Key result
Avoiding manipulation of the ascending aorta and utilizing epiaortic scanning to guide cannulation strategies can reduce embolic complications in cardiac surgical patients.
Why the study?
How should the atheromatous ascending aorta be managed during routine cardiac surgery to minimize embolic complications?
Population
Cardiac surgical patients, particularly those greater than 50 years of age at risk for atherosclerosis of…
Design
Review
Authors
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Epiaortic scanning merits evaluation in high-risk aortas; leaves open need for RCTs before routine adoption.
How should the atheromatous ascending aorta be managed during routine cardiac surgery to minimize embolic complications?
Careful assessment and tailored management of the ascending aorta, including epiaortic scanning and minimizing aortic manipulation, are crucial to reduce neurologic complications in cardiac surgery.
Alan H. Menkis (2004) conducted a review in Atherosclerosis of the ascending aorta in cardiac surgery. Management of the atheromatous ascending aorta (epiaortic scanning, alternative cannulation, off-pump procedures) was evaluated. Avoiding manipulation of the ascending aorta and utilizing epiaortic scanning to guide cannulation strategies can reduce embolic complications in cardiac surgical patients.
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