Jansen Klomp Wouter W, Brandon Bravo Bruinsma George J, Van 't Hof Arnoud W J, Grandjean Jan G, Nierich Arno P
Department of Cardiology, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, Netherlands.
Department of Clinical Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, Netherlands.
Int J Vasc Med. 2017;2017:1874395. doi: 10.1155/2017/1874395. Epub 2017 Aug 9.
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.
在接受心脏手术的患者中，与未进行此类筛查的手术患者相比，使用改良经食管超声心动图（A-View方法）进行围手术期主动脉粥样硬化筛查与较低的术后死亡率相关，但与中风无关。在临床实施和验证时，我们尚未对改良经食管超声心动图的适应症以及存在主动脉粥样硬化时患者管理的变化进行标准化。因此，我们设计了一个方案，该方案结合了胸主动脉粥样硬化的诊断以及随后关于术中管理的考虑因素，并提供了一种系统的方法来降低脑部并发症的风险。
