
Há pouco consenso sobre qual a melhor abordagem tera-
pêutica inicial (revascularização miocárdica
versus
carotí-
dea), bem como sobre a melhor técnica a ser empregada
(cirurgia com ou sem uso de circulação extracorpórea,
tratamentos híbridos, etc.). Os autores realizaram uma
revisão da evidência nesse cenário clínico, pontuando
questões pragmáticas que ajudem na decisão terapêutica.
Palavras-chave:
doença das coronárias, doenças das ar-
térias carótidas, revascularização miocárdica.
R
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