摘要：

心脑血管疾病是全球居民死亡的主要原因之一，动脉粥样硬化是其主要病理学改变，常同时累及心血管和脑血管，需神经外科和心血管外科同时手术干预。缺血性心脑血管疾病患者是采取颈动脉内膜切除术联合冠状动脉旁路移植术同期手术还是分期手术（颈动脉内膜切除术后冠状动脉旁路移植术和冠状动脉旁路移植术后颈动脉内膜切除术）尚未形成一致性意见。随着对心脑血管疾病研究的深入、手术技术的改进和血管内介入技术的发展，为外科手术同时干预提供了理论基础和技术支持。

关键词: 脑血管障碍, 心血管疾病, 神经外科手术, 心血管外科手术, 综述

Abstract:

Cardiovascular and cerebrovascular diseases are one of the most common cause of death in the world, atherosclerosis is the main pathologic change, and often involving cardiovascular and cerebrovascular concurrently. No consensus has been reached on whether carotid endarterectomy (CEA) combined with coronary artery bypass grafting (CABG) should be performed at concurrent operation or staged operation (CEA after CABG or CABG after CEA) in patients with ischemic cardiovascular and cerebrovascular diseases. However, with the deepening of research on cardiovascular and cerebrovascular diseases, the improvement of surgical techniques and development of intravascular intervention techniques, it provides theoretical basis and technical support for simultaneous surgical intervention.

Key words: Cerebrovascular disorders, Cardiovascular diseases, Neurosurgical procedures, Cardiovascular surgical procedures, Review