Can cerebrovascular microemboli induce cognitive impairment in patients with prosthetic heart valves?

European Journal of Ultrasound

Volumn 7, Issue 1, 1998, Pages 47-51

  Deklunder, G ^a   Prat, A ^a   Lecroart, J L ^a   Roussel, M ^b   Dauzat, M ^c  

^a LILLE UNIVERSITY HOSPITAL   (France)

^b UNIV LILLE   (France)

^c CHU BP 26   (France)

Author keywords

Doppler ultrasound; Emboli; HITS; Memory performance; Prosthetic heart valves

Indexed keywords

ARTICLE; BRAIN EMBOLISM; COGNITION; COGNITIVE DEFECT; DOPPLER ECHOGRAPHY; HEART VALVE PROSTHESIS; HUMAN; MEMORY; MICROEMBOLISM; NEUROPSYCHOLOGY; OCCLUSIVE CEREBROVASCULAR DISEASE; PRIORITY JOURNAL;

BIOPROSTHESIS; CEREBRAL ARTERIES; EXTRACORPOREAL CIRCULATION; HEART VALVE PROSTHESIS; HUMANS; INTRACRANIAL EMBOLISM AND THROMBOSIS; MEMORY DISORDERS; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 0031982051     PISSN: 09298266     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0929-8266(98)00011-1     Document Type: Article

References (29)

