Device-based prevention of neurological events in coronary artery bypass patients with calcified ascending aorta.

aortic calcification coronary artery bypass neuroprotection neuroprotective device perioperative stroke

Journal

Journal of cardiac surgery
ISSN: 1540-8191
Titre abrégé: J Card Surg
Pays: United States
ID NLM: 8908809

Informations de publication

Date de publication:
Dec 2021
Historique:
revised: 28 08 2021
received: 03 08 2021
accepted: 14 09 2021
pubmed: 22 9 2021
medline: 3 11 2021
entrez: 21 9 2021
Statut: ppublish

Résumé

Patients with severely calcified aorta undergoing conventional cardiac surgery are at increased risk for postoperative neurologic deficits. Implementation of cerebroprotective devices may substantially reduce or even eliminate the risk of the adverse neurologic events, thus enabling surgical therapy, especially when interventional treatment cannot be considered an alternative option.

Identifiants

pubmed: 34547128
doi: 10.1111/jocs.16007
doi:

Types de publication

Case Reports

Langues

eng

Sous-ensembles de citation

IM

Pagination

4770-4772

Informations de copyright

© 2021 Wiley Periodicals LLC.

Références

Neumann FJ, Sousa-Uva M, Ahlsson A, et al. 2018 ESC/EACTS Guidelines on myocardial revascularization. Eur Heart J. 2019;40(2):87-165.
Snow T, Semple T, Duncan A, et al. 'Porcelain aorta': a proposed definition and classification of ascending aortic calcification. Open Heart. 2018;5(1):e000703.
Osaka S, Tanaka M. Strategy for porcelain ascending aorta in cardiac surgery. Ann Thorac Cardiovasc Surg. 2018;24(2):57-64.
Emmert MY, Grünenfelder J, Scherman J, et al. HEARTSTRING enabled no-touch proximal anastomosis for off-pump coronary artery bypass grafting: current evidence and technique. Interact Cardiovasc Thorac Surg. 2013;17(3):538-541.
Shroyer AL, Hattler B, Wagner TH, et al. Five-year outcomes after on-pump and off-pump coronary-artery bypass. N Engl J Med. 2017;377(7):623-632.
Kapadia SR, Kodali S, Makkar R, et al. Protection against cerebral embolism during transcatheter aortic valve replacement. J Am Coll Cardiol. 2017;69(4):367-377.
Mack MJ, Acker MA, Gelijns AC, et al. Effect of cerebral embolic protection devices on CNS infarction in surgical aortic valve replacement: a randomized clinical trial. JAMA. 2017;318(6):536-547.

Auteurs

Michal Szlapka (M)

Clinic for Cardiac Surgery, Asklepios Klinikum Harburg, Hamburg, Germany.

Philipp Peitsmeyer (P)

Clinic for Cardiology, Asklepios Klinikum Harburg, Hamburg, Germany.

Stefanie Halder (S)

Clinic for Cardiac Surgery, Asklepios Klinikum Harburg, Hamburg, Germany.

Oliver Natho (O)

Clinic for Diagnostic and Interventional Radiology and Neuroradiology of the Asklepios Klinikum Harburg, Hamburg, Germany.

Michael Lass (M)

Clinic for Cardiac Surgery, Asklepios Klinikum Harburg, Hamburg, Germany.

Thorsten Hanke (T)

Clinic for Cardiac Surgery, Asklepios Klinikum Harburg, Hamburg, Germany.

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