Reduced cerebral embolic signals in beating heart coronary surgery detected by transcranial Doppler ultrasound.

Abstract:

:Cerebral emboli detected by transcranial Doppler imaging were recorded in 20 patients undergoing multiple-vessel coronary artery bypass surgery, either with or without cardiopulmonary bypass, in a prospective unblinded comparative study. Emboli were recorded continuously from the time of pericardial incision until 10 min after the last aortic instrumentation. The numbers of coronary grafts and of aortic clampings were also documented. Patients undergoing revascularization with cardiopulmonary bypass had more emboli (median 79, range 38-876) per case compared with patients having off-pump surgery (median 3, range 0-18). No clinically detectable neurological deficits were seen in either group. Beating heart surgery is associated with fewer emboli than coronary surgery with cardiopulmonary bypass. Further research is necessary to determine whether a smaller number of emboli alters the incidence of neurological deficit after cardiac surgery.

journal_name

Br J Anaesth

authors

Watters MP,Cohen AM,Monk CR,Angelini GD,Ryder IG

doi

10.1093/bja/84.5.629

subject

Has Abstract

pub_date

2000-05-01 00:00:00

pages

629-31

issue

5

eissn

0007-0912

issn

1471-6771

pii

S0007-0912(17)38030-3

journal_volume

84

pub_type

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