Aortic atheromatosis and risks of cerebral embolization

Journal of Cardiothoracic and Vascular Anesthesia

Volumn 10, Issue 1, 1996, Pages 24-30

  Barbut, D ^a   Gold, J P ^a  

^a Starr 607   (United States)

Author keywords

atheroma; CABG; emboli

Indexed keywords

AORTA ARCH; AORTA ATHEROSCLEROSIS; AORTA CLAMPING; ASCENDING AORTA; ATHEROSCLEROTIC PLAQUE; BRAIN EMBOLISM; CORONARY ARTERY BYPASS SURGERY; HUMAN; PRIORITY JOURNAL; REVIEW; TRANSESOPHAGEAL ECHOCARDIOGRAPHY;

EID: 0030053301     PISSN: 10530770     EISSN: None     Source Type: Journal    
DOI: 10.1016/S1053-0770(96)80175-3     Document Type: Article

References (72)

1. Fisher CM Gore I Okabe N Atherosclerosis of the carotid and vertebral arteries-extracranial and intracranial J Neuropathol Exp Neurol 24 1965 455 476
2. Katz ES Tunick PA Rusinek H Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: experience with intraoperative transesophageal echocardiography J Am Coll Cardiol 20 1992 70 77
3. Flory CM Arterial occlusions produced by emboli from eroded aortic atheromatous plaques Am J Pathol 21 1945 549 565
4. Beal MF Williams RS Richardson EP Jr Cholesterol embolism as a cause of transient ischemic attacks and cerebral infarction Neurology 31 1981 860 865
5. Soloway HB Aronson SM Atheromatous emboli to central nervous system Arch Neurol 11 1973 657 667
6. Russell D Madden KP Clark WM Detection of arterial emboli using doppler ultrasound in rabbits Stroke 22 1991 253 258
7. Tunick PA Culliford AT Lamparello PJ Atheromatosis of the aortic arch as an occult source of multiple systemic emboli Ann Inter Med 114 1991 391 392
8. Karalis DG Chandrasekaran K Victor MF Recognition and embolic potential of intraaortic atherosclerotic debris J Am Coll Cardiol 17 1991 73 78
9. Tunick PA Perez JL Kronzon I Protruding atheromas in the thoracic aorta and systemic embolization Ann Inter Med 115 1991 423 427
10. Amarenco P Cohen A Tzouria C Atherosclerotic disease of the aortic arch and the risk of ischemic stroke N Engl J Med 331 1994 1474 1479
11. Amarenco P Duyckaerts C Tzouria C The prevalence of ulcerated plaques in the aortic arch in patients with stroke N Engl J Med 326 1992 221 225
12. Tunick PA Rosenzweig BP Katz ES High risk for vascular events in patients with protruding aortic atheromas: A prospective study J Am Coll Cardiol 23 1994 1085 1090
13. Marschall K Kanchuger M Kessler K Superiority of transesophageal echocardiography in detecting aortic arch atheromatous disease: Identification of patients at increased risk of stroke during cardiac surgery J Cardiothoracic Vasc Anes 8 1994 5 13
14. Blauth CI Cosgrove DM Webb BW Atheroembolism from the ascending aorta: an emerging problem in cardiac surgery J Thorac Cardiovasc Surg 103 1992 1104 1112
15. Wareing TH Davila-Toman VG Barzilai B Management of the severely atherosclerotic ascending aorta during cardiac operations J Thorac Cardiovasc Surg 103 1992 453 462
16. Ribakove GH Katz ES Galloway AC Surgical implications of transesophageal echocardiography to grade the atheromatous aortic arch Ann Thorac Surg 53 1992 758 763
17. Brillman J Central nervous system complications in coronary artery bypass graft surgery Neurologic Clinics 11 1993 475 495
18. Amarenco P Cohen A Baudrimont M Transesophageal echocardiographic detection of aortic arch disease in patients with cerebral infarction Stroke 23 1992 1005 1009
19. Loop FD Lytle BW Cosgrove DM Coronary artery bypass graft surgery in the elderly Cleve Clin J Med 55 1988 23 24
20. Hill JD Aguilar MJ Baranco A Neuropathological manifestations of cardiac surgery Ann Thorac Surg 7 1969 409 419
21. Gardner TJ Horneffer PJ Manolio TA Stroke following coronary artery bypass grafting: a ten-year study Ann Thorac Surg 40 1985 574 581
22. Cosgrove DM Loop FD Lytle BW Primary myocardial revascularization J Thorac Cardiovasc Surg 88 1984 673 684
23. Wareing TH Davila-Roman VG Daily BB Strategy for the reduction of stroke incidence in cardiac surgical patients Ann Thorac Surg 55 1993 1400 1408