1. Benedict R.H. Cognitive function after open-heart surgery: are postoperative neuropsychological deficits caused by cardiopulmonary bypass? Neuropsychol Rev. 4:1994;223-255.
2. Blumenthal J.A., Madden D.J., Burker E.J. A preliminary study of the effects of cardiac procedures on cognitive performance. Int J Psychosom. 38:1991;13-16.
3. Consensus Committee of the Ninth International Cerebral Hemodynamics Symposium Basic identification criteria of Doppler microembolic signals. Stroke 1995:26;1123.
4. Dauzat M., Deklunder G., Aldis A., Rabinovitch M., Burte F., Bret P.M. Gas bubble cerebral emboli detected by transcranial Doppler sonography in patients with prosthetic heart valves. J Utrasound Med. 13:1994;129-135.
5. Deklunder G., Dauzat M., Aldis A., Burte F.M., Stewart F.F., Houdas Y. Microbubble cerebral emboli detected by transcranial sonography in patients with prosthetic heart valves. Circulation. 8:1993;1223.
6. Deklunder G, Dauzat M, Gautier C, Houdas Y. Microbubble cerebral emboli in patients with prosthetic heart valves: biological versus mechanical prostheses. In: Gabbay S, Frater RWM, editors. New Horizons and The Future of Heart Valve Bioprostheses. Austin, TX: Silent Partner, 1994:3-12.
7. Deklunder G., Lecroart J.L., Savoye C., Coquet B., Houdas Y. Transcranial high intensity Doppler signals in patients with mechanical heart valve prostheses: their relationship with abnormal intracavitary echoes. J Heart Valve Dis. 5:1996;662-667.
8. Deklunder G, Roussel M, Lecroart JL, Prat A, Gautier C, Savoye C. Alteration of cognitive abilities in patients with mechanical prosthetic heart valves and cerebral micro-emboli: A preliminary study. Eur J Neurol 1998 (in press).
9. Deverall P.B., Padayachee P.S., Parsons S., Theobold R., Battistessa S.A. Utrasound detection of microemboli in the middle cerebral artery during cardiopulmonary bypass surgery. Eur J Cardiothorac Surg. 2:1988;256-260.
10. Droste D.W., Markus H.S., Nassiri D., Brown M.M. The effect of velocity on the appearance of embolic signals studied in transcranial Doppler models. Stroke. 25:1994;986-991.
11. Georgiadis D., Grosset D.G., Kelman A., Faichney A., Lees K.R. Prevalence and characteristics of intracranial microemboli signals in patients with different types of prosthetic cardiac valves. Stroke. 25:1994;587-592.
12. Georgiadis D., Wenzel A., Lehmann D., Lindner A., Zerkowski H.R., Zierz S., Spencer M.P. Influence of oxygen ventilation on Doppler microemboli signals in patients with artificial heart valves. Stroke. 28:1997;2189-2194.
13. Graf T., Fischer H., Reul H., Rau G. Cavitation potential of mechanical heart valve prostheses. Int J Artif Organs. 14:1991;169-174.
14. Grosset D.G., Cowburn P., Georgiadis D., Dargie H.J., Faichney A., Lees K.R. Ultrasound detection of cerebral emboli in patients with prosthetic heart valves. Heart Valve Dis. 3:1994;128-132.
15. Hills B.A., James P.B. Microbubble damage to the blood-brain barrier: relevance to decompression sickness. Undersea Biomed Res. 18:1991;111-116.
16. Kaps M., Hansen J., Weiher M., Tiffert K., Kayser I., Droste D. Clinically silent microemboli in patients with artificial prosthetic aortic valves are predominantly gaseous and not solid. Stroke. 28:1997;322-325.
17. Markus H.S., Brown M.M. Differentiation between different pathological cerebral embolic materials using transcranial Doppler in an in vitro model. Stroke. 24:1993;1-5.
18. Nemec J.J., Marwick T.H., Lorig R.J., Davison M.B., Chimowitz M.I., Litowitz H., Salcedo E.E. Comparison of transcranial Doppler ultrasound and transoesophageal contrast echocardiography in the detection of interatrial right to left shunts. Am J Cardiol. 68:1991;1498-1502.
19. Orsinelli D.A., Pasierski T.J., Pearson A.C. Spontaneous appearing microbubbles associated with left sided mechanical prosthetic valves detected by trans-oesophageal echocardiography; importance of differentiation from valvular masses. J Am Coll Cardiol. 21:1993;64A.
20. Reul J., Weiss J., Jung A., Willmes K., Thron A. Central nervous system lesions and cervical disc herniations in amateur divers. Lancet. 345:1995;1403-1405.
21. Robinson M, Blumenthal JA, Burker EG, Hlatki M, Reves JG Coronary artery bypass grafting and cognitive function: a review. J Cardiopulm Rehab. 10:1990;180-189.
22. Shaw P.J., Bates D., Cartlidge N.E.F., French J.M., Heaviside D., Julian D.G., Shaw D.A. Early intellectual dysfunction following coronary bypass surgery. Q J Med. 225:1986;59-68.
23. Spencer MP, Campbell SD, Sealy JL, Henry FC, Lindbergh J. Experiments on decompression bubbles in the circulation using ultrasonic and electromagnetic flowmeters. J Occup Med 1969;238-44.
24. Spencer M.P., Thomas G.I., Nicholls S.C., Sauvage L.R. Detection of middle cerebral artery emboli during carotid endarterectomy using transcranial Doppler ultrasonography. Stroke. 21:1990;415-423.
25. Stump DA, Tegeler CH, Rogers AT. Neuropsychological deficits are associated with the number of emboli detected during cardiac surgery. Stroke 1993:24(3)A.
26. Sturtzenegger M., Beer J.H., Rihs F. Monitoring combined antithrombotic treatments in patients with prosthetic heart valves using transcranial Doppler and coagulation markers. Stroke. 26:1995;63-69.
27. Tong DC, Bolger A, Albers GW Incidence of transcranial Doppler detected cerebral microemboli in patients referred for echocardiography. Stroke. 25:1994;2138-2141.
28. Valton L., Larrue V., Arrué P., Géraud G., Bès A. Asymptomatic cerebral embolic signals in patients with carotid stenosis. Stroke. 26:1995;813-815.
29. Ward C.A., Mc Cullough D., Yee D., Stanga D., Fraser W.D. Complement activation involvement in decompression sickness of rabbits. Undersea Biomed Res. 17:1990;51-66.