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International Journal of Vascular Medicine
Volume 2017 (2017), Article ID 1857069, 8 pages
https://doi.org/10.1155/2017/1857069
Research Article

Impact of Modified Transesophageal Echocardiography on Mortality and Stroke after Cardiac Surgery: A Large Cohort Study

1Department of Cardiology, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, Netherlands
2Department of Clinical Epidemiology, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, Netherlands
3Department of (Thoracic) Anesthesia and Intensive Care, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, Netherlands
4Department of Cardiothoracic Surgery, Isala, Dokter van Heesweg 2, 8025 AB Zwolle, Netherlands
5Department of Cardiology, Maastricht University Medical Center, P.O. Box 5800, 6202 AZ Maastricht, Netherlands
6MIRA Institute for Biomedical Technology and Technical Medicine, University of Twente, P.O. Box 217, 7500 AE Enschede, Netherlands
7Department of Anesthesiology, University Medical Center Utrecht, P.O. Box 85500, 3508 GA Utrecht, Netherlands

Correspondence should be addressed to Wouter W. Jansen Klomp

Received 21 April 2017; Revised 27 June 2017; Accepted 18 July 2017; Published 11 September 2017

Academic Editor: Albert G. Hakaim

Copyright © 2017 Wouter W. Jansen Klomp et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. V. G. Dávila-Román, S. F. Murphy, N. J. Nickerson, N. T. Kouchoukos, K. B. Schechtman, and B. Barzilai, “Atherosclerosis of the ascending aorta is an independent predictor of long-term neurologic events and mortality,” Journal of the American College of Cardiology, vol. 33, no. 5, pp. 1308–1316, 1999. View at Publisher · View at Google Scholar · View at Scopus
  2. G. Djaiani, L. Fedorko, M. Borger et al., “Mild to moderate atheromatous disease of the thoracic aorta and new ischemic brain lesions after conventional coronary artery bypass graft surgery,” Stroke, vol. 35, no. 9, pp. e356–358, 2004. View at Publisher · View at Google Scholar · View at Scopus
  3. J. D. van der Linden, L. Hadjinikolaou, P. Bergman, and D. Lindblom, “Postoperative stroke in cardiac surgery is related to the location and extent of atherosclerotic disease in the ascending aorta,” Journal of the American College of Cardiology, vol. 38, no. 1, pp. 131–135, 2001. View at Publisher · View at Google Scholar · View at Scopus
  4. J. van der Linden, P. Bergman, and L. Hadjinikolaou, “The topography of aortic atherosclerosis enhances its precision as a predictor of stroke,” Annals of Thoracic Surgery, vol. 83, no. 6, pp. 2087–2092, 2007. View at Publisher · View at Google Scholar · View at Scopus
  5. D. van Dijk, A. M. A. Keizer, J. C. Diephuis, C. Durand, L. J. Vos, and R. Hijman, “Neurocognitive dysfunction after coronary artery bypass surgery: a systematic review,” Journal of Thoracic and Cardiovascular Surgery, vol. 120, no. 4, pp. 632–639, 2000. View at Publisher · View at Google Scholar · View at Scopus
  6. J. Bucerius, J. F. Gummert, M. A. Borger et al., “Predictors of delirium after cardiac surgery delirium: effect of beating-heart (off-pump) surgery,” Journal of Thoracic and Cardiovascular Surgery, vol. 127, no. 1, pp. 57–64, 2004. View at Publisher · View at Google Scholar · View at Scopus
  7. R. M. Engelman and D. T. Engelman, “Strategies and Devices to Minimize Stroke in Adult Cardiac Surgery,” Seminars in Thoracic and Cardiovascular Surgery, vol. 27, no. 1, pp. 24–29, 2015. View at Publisher · View at Google Scholar · View at Scopus
