{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T16:34:09Z","timestamp":1788366849537,"version":"build-2803163510"},"reference-count":28,"publisher":"Elsevier BV","issue":"3","license":[{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2009,9,1]],"date-time":"2009-09-01T00:00:00Z","timestamp":1251763200000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Best Practice & Research Clinical Anaesthesiology"],"published-print":{"date-parts":[[2009,9]]},"DOI":"10.1016\/j.bpa.2009.02.005","type":"journal-article","created":{"date-parts":[[2009,9,11]],"date-time":"2009-09-11T06:15:42Z","timestamp":1252649742000},"page":"335-341","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":24,"title":["Epiaortic ultrasound assessment of the aorta in cardiac surgery"],"prefix":"10.1016","volume":"23","author":[{"given":"Alistair George","family":"Royse","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Colin Forbes","family":"Royse","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"issue":"2","key":"10.1016\/j.bpa.2009.02.005_bib1","doi-asserted-by":"crossref","first-page":"548","DOI":"10.1016\/j.athoracsur.2007.08.061","article-title":"The influence of epiaortic ultrasonography on intraoperative surgical management in 6051 cardiac surgical patients","volume":"85","author":"Rosenberger","year":"2008","journal-title":"The Annals of Thoracic Surgery"},{"issue":"1","key":"10.1016\/j.bpa.2009.02.005_bib2","doi-asserted-by":"crossref","first-page":"169","DOI":"10.1016\/j.jtcvs.2006.06.052","article-title":"Postoperative stroke after off-pump versus on-pump coronary artery bypass surgery","volume":"133","author":"Biancari","year":"2007","journal-title":"The Journal of Thoracic and Cardiovascular Surgery"},{"issue":"6","key":"10.1016\/j.bpa.2009.02.005_bib3","doi-asserted-by":"crossref","first-page":"1856","DOI":"10.1016\/S0003-4975(03)00179-6","article-title":"The Society of Thoracic Surgeons: 30-day operative mortality and morbidity risk models","volume":"75","author":"Shroyer","year":"2003","journal-title":"The Annals of Thoracic Surgery"},{"issue":"5","key":"10.1016\/j.bpa.2009.02.005_bib4","doi-asserted-by":"crossref","first-page":"1387","DOI":"10.1016\/S0003-4975(02)03470-7","article-title":"Impact of aortic manipulation on incidence of cerebrovascular accidents after surgical myocardial revascularization","volume":"73","author":"Calafiore","year":"2002","journal-title":"The Annals of Thoracic Surgery"},{"issue":"7375","key":"10.1016\/j.bpa.2009.02.005_bib5","doi-asserted-by":"crossref","first-page":"1268","DOI":"10.1136\/bmj.325.7375.1268","article-title":"Assessment of neurocognitive impairment after off-pump and on-pump techniques for coronary artery bypass graft surgery: prospective randomised controlled trial","volume":"325","author":"Zamvar","year":"2002","journal-title":"BMJ"},{"issue":"9","key":"10.1016\/j.bpa.2009.02.005_bib6","doi-asserted-by":"crossref","first-page":"449","DOI":"10.1016\/S0146-2806(97)80012-6","article-title":"Brain complications of cardiac surgery","volume":"22","author":"Barbut","year":"1997","journal-title":"Current Problems in Cardiology"},{"issue":"5","key":"10.1016\/j.bpa.2009.02.005_bib7","doi-asserted-by":"crossref","first-page":"1342","DOI":"10.1016\/0003-4975(95)01095-5","article-title":"Defining neuropsychological dysfunction after coronary artery bypass grafting","volume":"61","author":"Mahanna","year":"1996","journal-title":"The Annals of Thoracic Surgery"},{"issue":"6","key":"10.1016\/j.bpa.2009.02.005_bib8","doi-asserted-by":"crossref","first-page":"1613","DOI":"10.1016\/S0003-4975(97)00261-0","article-title":"Risk factors and solutions for the development of neurobehavioral changes after coronary artery bypass grafting","volume":"63","author":"Hammon","year":"1997","journal-title":"The Annals of Thoracic Surgery"},{"issue":"4","key":"10.1016\/j.bpa.2009.02.005_bib9","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1177\/1089253208328583","article-title":"An argument for routine ultrasound screening of the thoracic aorta in the cardiac surgery