Routine Intraoperative Transesophageal Echocardiography Identifies Patients with Atheromatous Aortas: Impact on "Off-pump" Coronary Artery Bypass and Perioperative Stroke

Journal of the American Society of Echocardiography

Volumn 16, Issue 7, 2003, Pages 751-755

  Grossi, Eugene A ^b   Bizekis, Costas S ^c   Sharony, Ram ^c   Saunders, Paul C ^c   Galloway, Aubrey C ^c   LaPietra, Angelo ^c   Applebaum, Robert M ^a   Esposito, Rick A ^c   Ribakove, Greg H ^c   Culliford, Alfred T ^c   Kanchuger, Marc ^a   Kronzon, Itzhak ^a   Colvin, Stephen B ^c  

^a NEW YORK UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b NEW YORK UNIVERSITY MEDICAL CENTER   (United States)

^c NONE

Author keywords

[No Author keywords available]

Indexed keywords

ACUTE HEART INFARCTION; ADULT; AGE; AGED; AORTA ATHEROSCLEROSIS; ARTICLE; ATHEROSCLEROTIC PLAQUE; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; CORRELATION ANALYSIS; DISEASE SEVERITY; EVALUATION; FEMALE; HEART LEFT VENTRICLE EJECTION FRACTION; HIGH RISK PATIENT; HUMAN; KIDNEY DISEASE; MAJOR CLINICAL STUDY; MALE; MULTIVARIATE ANALYSIS; NEUROLOGIC DISEASE; PERIOPERATIVE PERIOD; PEROPERATIVE ECHOGRAPHY; RISK ASSESSMENT; SEX DIFFERENCE; STROKE; SURGICAL MORTALITY; SURGICAL RISK; SURGICAL TECHNIQUE; TRANSESOPHAGEAL ECHOCARDIOGRAPHY; AORTA DISEASE; ARTERIOSCLEROSIS; CASE CONTROL STUDY; CEREBROVASCULAR ACCIDENT; ECHOGRAPHY; METHODOLOGY; MORTALITY; PEROPERATIVE CARE; POSTOPERATIVE COMPLICATION; RETROSPECTIVE STUDY; RISK FACTOR;

AGED; AORTIC DISEASES; ARTERIOSCLEROSIS; CASE-CONTROL STUDIES; CEREBROVASCULAR ACCIDENT; CORONARY ARTERY BYPASS; ECHOCARDIOGRAPHY, TRANSESOPHAGEAL; FEMALE; HOSPITAL MORTALITY; HUMANS; INTRAOPERATIVE CARE; MALE; MULTIVARIATE ANALYSIS; NERVOUS SYSTEM DISEASES; POSTOPERATIVE COMPLICATIONS; RETROSPECTIVE STUDIES; RISK ASSESSMENT; RISK FACTORS;

EID: 0043211697     PISSN: 08947317     EISSN: None     Source Type: Journal    
DOI: 10.1016/S0894-7317(03)00284-0     Document Type: Article

References (18)

1. Ribakove GH, Katz ES, Galloway AC, Grossi EA, Esposito RA, Baumann FG, et al. Surgical implications of transesophageal echocardiography to grade the atheromatous aortic arch. Ann Thorac Surg 1992;53:758-63.
2. Roach GW, Kanchuger M, Mangano CM, Newman M, Nussmeier N, Wolman R, et al. Adverse cerebral outcomes after coronary bypass surgery: multicenter study of perioperative ischemia research group and the ischemia research and education foundation investigators. N Engl J Med 1996;335:1857-63.
3. Culliford AT, Colvin SB, Rohrer K, Baumann FG, Spencer FC. The atherosclerotic ascending aorta and transverse arch: a new technique to prevent cerebral injury during bypass; experience with 13 patients. Ann Thorac Surg 1986;41:27-35.
4. Grossi EA, Kanchuger MS, Schwartz DS, McLoughlin DE, LeBoutillier M 3rd, Ribakove GH, et al. Effect of cannula length on aortic arch flow: protection of the atheromatous aortic arch. Ann Thorac Surg 1995;59:710-2.
5. Stern A, Tunick PA, Culliford AT, Lachmann J, Baumann FG, Kanchuger MS, et al. Protruding aortic arch atheromas: risk of stroke during heart surgery with and without aortic arch endarterectomy. Am Heart J 1999;138:746-52.
6. Arom KV, Emery RW, Flavin TF, Petersen RJ. Cost-effectiveness of minimally invasive coronary artery bypass surgery. Ann Thorac Surg 1999;68:1562-6.
7. Arom KV, Flavin TF, Emery RW, Kshettry VR, Janey PA, Petersen RJ. Safety and efficacy of off-pump coronary artery bypass grafting. Ann Thorac Surg 2000;69:704-10.
8. Buffolo E, Andrade JC, Branco JN, Aguiar LF, Ribeiro EE, Jatene AD. Myocardial revascularization without extracorporeal circulation: 7-year experience in 593 cases. Eur J Cardiothorac Surg 1990;4:504-8.
9. Benetti FJ, Naselli G, Wood M, Geffner L. Direct myocardial revascularization without extracorporeal circulation: experience in 700 patients. Chest 1991;100:312-6.
10. Katz ES, Tunick PA, Rusinek H, Ribakove G, Spencer FC, Kronzon I. Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: experience with intraoperative transesophageal echocardiography. J Am Coll Cardiol 1992;20:70-7.
11. Marschall K, Kanchuger M, Kessler K, Grossi E, Yarmush L, Roggen S, et al. Superiority of transesophageal echocardiography in detecting aortic arch atheromatous disease: identification of patients at increased risk of stroke during cardiac surgery. J Cardiothorac Vasc Anesth 1994;8:5-13.
12. Ohteki H, Itoh T, Natsuaki M, Minato N, Suda H. Intraoperative ultrasonic imaging of the ascending aorta in ischemic heart disease. Ann Thorac Surg 1990;50:539-42.
13. Hosoda Y, Watanabe M, Hirooka Y, Ohse Y, Tanaka A, Watanabe T. Significance of atherosclerotic changes of the ascending aorta during coronary bypass surgery with intraoperative detection by echocardiography. J Cardiovasc Surg (Torino) 1991;32:301-6.
14. Wareing TH, Davila-Roman VG, Daily BB, Murphy SF, Schechtman KB, Barzilai B, et al. Strategy for the reduction of stroke incidence in cardiac surgical patients. Ann Thorac Surg 1993;55:1400-8.
15. McKay RG, Mennett RA, Gallagher KC, Horowitz L, Takata H, Low HB, et al. A comparison of on-pump vs off-pump coronary artery bypass surgery among low, intermediate, and high-risk patients: the Hartford Hospital experience. Conn Med 2001;65:515-21.
16. Arom KV, Flavin TF, Emery RW, Kshettry VR, Petersen RJ, Janey PA. Is low ejection fraction safe for off-pump coronary bypass operation? Ann Thorac Surg 2000;70:1021-5.
17. Al-Ruzzeh S, George S, Yacoub M, Amrani M. The clinical outcome of off-pump coronary artery bypass surgery in the elderly patients. Eur J Cardiothorac Surg 2001;20:1152-6.
18. Cleveland JC Jr, Shroyer AL, Chen AY, Peterson E, Grover FL. Off-pump coronary artery bypass grafting decreases risk-adjusted mortality and morbidity. Ann Thorac Surg 2001;72:1282-9.