  8. M. D. Cheitlin, W. F. Armstrong, G. P. Aurigemma et al., “ACC/AHA/ASE 2003 guideline update for the clinical application of echocardiography: summary article: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (ACC/AHA/ASE Committee to Update the 1997 Guidelines for the Clinical Application of Echocardiography),” Circulation, vol. 108, pp. 1146–1162, 2003. View at Publisher · View at Google Scholar
  9. “Practice guidelines for perioperative transesophageal echocardiography,” vol. 112, pp. 1084–1096, 1996.
  10. F. A. Flachskampf, L. Badano, W. G. Daniel et al., “Erratum: Recommendations for transoesophageal echocardiography: Update 2010 (European Journal of Echocardiography,” European Journal of Echocardiography, vol. 11, no. 3, pp. 557–576, 2010. View at Publisher · View at Google Scholar · View at Scopus
  11. B. Van Zaane, N. P. A. Zuithoff, J. B. Reitsma, L. Bax, A. P. Nierich, and K. G. M. Moons, “Meta-analysis of the diagnostic accuracy of transesophageal echocardiography for assessment of atherosclerosis in the ascending aorta in patients undergoing cardiac surgery,” Acta Anaesthesiologica Scandinavica, vol. 52, no. 9, pp. 1179–1187, 2008. View at Publisher · View at Google Scholar · View at Scopus
  12. B. van Zaane, A. P. Nierich, W. F. Buhre, G. J. Brandon Bravo Bruinsma, and K. G. M. Moons, “Resolving the blind spot of transoesophageal echocardiography: a new diagnostic device for visualizing the ascending aorta in cardiac surgery,” British Journal of Anaesthesia, vol. 98, no. 4, pp. 434–441, 2007. View at Publisher · View at Google Scholar · View at Scopus
  13. A. P. Nierich, B. van Zaane, W. F. Buhre, J. Coddens, A. J. Spanjersberg, and K. G. M. Moons, “Visualization of the distal ascending aorta with A-mode transesophageal echocardiography,” Journal of Cardiothoracic and Vascular Anesthesia, vol. 22, no. 5, pp. 766–773, 2008. View at Publisher · View at Google Scholar · View at Scopus
  14. B. Van Zaane, A. P. Nierich, G. J. B. B. Bruinsma et al., “Diagnostic accuracy of modified transoesophageal echocardiography for pre-incision assessment of aortic atherosclerosis in cardiac surgery patients,” British Journal of Anaesthesia, vol. 105, no. 2, pp. 131–138, 2010. View at Publisher · View at Google Scholar · View at Scopus
  15. W. W. Jansen Klomp, L. M. Peelen, S. J. Spanjersberg et al., “Added value of modified transoesophageal echocardiography in the diagnosis of atherosclerosis of the distal ascending aorta in cardiac surgery patients,” European Heart Journal Cardiovascular Imaging, vol. 15, no. 6, pp. 623–630, 2014. View at Publisher · View at Google Scholar · View at Scopus
  16. K. G. Moons, “Criteria for scientific evaluation of novel markers: a perspective,” Clinical Chemistry, vol. 56, no. 4, pp. 537–541, 2010. View at Publisher · View at Google Scholar
  17. P. M. Bossuyt, J. B. Reitsma, K. Linnet, and K. G. Moons, “Beyond diagnostic accuracy: the clinical utility of diagnostic tests,” Clinical Chemistry, vol. 58, no. 12, pp. 1636–1643, 2012. View at Publisher · View at Google Scholar
  18. E. S. Katz, P. A. Tunick, H. Rusinek, G. Ribakove, F. C. Spencer, and I. Kronzon, “Protruding aortic atheromas predict stroke in elderly patients undergoing cardiopulmonary bypass: experience with intraoperative transesophageal echocardiography,” Journal of the American College of Cardiology, vol. 20-21, no. 1, pp. 70–77, 1992. View at Publisher · View at Google Scholar · View at Scopus
  19. A. L. Lata, J. W. Hammon, D. D. Deal, D. A. Stump, E. H. Kincaid, and N. D. Kon, “Cannula design reduces particulate and gaseous emboli during cardiopulmonary bypass for coronary revascularization,” Perfusion, vol. 26, no. 3, pp. 239–244, 2011. View at Publisher · View at Google Scholar · View at Scopus
