A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients
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 an...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | International Journal of Vascular Medicine |
| Online Access: | http://dx.doi.org/10.1155/2017/1874395 |
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| author | Wouter W. Jansen Klomp George J. Brandon Bravo Bruinsma Arnoud W. J. Van ’t Hof Jan G. Grandjean Arno P. Nierich |
| author_facet | Wouter W. Jansen Klomp George J. Brandon Bravo Bruinsma Arnoud W. J. Van ’t Hof Jan G. Grandjean Arno P. Nierich |
| author_sort | Wouter W. Jansen Klomp |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-9c965a7f11c54efeaec10681e368aaaf |
| institution | Kabale University |
| issn | 2090-2824 2090-2832 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | International Journal of Vascular Medicine |
| spelling | doaj-art-9c965a7f11c54efeaec10681e368aaaf2025-02-03T01:26:52ZengWileyInternational Journal of Vascular Medicine2090-28242090-28322017-01-01201710.1155/2017/18743951874395A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery PatientsWouter W. Jansen Klomp0George J. Brandon Bravo Bruinsma1Arnoud W. J. Van ’t Hof2Jan G. Grandjean3Arno P. Nierich4Department of Cardiology, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, NetherlandsDepartment of Cardiothoracic Surgery, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, NetherlandsDepartment of Cardiology, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, NetherlandsMIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, P.O. Box 217, 7500 AE Enschede, NetherlandsDepartment of (Thoracic) Anesthesia and Intensive Care, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, NetherlandsIn 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.http://dx.doi.org/10.1155/2017/1874395 |
| spellingShingle | Wouter W. Jansen Klomp George J. Brandon Bravo Bruinsma Arnoud W. J. Van ’t Hof Jan G. Grandjean Arno P. Nierich A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients International Journal of Vascular Medicine |
| title | A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients |
| title_full | A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients |
| title_fullStr | A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients |
| title_full_unstemmed | A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients |
| title_short | A Protocol for Diagnosis and Management of Aortic Atherosclerosis in Cardiac Surgery Patients |
| title_sort | protocol for diagnosis and management of aortic atherosclerosis in cardiac surgery patients |
| url | http://dx.doi.org/10.1155/2017/1874395 |
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