TY - JOUR
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.
PY - 2017
Y1 - 2017
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.
UR - http://www.scopus.com/inward/record.url?scp=85028320882&partnerID=8YFLogxK
U2 - 10.1155/2017/1874395
DO - 10.1155/2017/1874395
M3 - Review article
AN - SCOPUS:85028320882
SN - 2090-2824
VL - 2017
JO - International journal of vascular medicine
JF - International journal of vascular medicine
M1 - 1874395
ER -
