Solid and gaseous cerebral microembolization during off-pump, on-pump, and open cardiac surgery procedures Yasir Abu-Omar, MRCS, Lognathen Balacumaraswami,

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Presentation transcript:

Solid and gaseous cerebral microembolization during off-pump, on-pump, and open cardiac surgery procedures Yasir Abu-Omar, MRCS, Lognathen Balacumaraswami, FRCS, David W Pigott, FRCA, Paul M Matthews, MD, DPhil, FRCP, David P Taggart, MD, PhD, FRCS The Journal of Thoracic and Cardiovascular Surgery Volume 127, Issue 6, Pages 1759-1765 (June 2004) DOI: 10.1016/j.jtcvs.2003.09.048

Figure 1A HITS seen after aortic crossclamp removal. The top and bottom traces represent the 2.0 and 2.5 MHz middle cerebral artery gates, respectively. The middle trace represents the 2.0 MHz reference gate. Figure 1B Rejection of artifacts and differentiation into gaseous and solid microemboli during off-line analysis. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1759-1765DOI: (10.1016/j.jtcvs.2003.09.048)

Figure 1A HITS seen after aortic crossclamp removal. The top and bottom traces represent the 2.0 and 2.5 MHz middle cerebral artery gates, respectively. The middle trace represents the 2.0 MHz reference gate. Figure 1B Rejection of artifacts and differentiation into gaseous and solid microemboli during off-line analysis. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1759-1765DOI: (10.1016/j.jtcvs.2003.09.048)

Figure 2 Gaseous and solid microembolization during the course of OPCABG. LAD, Left anterior descending; OM, obtuse marginal; PDA, posterior descending artery. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1759-1765DOI: (10.1016/j.jtcvs.2003.09.048)

Figure 3 Gaseous and solid microembolization during the course of ONCABG. CPB, Cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1759-1765DOI: (10.1016/j.jtcvs.2003.09.048)

Figure 4 Gaseous and solid microembolization during the course of an open procedure. CPB, Cardiopulmonary bypass. The Journal of Thoracic and Cardiovascular Surgery 2004 127, 1759-1765DOI: (10.1016/j.jtcvs.2003.09.048)