Protecting the Brains of Patients After Heart Surgery

Delayed hyperbaric oxygen therapy for air emboli after open heart surgery: case report and review of a success story

“…However, there is some evidence that procedures with cardio-pulmonary bypass are more at risk of stroke as opposed to “beating heart” cardiac surgery [14–17]. Valvular replacement surgery is also a greater risk since the ventricle is opened as opposed to coronary artery bypass grafting [8, 11, 12, 18]. Along that line, another risk factor described is any surgery in which the left ventricle and/or the aorta is opened [5].…”

Delayed hyperbaric oxygen therapy for air emboli after open heart surgery: case report and review of a success story

“…However, there is some evidence that procedures with cardio-pulmonary bypass are more at risk of stroke as opposed to “beating heart” cardiac surgery [14–17]. Valvular replacement surgery is also a greater risk since the ventricle is opened as opposed to coronary artery bypass grafting [8, 11, 12, 18]. Along that line, another risk factor described is any surgery in which the left ventricle and/or the aorta is opened [5].…”

Assessment of the emergence of Alzheimer's disease following coronary artery bypass graft surgery or percutaneous transluminal coronary angioplasty1

“…The development of more mild forms of cognitive impairment, most typically defined as POCD, is well documented following cardiac surgery in short and long-term studies [7][8][9][19][20][21]. The factors which contribute to the genesis of POCD may include the effects of relative hypotension, inflammation and various thromboembolic phenomenon (e.g., emboli of atherosclerotic debris, gaseous or synthetic material;reinfusion of vaporized fat, sternal marrow) [9,22,23].…”

Solid or Gaseous Circulating Brain Emboli: Are They Separable by Transcranial Ultrasound?

“…Consequently, brain protection during CABG or CEA has high priority for all vascular surgeons. The entry of microemboli into the cerebral circulation seems to be one of the major causes of stroke or cognitive disorders in the course of CABG or CEA (Ackerstaff et al, 2000;Brillman, 1999;Caplan, 2001;Mark and Newman, 2002;Newman et al, 2001a;Selnes et al, 2001;Stump and Kashemi;. TCD offers the only opportunity to detect embolic particulate matter (Grotta and Alexandrov, 2001).…”

“…In CABG and CEA, despite considerable progress accomplished during the last decades, stroke and cognitive disorders remain the cause of significant morbidity (Ackerstaff et al, 2000;Caplan, 2001;Newman et al, 2001a;Selnes et al, 2001). Consequently, brain protection during CABG or CEA has high priority for all vascular surgeons.…”

Delayed hyperbaric oxygen therapy for air emboli after open heart surgery: case report and review of a success story

“…However, there is some evidence that procedures with cardio-pulmonary bypass are more at risk of stroke as opposed to “beating heart” cardiac surgery [14–17]. Valvular replacement surgery is also a greater risk since the ventricle is opened as opposed to coronary artery bypass grafting [8, 11, 12, 18]. Along that line, another risk factor described is any surgery in which the left ventricle and/or the aorta is opened [5].…”

Assessment of the emergence of Alzheimer's disease following coronary artery bypass graft surgery or percutaneous transluminal coronary angioplasty1

“…The development of more mild forms of cognitive impairment, most typically defined as POCD, is well documented following cardiac surgery in short and long-term studies [7][8][9][19][20][21]. The factors which contribute to the genesis of POCD may include the effects of relative hypotension, inflammation and various thromboembolic phenomenon (e.g., emboli of atherosclerotic debris, gaseous or synthetic material;reinfusion of vaporized fat, sternal marrow) [9,22,23].…”

Solid or Gaseous Circulating Brain Emboli: Are They Separable by Transcranial Ultrasound?

“…Consequently, brain protection during CABG or CEA has high priority for all vascular surgeons. The entry of microemboli into the cerebral circulation seems to be one of the major causes of stroke or cognitive disorders in the course of CABG or CEA (Ackerstaff et al, 2000;Brillman, 1999;Caplan, 2001;Mark and Newman, 2002;Newman et al, 2001a;Selnes et al, 2001;Stump and Kashemi;. TCD offers the only opportunity to detect embolic particulate matter (Grotta and Alexandrov, 2001).…”

“…In CABG and CEA, despite considerable progress accomplished during the last decades, stroke and cognitive disorders remain the cause of significant morbidity (Ackerstaff et al, 2000;Caplan, 2001;Newman et al, 2001a;Selnes et al, 2001). Consequently, brain protection during CABG or CEA has high priority for all vascular surgeons.…”

Delayed hyperbaric oxygen therapy for air emboli after open heart surgery: case report and review of a success story

“…However, there is some evidence that procedures with cardio-pulmonary bypass are more at risk of stroke as opposed to “beating heart” cardiac surgery [14–17]. Valvular replacement surgery is also a greater risk since the ventricle is opened as opposed to coronary artery bypass grafting [8, 11, 12, 18]. Along that line, another risk factor described is any surgery in which the left ventricle and/or the aorta is opened [5].…”

Assessment of the emergence of Alzheimer's disease following coronary artery bypass graft surgery or percutaneous transluminal coronary angioplasty1

“…The development of more mild forms of cognitive impairment, most typically defined as POCD, is well documented following cardiac surgery in short and long-term studies [7][8][9][19][20][21]. The factors which contribute to the genesis of POCD may include the effects of relative hypotension, inflammation and various thromboembolic phenomenon (e.g., emboli of atherosclerotic debris, gaseous or synthetic material;reinfusion of vaporized fat, sternal marrow) [9,22,23].…”

Solid or Gaseous Circulating Brain Emboli: Are They Separable by Transcranial Ultrasound?

“…Consequently, brain protection during CABG or CEA has high priority for all vascular surgeons. The entry of microemboli into the cerebral circulation seems to be one of the major causes of stroke or cognitive disorders in the course of CABG or CEA (Ackerstaff et al, 2000;Brillman, 1999;Caplan, 2001;Mark and Newman, 2002;Newman et al, 2001a;Selnes et al, 2001;Stump and Kashemi;. TCD offers the only opportunity to detect embolic particulate matter (Grotta and Alexandrov, 2001).…”

“…In CABG and CEA, despite considerable progress accomplished during the last decades, stroke and cognitive disorders remain the cause of significant morbidity (Ackerstaff et al, 2000;Caplan, 2001;Newman et al, 2001a;Selnes et al, 2001). Consequently, brain protection during CABG or CEA has high priority for all vascular surgeons.…”