{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,5]],"date-time":"2025-11-05T20:56:09Z","timestamp":1762376169953},"reference-count":31,"publisher":"Elsevier BV","issue":"7","license":[{"start":{"date-parts":[[2017,7,1]],"date-time":"2017-07-01T00:00:00Z","timestamp":1498867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"}],"content-domain":{"domain":["heartlungcirc.org","clinicalkey.jp","clinicalkey.com","clinicalkey.es","clinicalkey.com.au","clinicalkey.fr","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Heart, Lung and Circulation"],"published-print":{"date-parts":[[2017,7]]},"DOI":"10.1016\/j.hlc.2016.11.009","type":"journal-article","created":{"date-parts":[[2016,12,19]],"date-time":"2016-12-19T21:00:15Z","timestamp":1482181215000},"page":"709-716","update-policy":"http:\/\/dx.doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Intraoperative Epi-Aortic Scans Reduce Adverse Neurological Sequelae in Elderly, High Risk Patients Undergoing Coronary Artery Bypass Surgery \u2013 a Propensity Matched, Cumulative Sum Control Analysis"],"prefix":"10.1016","volume":"26","author":[{"given":"Suvitesh","family":"Luthra","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Miguel M.","family":"Leiva Juarez","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zaheer","family":"Tahir","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Patrick","family":"Yiu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.hlc.2016.11.009_bib0160","doi-asserted-by":"crossref","first-page":"381","DOI":"10.1001\/jama.2011.37","article-title":"Temporal onset, risk factors, and outcomes associated with stroke after coronary artery bypass grafting","volume":"305","author":"Tarakji","year":"2011","journal-title":"JAMA"},{"key":"10.1016\/j.hlc.2016.11.009_bib0165","doi-asserted-by":"crossref","first-page":"629","DOI":"10.1016\/S0140-6736(13)60141-5","article-title":"Coronary artery bypass graft surgery versus percutaneous coronary intervention in patients with three-vessel disease and left main coronary disease: 5-year follow-up of the randomised, clinical SYNTAX trial","volume":"381","author":"McKhann","year":"2013","journal-title":"Lancet"},{"key":"10.1016\/j.hlc.2016.11.009_bib0170","doi-asserted-by":"crossref","first-page":"562","DOI":"10.1161\/01.STR.0000199032.78782.6c","article-title":"Stroke and encephalopathy after cardiac surgery: an update","volume":"37","author":"McKhann","year":"2006","journal-title":"Stroke"},{"issue":"11","key":"10.1016\/j.hlc.2016.11.009_bib0175","doi-asserted-by":"crossref","first-page":"1227","DOI":"10.1016\/j.echo.2007.09.001","volume":"20","author":"Glas","year":"2007","journal-title":"J Am Soc Echocardiogr"},{"key":"10.1016\/j.hlc.2016.11.009_bib0180","doi-asserted-by":"crossref","first-page":"1545","DOI":"10.1016\/j.jtcvs.2013.02.061","article-title":"Clinical impact of neurocognitive deficits after cardiac surgery","volume":"145","author":"Toeg","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0185","doi-asserted-by":"crossref","first-page":"2796","DOI":"10.1016\/j.ijcard.2013.03.123","article-title":"Cognitive impairment before and six months after cardiac surgery increase mortality risk at median 11 year follow-up: a cohort study","volume":"168","author":"Tully","year":"2013","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.hlc.2016.11.009_bib0190","doi-asserted-by":"crossref","first-page":"1929","DOI":"10.1017\/S1041610215001477","article-title":"Cognitive and functional status predictors of delirium and delirium severity after coronary artery bypass graft surgery: an interim analysis of the Neuropsychiatric Outcomes After Heart Surgery study","volume":"27","author":"Oldham","year":"2015","journal-title":"Int Psychogeriatr"},{"key":"10.1016\/j.hlc.2016.11.009_bib0195","doi-asserted-by":"crossref","first-page":"1053","DOI":"10.1016\/S0003-4975(99)01569-6","article-title":"Stroke after coronary artery operation: incidence, correlates, outcome, and cost","volume":"69","author":"Puskas","year":"2000","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0200","doi-asserted-by":"crossref","first-page":"91","DOI":"10.1097\/ACO.0b013e32835bf24c","article-title":"Neurocognitive outcomes after cardiac surgery","volume":"26","author":"Bartels","year":"2013","journal-title":"Curr Opin