Asymmetric cerebral embolic load and postoperative cognitive dysfunction in cardiac surgery

Cerebrovascular Diseases

Volumn 23, Issue 1, 2007, Pages 50-56

  Bokeriia, Leo A ^a   Golukhova, Elena Z ^a   Breskina, Nataliya Y ^a   Polunina, Anna G ^a,b   Davydov, Dmitry M ^b   Begachev, Alexey V ^c   Kazanovskaya, Svetlana N ^a  

^a Russian Academy of Medical Sciences   (Russian Federation)

^b Moscow Research Practical Center for Prevention of Drug Addiction   (Russian Federation)

^c Medical Center   (Russian Federation)

Author keywords

Brain ischemia; Cardiopulmonary bypass; Cognitive dysfunction, postoperative; Microemboli

Indexed keywords

ADULT; AGED; ARTICLE; ATHEROSCLEROSIS; BRAIN EMBOLISM; CLINICAL ARTICLE; COGNITIVE DEFECT; CONTROLLED STUDY; CORONARY ARTERY BYPASS GRAFT; CORRELATION ANALYSIS; DOPPLER ECHOGRAPHY; FEMALE; HEART SURGERY; HUMAN; MALE; MEMORY DISORDER; MIDDLE CEREBRAL ARTERY; NEUROPSYCHOLOGICAL TEST; OPEN HEART SURGERY; PEROPERATIVE COMPLICATION; POSTOPERATIVE COMPLICATION; PRIORITY JOURNAL; STATISTICAL SIGNIFICANCE; SURGICAL TECHNIQUE; VERBAL MEMORY;

ADOLESCENT; ADULT; AGED; AORTIC DISEASES; ATHEROSCLEROSIS; CARDIAC SURGICAL PROCEDURES; CARDIOPULMONARY BYPASS; COGNITION DISORDERS; COHORT STUDIES; CORONARY ARTERY BYPASS; FEMALE; FUNCTIONAL LATERALITY; HEART DISEASES; HUMANS; INFARCTION, MIDDLE CEREBRAL ARTERY; INTRACRANIAL EMBOLISM; MALE; MEMORY DISORDERS; MIDDLE AGED; MIDDLE CEREBRAL ARTERY; TIME FACTORS; ULTRASONOGRAPHY, DOPPLER, TRANSCRANIAL; ULTRASONOGRAPHY, INTERVENTIONAL;

EID: 33846288888     PISSN: 10159770     EISSN: None     Source Type: Journal    
DOI: 10.1159/000095759     Document Type: Article

References (22)

1. Clark RE, Brillman J, Davis DA, Lovell MR, Price TR, Magovern GJ: Microemboli during coronary artery bypass grafting: GENESIS and effect on outcome. J Thorac Cardiovasc Surg 1995;109:249-257.
2. Jacobs A, Neveling M, Horst M, Ghaemi M, Kessler J, Eichstaedt H, Rudolf J, Model P, Bönner H, de Vivie ER, Heiss WD: Alterations of neuropsychological function and cerebral glucose metabolism after cardiac surgery are not related only to intraoperative microembolic events. Stroke 1998;29:660-667.
3. Neville MJ, Butterworth J, James RL, Hammon JW, Stump DA: Similar neurobehavioral outcome after valve or coronary artery operations despite differing carotid embolic counts. J Thorac Cardiovasc Surg 2001;121:125-136.
4. Lee JD, Lee SJ, Tsushima WT, Yamauchi H, Lau WT, Popper J, Stein A, Johnson D, Lee D, Petrovitch H, Dang CR: Benefits of off-pump bypass on neurologic and clinical morbidity: a prospective randomized trial. Ann Thorac Surg 2003;76:18-26.
5. Bokeriia LA, Golukhova EZ, Polunina AG, Davydov DM, Begachev AV: Neural correlates cognitive dysfunction after cardiac surgery. Brain Res Brain Res Rev 2005;50:266-274.
6. Borger MA, Peniston CM, Weisel RD, Vasiliou M, Green REA, Feindel CM: Neuropsychologic impairment after coronary bypass surgery: effect of gaseous microemboli during perfusionist interventions. J Thorac Cardiovasc Surg 2001; 121: 743-749.
7. Fearn SJ, Pole R, Wesnes K, Faragher EB, Hooper TL, McCollum CN: Cerebral injury during cardiopulmonary bypass: emboli impair memory. J Thorac Cardiovasc Surg 2001;121:1150-1160.
8. Atochin DN, Murciano JC, Gürsoy-Ozdemir Y, Krasik T, Noda F, Ayata C, Dunn AK, Moskowitz MA, Huang PL, Muzykantov VR: Mouse model of microembolic stroke and reperfusion. Stroke 2004;35:2177-2182.
9. Caplan LR, Hennerici M: Impaired clearance of emboli (washout) is an important link between hypoperfusion, embolism, and ischemic stroke. Arch Neurol 1998;55:1475-1482.
10. Caplan LR, Wong KS, Gao S, Hennerici MG: Is hypoperfusion an important cause of strokes? If so, how? Cerebrovasc Dis 2006;21:145-153.
11. Selnes OA, Goldsborough MA, Borowicz LM, Enger C, Quaskey SA, McKhann GM: Determinants of cognitive change after coronary artery bypass surgery: a multifactorial problem. Ann Thorac Surg 1999;67:1669-1676.
12. Filimonenko Y, Timofeev V: Manual for the Russian Version of the Wechsler Adult Intelligence Scale (adapted in 1995). Saint Petersburg, Imaton, 1995.
13. Folstein MF, Folstein S, McHugh PR: Minimental state: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975;12:189.
14. Mosolov SN: Scales of Psychometric Evaluation of Schizophrenia Symptoms, and Conception of Positive and Negative Signs. Moscow, ZAO Noviy zvet, 2001.
15. Polunina AG, Davydov DM: EEG correlates of Wechsler Adult Intelligence Scale. Int J Neurosci, in press.
16. Shallice T: Specific impairments of planning. Philos Trans R Soc Lond B Biol Sci 1982;298:199-209.
17. Rasmussen LS, Sperling B, Abildstrom HH, Moller JT: Neuron loss after coronary artery bypass detected by SPECT estimation of benzodiazepine receptors. Ann Thorac Surg 2002;74:1576-1580.
18. Weinstein GS: Left hemispheric strokes in coronary surgery: implications for end-hole aortic cannulas. Ann Thorac Surg 2001;71:128-132.
19. Leker RR, Pollak A, Abramsky O, Ben-Hur T: Abundance of left hemispheric embolic strokes complicating coronary angiography and PTCA. J Neurol Neurosurg Psychiatry 1999;66:116-117.
20. Bergh C, Bäckström M, Jönsson H, Havinder L, Johnsson P: In the eye of both patient and spouse: memory is poor 1 to 2 years after coronary bypass and angioplasty. Ann Thorac Surg 2002;74:689-694.
21. Tardiff BE, Newman MF, Saunders AM, Strittmatter WJ, Blumenthal JA, White WD, Croughwell ND, Davis RD Jr, Roses AD, Reves JG: Preliminary report of a genetic bases for cognitive decline after cardiac operations. Ann Thorac Surg 1997;64:715-720.
22. Robson MJA, Alston RP, Andrews PJD, Wenham PR, Souter MJ, Deary IJ: Apolipoprotein E and neurocognitive outcome from coronary artery surgery. J Neurol Neurosurg Psychiatry 2002;72:675-680.