Does epiaortic ultrasound screening reduce perioperative stroke in patients undergoing coronary surgery? A topical review

Asad Ikram, Hafsa Mohiuddin, Aisha Zia, Hafiz Umair Siddiqui, Hoda Javadikasgari, Marijan Koprivanac, Sajjad Raza, Atif Zafar

Research output: Contribution to journalReview articlepeer-review

16 Citations (Scopus)

Abstract

Although the occurrence of stroke in patients undergoing coronary artery bypass grafting (CABG) is decreasing, it remains an important concern. Therefore, it is important to identify and adopt strategies that can decrease the incidence of stroke in these patients. One of the strategies that have demonstrated the potential to decrease the rate of post-CABG stroke is an assessment of aorta for atherosclerosis before surgery and changing the surgical plan accordingly to minimize the stroke risk. This assessment can be done through palpation of the aorta, transesophageal echocardiography (TEE), and epiaortic ultrasound scanning (EAS). EAS has shown superiority over both palpation and TEE for intraoperative evaluation of aorta. However, despite the evidence demonstrating reduced stroke rates with the EAS-guided approach, EAS is not yet the standard of care procedure in patients undergoing CABG. Therefore, we have reviewed the literature for evidence that supports the routine use of EAS in patients undergoing coronary surgery and have presented solutions to overcome the barriers to its routine use.

Original languageEnglish
Pages (from-to)30-34
Number of pages5
JournalJournal of Clinical Neuroscience
Volume50
DOIs
Publication statusPublished - Apr 2018
Externally publishedYes

Keywords

  • Coronary artery disease
  • Coronary surgery
  • Epiaortic ultrasound
  • Perioperative stroke
  • Stroke risk reduction

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