24. Davila-Roman VG Barzilai B Wareing TH Intraoperative ultrasonographic evaluation of the ascending aorta in 100 consecutive patients undergoing cardiac surgery Circulation 84 suppl 3 1991 III
25. Davila-Roman VG Barzilai B Wareing TH Atherosclerosis of the ascending aorta: prevalence and role as an independent predictor of cerebrovascular events in cardiac patients Stroke 25 1994 2010 2016
26. Bar-El Y Goor DA Clamping of the atherosclerotic ascending aorta during coronary artery bypass operations: its cost in strokes J Thorac Cardiovasc Surg 104 1992 469 474
27. Salomon NW Pages US Bigelow JC Coronary artery bypass grafting in elderly patients: comparative results in a consecutive series of 469 patients older than 75 years J Thorac Cardiovasc Surg 101 1991 209 218
28. Hosoda Y Watanabe M Hirooka Y Significance of atherosclerotic changes of the ascending aorta during coronary bypass surgery with intraoperative detection by echography J Cardiovasc Surg 32 1991 301 306
29. Hartman GS Yao FS Bruefach M Cardiopulmonary bypass at high pressure reduces stroke incidence in patients with TEE diagnosed severe aortic atheromatous disease Am Soc Anes April 1995
30. Tobler HG Edwards JE Frequency and location of atherosclerotic plaques in the ascending aorta J Thorac Cardiovasc Surg 96 1988 304 306
31. Marshall WG Barzilai B Kouchoukos NT Intraoperative ultrasonic imaging of the ascending aorta Ann Thorac Surg 48 1989 339 344
32. Ohteki H Itoh T Natsuaki M Intraoperative ultrasonic imaging of the ascending aorta in ischemic heart disease Ann Thorac Surg 50 1990 539 542
33. Barzilai B Marshall WG Saffitz JE Kouchoukos N Avoidance of embolic complications by ultrasonic characterization of the ascending aorta Circulation 80 suppl 1 1989 I
34. Toyoda K Yasaka M Nagata S Aortogenic embolic stroke: A transesophageal echocardiographic approach Stroke 23 1992 1056 1061
35. Konstadt SN, Reich DL, Quintana C, et al: The ascending aorta: How much does transesophageal echocardiography see? Anesth Analg 78:240–244
36. Karalis DG Quinn VJ Toss JJ Transesophageal echocardiography identifies patients at high risk of arterial embolism during invasive aortic procedures J Am Coll Cardiol 19 1992 280A
37. Grosset DG Georgiadis D Helman AW Quantification of ultrasound embolic signals in patients with cardiac and carotid disease Stroke 24 1993 1922 1924
38. Padayachee TS Parsons S Theobold R The detection of microemboli in the middle cerebral artery during cardiopulmonary bypass: A transcranial Doppler ultrasound investigation using membrane and bubble oxygenators Ann Thorac Surg 44 1987 298 302
39. Pugsley W Klinger L Paschalis C Microemboli and cerebral impairment during cardiac surgery Vasc Surg 1990 34 43
40. Barbut D Hinton RB Szatrowski TP Cerebral emboli detected during bypass surgery are associated with clamp removal Stroke 25 1994 2398 2402
41. September Barbut D Hinton RB Hartmen GS Number of emboli detected by TCD during CABG is related to aortic atheroma as assessed by TEE 1994 The Brain and Cardiac Surgery
42. Van der Linden J Casimir-Ahn H When do cerebral emboli appear during open heart operations? A transcranial Doppler study Ann Thorac Surg 51 1991 237 241
43. Clark RE Brillman J Davis DA Microemboli during coronary artery bypass grafting: Genesis and effect on outcome J Thorac Cardiovasc Surg 109 1995 249 258
44. Rodigas PC Meyer FJ Haasler GB Intraoperative 2-dimensional echocardiography: Ejection of microbubbles from the left ventricle after cardiac surgery Am J Cardiol 50 1982 1130 1132
45. Padayachee TS Parsons S Theobold R The effect of arterial filtration on reduction of gaseous microemboli in the middle cerebral artery during cardiopulmonary bypass Ann Thorac Surg 45 1988 647 649
46. Spencer MP Thomas GI Nicholls SC Detection of middle cerebral artery emboli during carotid endarterectomy using transcranial doppler ultrasonography Stroke 21 1990 415 423