  20. M. Minakawa, I. Fukuda, J. Yamazaki, K. Fukui, H. Yanaoka, and T. Inamura, “Effect of cannula shape on aortic wall and flow turbulence: Hydrodynamic study during extracorporeal circulation in mock thoracic aorta,” Artificial Organs, vol. 31, no. 12, pp. 880–886, 2007. View at Publisher · View at Google Scholar · View at Scopus
  21. L. McNutt, C. Wu, X. Xue, and J. P. Hafner, “Estimating the relative risk in cohort studies and clinical trials of common outcomes,” The American Journal of Epidemiology, vol. 157, no. 10, pp. 940–943, 2003. View at Publisher · View at Google Scholar · View at Scopus
  22. R. H. H. Groenwold, K. G. M. Moons, L. M. Peelen, M. J. Knol, and A. W. Hoes, “Reporting of treatment effects from randomized trials: A plea for multivariable risk ratios,” Contemporary Clinical Trials, vol. 32, no. 3, pp. 399–402, 2011. View at Publisher · View at Google Scholar · View at Scopus
  23. T. Stürmer, M. Joshi, R. J. Glynn, J. Avorn, K. J. Rothman, and S. Schneeweiss, “A review of the application of propensity score methods yielded increasing use, advantages in specific settings, but not substantially different estimates compared with conventional multivariable methods,” Journal of Clinical Epidemiology, vol. 59, no. 5, pp. 437–447, 2006. View at Publisher · View at Google Scholar · View at Scopus
  24. C. J. Biesheuvel, D. E. Grobbee, and K. G. M. Moons, “Distraction from randomization in diagnostic research,” Annals of Epidemiology, vol. 16, no. 7, pp. 540–544, 2006. View at Publisher · View at Google Scholar · View at Scopus
  25. L. Ferrante Di Ruffano, C. J. Hyde, K. J. McCaffery, P. M. M. Bossuyt, and J. J. Deeks, “Assessing the value of diagnostic tests: A framework for designing and evaluating trials,” BMJ (Online), vol. 344, no. 7847, article no. e686, 2012. View at Publisher · View at Google Scholar · View at Scopus
  26. L. Ferrante Di Ruffano, C. Davenport, A. Eisinga, C. Hyde, and J. J. Deeks, “A capture-recapture analysis demonstrated that randomized controlled trials evaluating the impact of diagnostic tests on patient outcomes are rare,” Journal of Clinical Epidemiology, vol. 65, no. 3, pp. 282–287, 2012. View at Publisher · View at Google Scholar · View at Scopus
  27. B. M. Reilly and A. T. Evans, “Translating clinical research into clinical practice: impact of using prediction rules to make decisions,” Annals of Internal Medicine, vol. 144, no. 3, pp. 201–209, 2006. View at Publisher · View at Google Scholar · View at Scopus
  28. P. Emmrich, J. Hahn, V. Ogunlade, K. Geiger, R. Schober, and F. W. Mohr, “Neuropathological findings after cardiac surgery—retrospective study over 6 years,” Zeitschrift für Kardiologie, vol. 92, no. 11, pp. 925–937, 2003. View at Publisher · View at Google Scholar · View at Scopus
  29. J. Afilalo, M. Rasti, S. M. Ohayon, A. Shimony, and M. J. Eisenberg, “Off-pump vs. on-pump coronary artery bypass surgery: An updated meta-analysis and meta-regression of randomized trials,” European Heart Journal, vol. 33, no. 10, pp. 1257–1267, 2012. View at Publisher · View at Google Scholar · View at Scopus
  30. W. W. Jansen Klomp, G. J. Brandon Bravo Bruinsma, A. W. J. Hof van 't, J. G. Grandjean, and A. P. Nierich, “A protocol for diagnosis and management of aortic atherosclerosis in cardiac surgery patients,” International Journal of Vascular Medicine, vol. 2017, Article ID 1874395, 8 pages, 2017. View at Publisher · View at Google Scholar
  31. W. Jansen Klomp, “(2016, December 2). Thesis. Diagnostic challenges in aortic disease. Gildeprint, Enschede, The Netherlands”.