population","volume":"12","author":"Whitley","year":"2008","journal-title":"Seminars in Cardiothoracic and Vascular Anesthesia"},{"issue":"9","key":"10.1016\/j.bpa.2009.02.005_bib10","doi-asserted-by":"crossref","first-page":"1179","DOI":"10.1111\/j.1399-6576.2008.01694.x","article-title":"Meta-analysis of the diagnostic accuracy of transesophageal echocardiography for assessment of atherosclerosis in the ascending aorta in patients undergoing cardiac surgery","volume":"52","author":"Van Zaane","year":"2008","journal-title":"Acta Anaesthesiologica Scandinavica"},{"issue":"1","key":"10.1016\/j.bpa.2009.02.005_bib11","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/S1053-0770(96)80175-3","article-title":"Aortic atheromatosis and risks of cerebral embolization","volume":"10","author":"Barbut","year":"1996","journal-title":"Journal of Cardiothoracic and Vascular Anesthesia"},{"issue":"2","key":"10.1016\/j.bpa.2009.02.005_bib12","doi-asserted-by":"crossref","first-page":"391","DOI":"10.1016\/S0022-5223(03)00395-7","article-title":"Modification of surgical technique for ascending aortic atherosclerosis: impact on stroke reduction in coronary artery bypass grafting","volume":"126","author":"Hangler","year":"2003","journal-title":"The Journal of Thoracic and Cardiovascular Surgery"},{"issue":"2","key":"10.1016\/j.bpa.2009.02.005_bib13","doi-asserted-by":"crossref","first-page":"249","DOI":"10.1016\/S0022-5223(95)70386-1","article-title":"Microemboli during coronary artery bypass grafting. Genesis and effect on outcome","volume":"109","author":"Clark","year":"1995","journal-title":"The Journal of Thoracic and Cardiovascular Surgery"},{"issue":"11","key":"10.1016\/j.bpa.2009.02.005_bib14","doi-asserted-by":"crossref","first-page":"2759","DOI":"10.1161\/01.STR.0000245081.52877.f2","article-title":"Off-pump surgery is associated with reduced occurrence of stroke and other morbidity as compared with traditional coronary artery bypass grafting: a meta-analysis of systematically reviewed trials","volume":"37","author":"Sedrakyan","year":"2006","journal-title":"Stroke"},{"issue":"2","key":"10.1016\/j.bpa.2009.02.005_bib15","first-page":"135","article-title":"Does avoidance of cardiopulmonary bypass decrease the incidence of stroke in diabetics undergoing coronary surgery?","volume":"4","author":"Abraham","year":"2001","journal-title":"The Heart Surgery Forum"},{"issue":"7","key":"10.1016\/j.bpa.2009.02.005_bib16","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1001\/jama.297.7.701","article-title":"Cognitive and cardiac outcomes 5 years after off-pump vs on-pump coronary artery bypass graft surgery","volume":"297","author":"van Dijk","year":"2007","journal-title":"JAMA : The Journal of the American Medical Association"},{"issue":"1","key":"10.1016\/j.bpa.2009.02.005_bib17","doi-asserted-by":"crossref","first-page":"81","DOI":"10.1016\/j.ejcts.2004.03.032","article-title":"Meta-analysis on the effect of off-pump coronary bypass surgery","volume":"26","author":"van der Heijden","year":"2004","journal-title":"European Journal of Cardio-Thoracic Surgery"},{"issue":"2","key":"10.1016\/j.bpa.2009.02.005_bib18","doi-asserted-by":"crossref","first-page":"307","DOI":"10.1016\/j.jtcvs.2004.06.013","article-title":"No-touch aorta off-pump coronary surgery: the effect on stroke","volume":"129","author":"Lev-Ran","year":"2005","journal-title":"The Journal of Thoracic and Cardiovascular Surgery"},{"issue":"5","key":"10.1016\/j.bpa.2009.02.005_bib19","doi-asserted-by":"crossref","first-page":"1431","DOI":"10.1016\/S0003-4975(00)01173-5","article-title":"Reduced neuropsychological dysfunction using epiaortic echocardiography and the exclusive Y graft","volume":"69","author":"Royse","year":"2000","journal-title":"The Annals of Thoracic Surgery"},{"issue":"6","key":"10.1016\/j.bpa.2009.02.005_bib20","doi-asserted-by":"crossref","first-page":"805","DOI":"10.1053\/j.jvca.2007.05.014","article-title":"An intraoperative assessment of the ascending aorta: a comparison of digital palpation, transesophageal echocardiography, and epiaortic