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.