Perioperative stroke and ischemic encephalopathy are two well-recognized complications of coronary artery bypass grafting (CABG)Surgical treatment of simultaneous coronary and carotid disease is still controversialCarotid endarterectomy used to be considered as the gold standard treatment for carotid artery stenosisCarotid artery stenting (CAS) is being investigated as an alternative treatment to carotid endarterectomy (CEA)The safety of CAS has been particularly strengthened with the routine use of distal protection devicesThere should be a protocol for use of antiplatelets drugs before and after CAS and after CABG