Solid and gaseous cerebral microembolization during off-pump, on-pump, and open cardiac surgery procedures

Journal of Thoracic and Cardiovascular Surgery

Volumn 127, Issue 6, 2004, Pages 1759-1765

  Abu Omar, Yasir ^a   Balacumaraswami, Lognathen ^a   Pigott, David W ^a   Matthews, Paul M ^a   Taggart, David P ^a  

^a JOHN RADCLIFFE HOSPITAL   (United Kingdom)

Author keywords

[No Author keywords available]

Indexed keywords

ADULT; AGED; ARTICLE; ARTIFICIAL EMBOLISM; BRAIN INJURY; CANNULATION; CARDIOPULMONARY BYPASS; CLINICAL ARTICLE; COGNITIVE DEFECT; DOPPLER ECHOGRAPHY; FEMALE; GAS; HEART SURGERY; HUMAN; INTRAOPERATIVE PERIOD; MALE; MIDDLE CEREBRAL ARTERY; MONITORING; NEUROPROTECTION; OFF PUMP CORONARY SURGERY; OFF PUMP SURGERY; ON PUMP CORONARY ARTERY BYPASS GRAFTING; ON PUMP SURGERY; PRIORITY JOURNAL; SOLID; SURGICAL TECHNIQUE;

EID: 2642566141     PISSN: 00225223     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.jtcvs.2003.09.048     Document Type: Article

References (23)

1. 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.
2. Browne SM, Halligan PW, Wade DT, Taggart DP. Cognitive performance after cardiac operation: implications of regression toward the mean. J Thorac Cardiovasc Surg. 1999;117:481-5.
3. Taggart DP, Westaby S. Neurological and cognitive disorders after coronary artery bypass grafting. Curr Opin Cardiol. 2001;16:271-6.
4. van Dijk D, Keizer AM, Diephuis JC, Durand C, Vos LJ, Hijman R. Neurocognitive dysfunction after coronary artery bypass surgery: a systematic review. J Thorac Cardiovasc Surg. 2000;120:632-9.
5. Newman MF, Kirchner JL, Phillips-Bute B, Gaver V, Grocott H, Jones RH, et al. Longitudinal assessment of neurocognitive function after coronary-artery bypass surgery. N Engl J Med. 2001;344:395-402.
6. Newman MF, Grocott HP, Mathew JP, White WD, Landolfo K, Reves JG, et al. Report of the substudy assessing the impact of neurocognitive function on quality of life 5 years after cardiac surgery. Stroke. 2001;32:2874-81.
7. Pugsley W, Klinger L, Paschalis C, Treasure T, Harrison M, Newman S. The impact of microemboli during cardiopulmonary bypass on neuropsychological functioning. Stroke. 1994;25:1393-9.
8. Brucher R, Russell D. Automatic online embolus detection and artifact rejection with the first multifrequency transcranial Doppler. Stroke. 2002;33:1969-74.
9. Russell D, Brucher R. Online automatic discrimination between solid and gaseous cerebral microemboli with the first multifrequency transcranial Doppler. Stroke. 2002;33:1975-80.
10. Diegeler A, Hirsch R, Schneider F, Schilling LO, Falk V, Rauch T, et al. Neuromonitoring and neurocognitive outcome in off-pump versus conventional coronary bypass operation. Ann Thorac Surg. 2000;69:1162-6.
11. Stump DA, Rogers AT, Hammon JW, Newman SP. Cerebral emboli and cognitive outcome after cardiac surgery. J Cardiothorac Vasc Anesth. 1996;10:113-9.
12. Sylivris S, Levi C, Matalanis G, Rosalion A, Buxton BF, Mitchell A, et al. Pattern and significance of cerebral microemboli during coronary artery bypass grafting. Ann Thorac Surg. 1998;66:1674-8.
13. 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.
14. Zamvar V, Williams D, Hall J, Payne N, Cann C, Young K, et al. Assessment of neurocognitive impairment after off-pump and on-pump techniques for coronary artery bypass graft surgery: prospective randomised controlled trial. BMJ. 2002;325:1268.
15. Ricci M, Karamanoukian HL, Abraham R, Von Fricken K, D'Ancona G, Choi S, et al. Stroke in octogenarians undergoing coronary artery surgery with and without cardiopulmonary bypass. Ann Thorac Surg. 2000;69:1471-5.
16. Kim KB, Kang CH, Chang WI, Lim C, Kim JH, Ham BM, et al. Off-pump coronary artery bypass with complete avoidance of aortic manipulation. Ann Thorac Surg. 2002;74:S1377-82.
17. Meacham RR 3rd, Headley AS, Bronze MS, Lewis JB, Rester MM. Impending paradoxical embolism. Arch Intern Med. 1998;158:438-48.
18. Sulek CA, Davies LK, Enneking FK, Gearen PA, Lobato EB. Cerebral microembolism diagnosed by transcranial Doppler during total knee arthroplasty: correlation with transesophageal echocardiography. Anesthesiology. 1999;91:672-6.
19. Edmonds CR, Barbut D, Hager D, Sharrock NE. Intraoperative cerebral arterial embolization during total hip arthroplasty. Anesthesiology. 2000;93:315-8.
20. Barbut D, Hinton RB, Szatrowski TP, Hartman GS, Bruefach M, Williams-Russo P, et al. Cerebral emboli detected during bypass surgery are associated with clamp removal. Stroke. 1994;25:2398-402.
21. Brooker RF, Brown WR, Moody DM, Hammon JW Jr, Reboussin DM, Deal DD, et al. Cardiotomy suction: a major source of brain lipid emboli during cardiopulmonary bypass. Ann Thorac Surg. 1998;65:1651-5.
22. Blauth CI. Macroemboli and microemboli during cardiopulmonary bypass. Ann Thorac Surg. 1995;59:1300-3.
23. Tingleff J, Joyce FS, Pettersson G. Intraoperative echocardiographic study of air embolism during cardiac operations. Ann Thorac Surg. 1995;60:673-7.