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Gaseous and solid cerebral microembolization during proximal aortic anastomoses in off-pump coronary surgery: the effect of an aortic side-biting clamp and two clampless devices.

Abstract:

OBJECTIVES: Intraoperative cerebral microembolism is a cause of cerebral dysfunction after cardiac surgery, and particulate microemboli are the most damaging. Using a new-generation transcranial Doppler ultrasound, we compared the number and nature of microemboli in patients undergoing off-pump coronary artery bypass grafting during performance of proximal anastomoses with three techniques: an aortic side-biting clamp and two clampless devices (the Enclose II device [Novare Surgical Systems,...

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Publication status:
Published

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Publisher copy:
10.1016/j.jtcvs.2006.10.002

Authors


Guerrieri Wolf, L More by this author
Abu-Omar, Y More by this author
Choudhary, BP More by this author
More by this author
Institution:
University of Oxford
Department:
Oxford, MSD, Surgical Sciences
Journal:
The Journal of thoracic and cardiovascular surgery
Volume:
133
Issue:
2
Pages:
485-493
Publication date:
2007-02-05
DOI:
EISSN:
1097-685X
ISSN:
0022-5223
URN:
uuid:0cd84f0e-d458-48e9-983b-87729b609a55
Source identifiers:
141200
Local pid:
pubs:141200

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