ultrasonography","volume":"21","author":"Suvarna","year":"2007","journal-title":"Journal of Cardiothoracic and Vascular Anesthesia"},{"issue":"5","key":"10.1016\/j.bpa.2009.02.005_bib21","doi-asserted-by":"crossref","first-page":"720","DOI":"10.1016\/j.ejcts.2006.02.001","article-title":"The impact of epiaortic ultrasonographic scanning on the risk of perioperative stroke","volume":"29","author":"Zingone","year":"2006","journal-title":"European Journal of Cardio-Thoracic Surgery"},{"issue":"1","key":"10.1016\/j.bpa.2009.02.005_bib22","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/S0003-4975(00)01256-X","article-title":"Ascending aortic atheroma assessed intraoperatively by epiaortic and transesophageal echocardiography","volume":"70","author":"Wilson","year":"2000","journal-title":"The Annals of Thoracic Surgery"},{"issue":"6","key":"10.1016\/j.bpa.2009.02.005_bib23","doi-asserted-by":"crossref","first-page":"704","DOI":"10.1016\/S1053-0770(97)90161-0","article-title":"The intraoperative assessment of ascending aortic atheroma: epiaortic imaging is superior to both transesophageal echocardiography and direct palpation","volume":"11","author":"Sylivris","year":"1997","journal-title":"Journal of Cardiothoracic and Vascular Anesthesia"},{"key":"10.1016\/j.bpa.2009.02.005_bib24","doi-asserted-by":"crossref","first-page":"701","DOI":"10.1510\/icvts.2006.134296","article-title":"A standardised intraoperative ultrasound examination of the aorta and proximal coronary arteries","volume":"5","author":"Royse","year":"2006","journal-title":"Interactive Cardiovascular and Thoracic Surgery"},{"key":"10.1016\/j.bpa.2009.02.005_bib25","first-page":"347","article-title":"Screening the thoracic aorta for atheroma: a comparison of manual palpation, transesophageal and epiaortic ultrasonography","volume":"4","author":"Royse","year":"1998","journal-title":"Annals of Thoracic and Cardiovascular Surgery"},{"issue":"2","key":"10.1016\/j.bpa.2009.02.005_bib26","first-page":"72","article-title":"Assessment of thoracic aortic atheroma by echocardiography: a new classification and estimation of risk of dislodging atheroma during three surgical techniques","volume":"4","author":"Royse","year":"1998","journal-title":"Annals of Thoracic and Cardiovascular Surgery"},{"issue":"5","key":"10.1016\/j.bpa.2009.02.005_bib27","doi-asserted-by":"crossref","first-page":"1612","DOI":"10.1016\/S0003-4975(99)00676-1","article-title":"Exclusive Y graft operation for multivessel coronary revascularization","volume":"68","author":"Royse","year":"1999","journal-title":"The Annals of Thoracic Surgery"},{"issue":"5","key":"10.1016\/j.bpa.2009.02.005_bib28","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1111\/j.1540-8191.1994.tb00881.x","article-title":"Management of the severely atherosclerotic aorta during cardiac operations","volume":"9","author":"Kouchoukos","year":"1994","journal-title":"Journal of Cardiac Surgery"}],"container-title":["Best Practice & Research Clinical Anaesthesiology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1521689609000196?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1521689609000196?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,4,17]],"date-time":"2026-04-17T07:14:57Z","timestamp":1776410097000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1521689609000196"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,9]]},"references-count":28,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2009,9]]}},"alternative-id":["S1521689609000196"],"URL":"https:\/\/doi.org\/10.1016\/j.bpa.2009.02.005","relation":{},"ISSN":["1753-3740"],"issn-type":[{"value":"1753-3740","type":"print"}],"subject":[],"published":{"date-parts":[[2009,9]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Epiaortic ultrasound assessment of the aorta in cardiac surgery","name":"articletitle","label":"Article Title"},{"value":"Best Practice & Research Clinical Anaesthesiology","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.bpa.2009.02.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2009 Elsevier Ltd. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}