Comparison of cerebral embolization during off-pump and on-pump coronary artery bypass surgery

Annals of Thoracic Surgery

Volumn 76, Issue 3, 2003, Pages 765-770

  Lund, Christian ^a   Hol, Per K ^b   Lundblad, Runar ^b   Fosse, Erik ^b   Sundet, Kjetil ^b   Tennøe, Bjørn ^b   Brucher, Rainer ^b   Russell, David ^b  

^a OSLO UNIVERSITY HOSPITAL   (Norway)

^b NONE

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; BRAIN EMBOLISM; BRAIN ISCHEMIA; CLINICAL TRIAL; COGNITION; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; CORONARY ARTERY BYPASS SURGERY; DOPPLER ECHOGRAPHY; FEMALE; HUMAN; INTERMETHOD COMPARISON; MAJOR CLINICAL STUDY; MALE; MICROEMBOLISM; NEUROLOGIC EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; OFF PUMP CORONARY SURGERY; ON PUMP CORONARY ARTERY BYPASS SURGERY; PEROPERATIVE COMPLICATION; POSTOPERATIVE PERIOD; PREOPERATIVE PERIOD; PRIORITY JOURNAL; RANDOMIZED CONTROLLED TRIAL; SURGICAL TECHNIQUE;

AGED; BRAIN; CORONARY ARTERY BYPASS; EMBOLIZATION, THERAPEUTIC; FEMALE; HUMANS; MAGNETIC RESONANCE IMAGING; MALE; MIDDLE AGED; POSTOPERATIVE CARE; PREOPERATIVE CARE; PROSPECTIVE STUDIES; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL;

EID: 0041330103     PISSN: 00034975     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0003-4975(03)00679-9     Document Type: Article

References (28)

1. Taylor KM. Brain damage during cardiopulmonary bypass. Ann Thorac Surg 1998;65:20-6.
2. Selnes OA, Goldsborough MA, Borowicz LM, McKhann GM. Neurobehavioural sequelae of cardiopulmonary bypass. Lancet 1999;353:1601-6.
3. Newman MF, Kirchner JL, Phillips-Bute B, et al. Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery. N Engl J Med 2001;344:395-402.
4. Seines OA, Royall RM, Grega MA, Borowicz LM Jr, Quaskey S, McKhann GM. Cognitive changes 5 years after coronary artery bypass grafting: is there evidence of late decline? Arch Neurol 2001;58:598-604.
5. Newman SP, Harrison MJG. Coronary-artery bypass surgery and the brain: persisting concerns. Lancet Neurology 2002;1:119-25.
6. Angelini GD, Taylor FC, Reeves BC, Ascione R. Early and midterm outcome after off-pump and on-pump surgery in beating heart against cardioplegic arrest studies (BHACAS 1 and 2): a pooled analysis of two randomised controlled trials. Lancet 2002;359:1194-9.
7. vanDijk D, Nierich AP, Jansen EWL, et al. Early outcome after off-pump versus on-pump coronary bypass surgery. Circulation 2001;104:1761-6.
8. Taggart DP, Browne SM, Halligan PW, Wade DT. Is cardiopulmonary bypass still the cause of cognitive dysfunction after cardiac operations? J Thorac Cardiovasc Surg 1999;118:414-21.
9. Watters MPR, Cohen AM, Monk CR, Angelini GD, Ryder IG. Reduced cerebral embolic signals in beating heart coronary surgery detected by transcranial Doppler ultrasound. Br J Anaesth 2000;84:629-31.
10. Bowles BJ, Lee JD, Dang CR, et al. Coronary artery bypass performed without the use of cardiopulmonary bypass is associated with reduced cerebral microemboli and improved clinical results. Chest 2001;119:25-30.
11. Diegeler A, Hirsch R, Schneider F, et al. Neuromonitoring and neurocognitive outcome in off-pump versus conventional coronary bypass operation. Ann Thorac Surg 2000;69:1162-6.
12. BhaskerRao B, VanHimbergen D, Edmonds HL Jr, et al. Evidence for improved cerebral function after minimally invasive bypass surgery. J Card Surg 1998;13:27-31.
13. Ringelstein EB, Droste DW, Babikian VL, et al. Consensus on microembolus detection by TCD: international consensus group on microembolus detection. Stroke 1998;29:725-9.
14. Lezak M. Neuropsychological assessment (3rd edition). New York: Oxford University Press, 1995.
15. Brækken SK, Russell D, Brucher R, Abdelnoor M, Svennevig JL. Cerebral microembolic signals during cardiopulmonary bypass surgery. Frequency, time of occurrence, and association with patient and surgical characteristics. Stroke 1997;28:1988-92.
16. Blauth CL Macroemboli and microemboli during cardiopulmonary bypass. Ann Thorac Surg 1995;59:1300-3.
17. Sylivris S, Levi C, Matalanis G, et al. Pattern and significance of cerebral microemboli during coronary bypass grafting. Ann Thorac Surg 1998;66:1674-8.
18. Clark RE, Brillman J, Davis DA, Lovell MR, Price TRP, Magovern GJ. Microemboli during coronary artery bypass grafting. Genesis and effect on outcome. J Thorac Cardiovasc Surg 1995;109:249-58.
19. Kincaid EH, Jones TJ, Stump DA, et al. Processing scavenged blood with a cell saver reduces cerebral lipid microembolization. Ann Thorac Surg 2000;70:1296-00.
20. Haggag KJ, Russell D, Walday P, Skiphamn A, Torvik A. Air-filled ultrasound contrast agents do not damage the cerebral microvasculature or brain tissue in rats. Invest Radiol 1998;33:129-35.
21. Brown WR, Moody DM, Challa VR, Stump DA, Hammon JW. Longer duration of cardiopulmonary bypass is associated with greater numbers of cerebral microemboli. Stroke 2000;31:707-13.
22. Brucher R, Russell D. Automatic online embolus detection and artefact rejection with the first multifrequency transcranial Doppler. Stroke 2002;33:1969-74.
23. Russell D, Brucher R. Online automatic discrimination between solid and gaseous cerebral microemboli with the first multifrequency transcranial Doppler. Stroke 2002;33:1975-80.
24. Paparella D, Yau TM, Young E. Cardiopulmonary bypass induced inflammation: pathophysiology and treatment. An update. Eur J Cardiothorac Surg 2002;21:232-44.
25. Anderson RE, Li T-Q, Hindmarsh T, Settergren G, Vaage J. Increased extracellular brain water after coronary artery bypass grafting is avoided by off-pump surgery. J Cardiothorac Vasc Anesth 1999;13:698-02.
26. Lund C, Lundblad R, Fosse E, et al. Ventricular fibrillation during off-pump coronary artery bypass grafting: transcranial Doppler and clinical findings. Cerebrovasc Dis 2001;12:139-41.
27. Caplan LR, Hennerici M. Impaired clearance of emboli (washout) is an important link between hypoperfusion, embolism, and ischemic stroke. Arch Neurol 1998;55:1475-82.
28. Wityk RJ, Goldsborough MA, Hillis A, et al. Diffusion- and perfusion-weighted brain magnetic resonance imaging in patients with neurologic complications after cardiac surgery. Arch Neurol 2001;58:571-6.