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Emboli Formation Rather Than Inflammatory Mediators Are Responsible for Increased Cerebral Water Content After Conventional and Assisted Beating-Heart Myocardial Revascularization in a Porcine Model
Author(s) -
Benjamin Bierbach,
Matthias Meier,
Walter Kasper-König,
Axel Heimann,
Beat Alessandri,
Georg Horstick,
H. Oelert,
Oliver Kempski
Publication year - 2007
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/strokeaha.107.496620
Subject(s) - medicine , proinflammatory cytokine , cardiopulmonary bypass , cerebral blood flow , hemodynamics , anesthesia , embolus , cardiology , blood flow , cardiac surgery , aortic cross clamp , inflammation
Emboli and proinflammatory mediators are suspected of generating cerebral edema after coronary surgery. In contrast to cardiopulmonary bypass (CPB), off-pump coronary artery bypass surgery (OPCAB) reduces microemboli count and proinflammatory mediator release but carries the risk of hemodynamic instability. A microaxial blood pump can augment cardiac output.

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