47. Marcus HS Brown MM Differentiation between different pathological cerebral embolic materials using TCD in an in-vitro model Stroke 24 1993 1 5
48. Moody DM Bell MA Johnston WE Brain microemboli during cardiac surgery or aortography Ann Neurol 28 1990 477 486
49. Pugsley W Klinger L Paschalis C The impact of microemboli during cardiopulmonary bypass on neuropsychological functioning Stroke 25 1994 1393 1399
50. Blauth CI Arnold JV Schulenberg WE Cerebral microembolism during cardiopulmonary bypass: retinal microvascular studies in vivo with fluorescein angiography J Thorac Cardiovasc Surg 95 1988 668 676
51. Siebler M Sitzu M Steinmetz H Detection of intracranial emboli in patients with symptomatic extracranial carotid artery disease Stroke 23 1992 1652 1654
52. Price DL Harris J Cholesterol emboli in cerebral arteries as a complication of retrograde aortic perfusion during cardiac surgery Neurology 20 1970 1209 1214
53. Masuda J Yutani C Ogata J Atheromatous embolism in the brain: A clinicopathologic analysis of 15 autopsy cases Neurology 44 1994 1231 1237
54. Erath HG Stoner WS Balloon catheter occlusion of the ascending aorta Ann Thorac Surg 35 1983 560 561
55. Kronzon I Tunick PA Transesophageal echocardiography as a tool in the evaluation of patients with embolic disorders Progr Cardiovasc Disease 36 1993 39 60
56. Weinstein G Killen DA Innominate artery-coronary artery bypass graft in a patient with calcific aortitis J Thorac Cardiovasc Surg 79 1980 312 313
57. Rowland PE Grooters RK Coronary-coronary artery bypass: an alternative Ann Thorac Surg 43 1987 326 328
58. Mills NL Everson CT Atherosclerosis of the ascending aorta and coronary artery bypass: pathology, clinical correlates, and operative management J Thorac Cardiovasc Surg 102 1991 546 553
59. Murphy DA Hatcher CR Coronary revascularization in the presence of ascending aortic calcification: use of an internal mammary artery-saphenous vein composite graft J Thorac Cardiovasc Surg 87 1984 789 791
60. Rousou JH Engelman TM Modified fogarty clamp for the fragile aorta Ann Thorac Surg 32 1981 515 516
61. Robicsek F Rubenstein RB Calcification and thickening of the aortic wall complicating aortocoronary grafting: A technical modification Ann Thorac Surg 29 1980 84 85
62. Landymore R Spencer F Colvin S Management of the calcified aorta during myocardial revascularization J Thorac Cardiovasc Surg 84 1982 455 456
63. Holland DL Hieb TE Revascularization without embolization: Coronary bypass in the presence of a calcified aorta Ann Thorac Surg 40 1985 308 310
64. Culliford AT Colvin SB Rohrer K The atherosclerotic ascending aorta and transverse arch: a new technique to prevent cerebral injury during bypass: Experience with 13 patients Ann Thorac Surg 41 1986 27 35
65. Peigh PS DiSesa VJ Collins JJ Coronary bypass grafting with totally calcified or acutely dissected ascending aorta Ann Thorac Surg 51 1991 102 104
66. Kouchoukos NT Wareing TH Daily BB Management of the severely atherosclerotic aorta during cardiac operations J Card Surg 9 1994 490 494
67. Blackshear JL Jahangir A Oldenburg WA Digital embolization from plaque-related thrombus in the thoracic aorta: Identification with transesophageal echocardiography and resolution with warfarin therapy Mayo Clin Proc 68 1993 268 272
68. Farah MG Hawawini H Thrombus of the ascending aorta as a source of cerebral embolism Chest 104 1993 1604 1605
69. Goebel N Maire R Streuli R Flottierende thromben in der aorta ascendens Vasa 12 1983 397 399
70. Dahlberg PJ Frecentese DF Cogbill TH Cholesterol embolism: Experience with 22 histologically proven cases Surgery 105 1989 737 746
71. Kwaan JHM Vander Molen R Stemmer EA Peripheral embolism resulting from unsuspected atheromatous aortic plaques Surgery 78 1975 583 588
72. Sadony V Walz M Lohr E Unusual cause of recurrent arterial embolism: Floating thrombus in the aortic arch surgically removed under hypothermic cardiocirculatory arrest Eur J Cardiothorac Surg 2 1988 469 471