The DOI matches its Crossref record; 12 of the 12 references it cites were found in a registry or an index.
Cerebral emboli detected during bypass surgery are associated with clamp removal.
Abstract
Transcranial Doppler ultrasonography detects embolic signals during coronary artery bypass surgery. The relationship between embolization and specific events of bypass surgery is unclear. With this technique, 20 patients undergoing bypass surgery were continuously monitored from inception to discontinuation of bypass. Embolic signals were detected in all patients. Of all embolic signals, 34% were detected as aortic cross-clamps were removed, and another 24% as aortic partial occlusion clamps were removed. Only 5% were detected at inception of bypass. Rates for embolization were 15.15 embolic signals per minute at cross-clamp removal, 10.9 embolic signals per minute at partial occlusion clamp removal, and fewer than 3 embolic signals per minute at other times. Correlation was found between the number of emboli, severity of aortic atheromatosis, and neurocognitive deterioration. The majority of emboli detected during coronary artery bypass grafting are associated with the release of clamps. Clamp manipulation may lead to release of aortic atheromatous debris. These emboli may be relevant to neurocognitive outcome.
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Cites
Spencer, M. P., Thomas, G. I., Nicholls, S. C., & Sauvage, L. R. (1990) · Stroke · doi:10.1161/01.str.21.3.415 · Cited by 517
Katz, E. S., Tunick, P. A., Rusinek, H., Ribakove, G., Spencer, F. C., & Kronzon, I. (1992) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(92)90139-e · Cited by 500
Recognition and embolic potential of intraaortic atherosclerotic debris
Karalis, D. G., Chandrasekaran, K., Victor, M. F., Ross, J. J., & Mintz, G. S. (1991) · Journal of the American College of Cardiology · doi:10.1016/0735-1097(91)90706-f · Cited by 444
Brain microemboli during cardiac surgery or aortography
Moody, D. M., Bell, M. A., Challa, V. R., Johnston, W. E., & Prough, D. S. (1990) · Annals of Neurology · doi:10.1002/ana.410280403 · Cited by 386
Early neurological complications of coronary artery bypass surgery.
Shaw, P. J., Bates, D., Cartlidge, N. E., Heaviside, D., Julian, D. G., & Shaw, D. A. (1985) · BMJ · doi:10.1136/bmj.291.6506.1384 · Cited by 346
CEREBRAL CONSEQUENCES OF CARDIOPULMONARY BYPASS
Smith, P. C., Newman, S., Ell, P., Treasure, T., Joseph, P., Schneidau, A., & Harrison, M. G. (1986) · The Lancet · doi:10.1016/s0140-6736(86)90938-4 · Cited by 281
Stroke Following Coronary-Artery Bypass Surgery
Reed, G. L., Singer, D. E., Picard, E. H., & DeSanctis, R. W. (1988) · New England Journal of Medicine · doi:10.1056/nejm198811103191903 · Cited by 272
Markus, H. S., & Brown, M. M. (1993) · Stroke · doi:10.1161/01.str.24.1.1 · Cited by 261
Cerebral microembolism during cardiopulmonary bypass
Blauth, C. I., Arnold, J. V., Schulenberg, W. E., McCartney, A. C., Taylor, K. M., & Loop, F. D. (1988) · The Journal of Thoracic and Cardiovascular Surgery · doi:10.1016/s0022-5223(19)35735-6 · Cited by 250
Mills, N. L., & Everson, C. T. (1991) · PubMed · Cited by 222
Cited by
Carotid Artery Disease and Stroke During Coronary Artery Bypass:a Critical Review of the Literature
Naylor, A. R., Mehta, Z., Rothwell, P. M., & Bell, P. R. F. (2002) · European Journal of Vascular and Endovascular Surgery · doi:10.1053/ejvs.2002.1609 · Cited by 425
Neuroanatomy and severity of stroke in patients with type A aortic dissection
Fichadiya, A., Menon, B. K., Gregory, A. J., Teleg, E., & Appoo, J. J. (2022) · Journal of Cardiac Surgery · doi:10.1111/jocs.16136 · Cited by 12
Metadata
- Authors
- Barbut, D., Hinton, R. B., Szatrowski, T. P., Hartman, G. S., Bruefach, M., Williams-Russo, P., Charlson, M. E., & Gold, J. P.
- Venue
- Stroke
- Published
- 1994-12
- Volume
- 25
- Issue
- 12
- Pages
- 2398-2402
- ISSN
- 0039-2499 (ISSN-L)
- 1524-4628
- OpenAlex
- W2106359551
- Cited by
- 286
- References
- 12
- FWCI
- 11.11
- Type
- journal article
- Language
- en
- Open access
- closed
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- CoChat. (2026). Citation check: Cerebral emboli detected during bypass surgery are associated with clamp removal. https://app.cochat.ai/papers/10.1161/01.str.25.12.2398
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- Barbut, D., Hinton, R. B., Szatrowski, T. P., Hartman, G. S., Bruefach, M., Williams-Russo, P., Charlson, M. E., & Gold, J. P. (1994). Cerebral emboli detected during bypass surgery are associated with clamp removal. Stroke. https://doi.org/10.1161/01.str.25.12.2398
Data sources
Bibliographic data: Semantic Scholar, OpenAlex, Crossref.
Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.
