A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients

Wouter W. Jansen Klomp, George J. Brandon Bravo Bruinsma, Arnoud W.J. van 't Hof, Jan G. Grandjean, Arno P. Nierich

    Research output: Contribution to journalReview articleAcademicpeer-review

    3 Citations (Scopus)
    23 Downloads (Pure)

    Abstract

    In patients undergoing cardiac surgery, use of perioperative screening for aortic atherosclerosis with modified TEE (A-View method) was associated with lower postoperative mortality, but not stroke, as compared to patients operated on without such screening. At the time of clinical implementation and validation, we did not yet standardize the indications for modified TEE and the changes in patient management in the presence of aortic atherosclerosis. Therefore, we designed a protocol, which combined the diagnosis of atherosclerosis of thoracic aorta and the subsequent considerations with respect to the intraoperative management and provides a systematic approach to reduce the risk of cerebral complications.

    Original languageEnglish
    Article number1874395
    JournalInternational journal of vascular medicine
    Volume2017
    DOIs
    Publication statusPublished - 2017

    Fingerprint

    Thoracic Surgery
    Atherosclerosis
    Thoracic Aorta
    Stroke
    Mortality

    Cite this

    Jansen Klomp, Wouter W. ; Brandon Bravo Bruinsma, George J. ; van 't Hof, Arnoud W.J. ; Grandjean, Jan G. ; Nierich, Arno P. / A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients. In: International journal of vascular medicine. 2017 ; Vol. 2017.
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    abstract = "In patients undergoing cardiac surgery, use of perioperative screening for aortic atherosclerosis with modified TEE (A-View method) was associated with lower postoperative mortality, but not stroke, as compared to patients operated on without such screening. At the time of clinical implementation and validation, we did not yet standardize the indications for modified TEE and the changes in patient management in the presence of aortic atherosclerosis. Therefore, we designed a protocol, which combined the diagnosis of atherosclerosis of thoracic aorta and the subsequent considerations with respect to the intraoperative management and provides a systematic approach to reduce the risk of cerebral complications.",
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    A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients. / Jansen Klomp, Wouter W.; Brandon Bravo Bruinsma, George J.; van 't Hof, Arnoud W.J.; Grandjean, Jan G.; Nierich, Arno P.

    In: International journal of vascular medicine, Vol. 2017, 1874395, 2017.

    Research output: Contribution to journalReview articleAcademicpeer-review

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    T1 - A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients

    AU - Jansen Klomp, Wouter W.

    AU - Brandon Bravo Bruinsma, George J.

    AU - van 't Hof, Arnoud W.J.

    AU - Grandjean, Jan G.

    AU - Nierich, Arno P.

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    N2 - In patients undergoing cardiac surgery, use of perioperative screening for aortic atherosclerosis with modified TEE (A-View method) was associated with lower postoperative mortality, but not stroke, as compared to patients operated on without such screening. At the time of clinical implementation and validation, we did not yet standardize the indications for modified TEE and the changes in patient management in the presence of aortic atherosclerosis. Therefore, we designed a protocol, which combined the diagnosis of atherosclerosis of thoracic aorta and the subsequent considerations with respect to the intraoperative management and provides a systematic approach to reduce the risk of cerebral complications.

    AB - In patients undergoing cardiac surgery, use of perioperative screening for aortic atherosclerosis with modified TEE (A-View method) was associated with lower postoperative mortality, but not stroke, as compared to patients operated on without such screening. At the time of clinical implementation and validation, we did not yet standardize the indications for modified TEE and the changes in patient management in the presence of aortic atherosclerosis. Therefore, we designed a protocol, which combined the diagnosis of atherosclerosis of thoracic aorta and the subsequent considerations with respect to the intraoperative management and provides a systematic approach to reduce the risk of cerebral complications.

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