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1
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Affiliation(s)
- Robert A Lancey
- Bassett Heart Care Institute, Mary Imogene Bassett Hospital, Cooperstown, New York, USA
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2
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Murkin JM, Boyd WD, Ganapathy S, Adams SJ, Peterson RC, Morgan J, Lok P. Neuroprotection During CPB: From Mechanisms to Interventions. Semin Cardiothorac Vasc Anesth 2002. [DOI: 10.1177/108925320200600103] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The incidence and etiology of brain dysfunction after conventional coronary artery bypass surgery using cardiopulmonary bypass are reviewed. Stroke rates and incidences of cognitive dysfunction from various studies are considered. Mechanisms of injury including cerebral embolization as detected by transcranial Doppler and evidence for postoperative cerebral edema are discussed. Evidence for lower overall postoperative morbidity, and for a lower incidence of cognitive dysfunction specifically, after nonpump coronary revascularization is presented.
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Affiliation(s)
- John M. Murkin
- Department of Anesthesia, University Hospital Campus-London Health Sciences Center, University of Western Ontario, London, Ontario, Canada; Department of Anesthesiology and Perioperative Medicine, University Hospital Campus-LHSC, 339 Windermere Rd., London, Ontario, Canada N6A 5A5
| | - W. Douglas Boyd
- Department of Surgery, University Hospital Campus-London Health Sciences Center, University of Western Ontario, London, Ontario, Canada
| | | | | | | | | | - Peter Lok
- Department of Anesthesia, University Hospital Campus-London Health Sciences Center, University of Western Ontario, London, Ontario, Canada
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3
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Affiliation(s)
- M J Mack
- Cardiopulmonary Research Science Technology Institute, Dallas, Texas 74231, USA
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