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Titolo:
Beating heart surgery: Why expect less central nervous system morbidity?
Autore:
Murkin, JM; Boyd, WD; Ganapathy, S; Adams, SJ; Peterson, RC;
Indirizzi:
Univ Western Ontario, Dept Anaesthesia, London Hlth Sci Ctr, London, ON N6A 5A5, Canada Univ Western Ontario London ON Canada N6A 5A5 London, ON N6A 5A5, Canada Univ Western Ontario, Dept Surg, London Hlth Sci Ctr, London, ON N6A 5A5, Canada Univ Western Ontario London ON Canada N6A 5A5 London, ON N6A 5A5, Canada
Titolo Testata:
ANNALS OF THORACIC SURGERY
fascicolo: 4, volume: 68, anno: 1999,
pagine: 1498 - 1501
SICI:
0003-4975(199910)68:4<1498:BHSWEL>2.0.ZU;2-G
Fonte:
ISI
Lingua:
ENG
Soggetto:
CORONARY-ARTERY BYPASS;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Life Sciences
Citazioni:
16
Recensione:
Indirizzi per estratti:
Indirizzo: Murkin, JM Univ Western Ontario, Dept Anaesthesia, London Hlth Sci Ctr, Univ Campus,339 Windermere Rd, London, ON N6A 5A5, Canada Univ Western Ontario Univ Campus,339 Windermere Rd London ON Canada N6A 5A5
Citazione:
J.M. Murkin et al., "Beating heart surgery: Why expect less central nervous system morbidity?", ANN THORAC, 68(4), 1999, pp. 1498-1501

Abstract

Background. The incidence and etiology of brain dysfunction after conventional coronary artery bypass surgery using cardiopulmonary bypass (CPB) are reviewed. Methods. Stroke rates and incidences of cognitive dysfunction from variousstudies are considered. Mechanisms of injury including cerebral embolization as detected by transcranial Doppler and retinal angiography, and imaging-based evidence for postoperative cerebral edema, are discussed. Preliminary results from a prospective clinical trial assessing cognitive dysfunctionafter beating heart versus conventional coronary artery bypass with CPB are discussed. Results. Initial evidence for lower overall postoperative morbidity, and for a lower incidence of cognitive dysfunction specifically, after nonpump coronary revascularization is presented. Conclusions. Beating heart surgery results in less potential for generation of cerebral emboli and appears to produce a lower incidence of cognitive dysfunction in both short- and intermediate-term postoperative follow-up periods as compared with conventional coronary artery bypass surgery using CPB. (C) 1999 by The Society of Thoracic Surgeons.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 22/09/20 alle ore 20:46:31