Single aortic clamping in coronary artery bypass surgery reduces cerebral embolism and improves neurocognitive outcomes

H Gasparovic, M Borojevic, B Malojcic… - Vascular …, 2013 - journals.sagepub.com
Aortic manipulation releases embolic material, thereby enhancing the probability of adverse
neurologic outcomes following coronary artery bypass grafting (CABG). We prospectively
evaluated 59 patients undergoing CABG. Patients in the single (SC, n= 37) and multiple
clamp (MC, n= 22) groups were comparable in relation to age and operative risk (p> 0.05).
Neurocognitive evaluation consisted of the Auditory Verbal Learning Test (AVLT), Color
Trails Test A, the Grooved Pegboard test and the Mini-Mental State Examination. Data …

Single aortic clamping during coronary artery bypass surgery reduces cerebral embolism and improves neurocognitive outcomes

M Borojevic, H Gašparović, B Malojčić… - Journal of …, 2013 - Springer
Background Aortic manipulation is responsible for the release of variable amounts of
embolic material into the circulation, thereby enhancing the probability of neurologic injury.
In the present study, transcranial Doppler (TCD) imaging was used to quantify the embolic
load of patients undergoing CABG in relation to different aortic clamping strategies. Methods
59 patients undergoing elective CABG were prospectively evaluated. Two groups of patients
were formed, based upon the aortic clamping strategy utilized to achieve myocardial …
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