Anaesthesiol"},{"key":"10.1016\/j.hlc.2016.11.009_bib0205","doi-asserted-by":"crossref","first-page":"131","DOI":"10.1016\/S0735-1097(01)01328-6","article-title":"Postoperative stroke in cardiac surgery is related to the location and extent of atherosclerotic disease in the ascending aorta","volume":"38","author":"van der Linden","year":"2001","journal-title":"J Am Coll Cardiol"},{"key":"10.1016\/j.hlc.2016.11.009_bib0210","doi-asserted-by":"crossref","first-page":"1556","DOI":"10.1016\/j.athoracsur.2004.05.002","article-title":"Aortic atheroma burden and cognitive dysfunction after coronary artery bypass graft surgery","volume":"78","author":"Bar-Yosef","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0215","doi-asserted-by":"crossref","first-page":"55","DOI":"10.1016\/j.amjsurg.2007.12.060","article-title":"Intraoperative cerebral high-intensity transient signals and postoperative cognitive function: a systematic review","volume":"197","author":"Martin","year":"2009","journal-title":"Am J Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0220","doi-asserted-by":"crossref","first-page":"1013","DOI":"10.1213\/ane.0b013e3181aed2bb","article-title":"The effects of cardiopulmonary bypass on the number of cerebral microemboli and the incidence of cognitive dysfunction after coronary artery bypass graft surgery","volume":"109","author":"Liu","year":"2009","journal-title":"Anesth Analg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0225","doi-asserted-by":"crossref","first-page":"367","DOI":"10.3109\/14017431.2010.501867","article-title":"Size distribution of embolic material produced at aortic cross-clamp manipulation","volume":"44","author":"Boivie","year":"2010","journal-title":"Scand Cardiovasc J"},{"key":"10.1016\/j.hlc.2016.11.009_bib0230","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1016\/j.jtcvs.2003.09.048","article-title":"Solid and gaseous cerebral microembolization during off-pump, on-pump, and open cardiac surgery procedures","volume":"127","author":"Abu-Omar","year":"2004","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0235","doi-asserted-by":"crossref","first-page":"126","DOI":"10.1111\/j.1552-6569.2006.00035.x","article-title":"Sources of variability in the detection of cerebral emboli with transcranial Doppler during cardiac surgery","volume":"16","author":"Rodriguez","year":"2006","journal-title":"J Neuroimaging"},{"key":"10.1016\/j.hlc.2016.11.009_bib0240","doi-asserted-by":"crossref","first-page":"50","DOI":"10.1159\/000095759","article-title":"Asymmetric cerebral embolic load and postoperative cognitive dysfunction in cardiac surgery","volume":"23","author":"Bokeriia","year":"2007","journal-title":"Cerebrovasc Dis"},{"key":"10.1016\/j.hlc.2016.11.009_bib0245","doi-asserted-by":"crossref","first-page":"475","DOI":"10.1016\/j.athoracsur.2006.09.024","article-title":"Neurocognitive function and cerebral emboli: randomized study of on-pump versus off-pump coronary artery bypass surgery","volume":"83","author":"Motallebzadeh","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0250","doi-asserted-by":"crossref","first-page":"1564","DOI":"10.1016\/j.athoracsur.2004.05.019","article-title":"The impact of aortic manipulation on neurologic outcomes after coronary artery bypass surgery: a risk-adjusted study","volume":"78","author":"Kapetanakis","year":"2004","journal-title":"Ann Thorac Surg."},{"key":"10.1016\/j.hlc.2016.11.009_bib0255","doi-asserted-by":"crossref","first-page":"656","DOI":"10.1093\/bja\/aeg234","article-title":"Cerebral embolization during cardiac surgery: impact of aortic atheroma burden","volume":"91","author":"Mackensen","year":"2003","journal-title":"Br J Anaesth"},{"key":"10.1016\/j.hlc.2016.11.009_bib0260","doi-asserted-by":"crossref","first-page":"175","DOI":"10.1016\/j.jtcvs.2014.09.011","article-title":"Avoiding aortic clamping during coronary artery bypass grafting reduces postoperative stroke","volume":"149","author":"Moss","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0265","first-page":"28","article-title":"Does off-pump total arterial revascularization without aortic manipulation influence neurological outcome? A study of 226 consecutive, unselected cases","volume":"5","author":"Patel","year":"2001","journal-title":"Heart Surg Forum"},{"key":"10.1016\/j.hlc.2016.11.009_bib0270","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1016\/j.jtcvs.2005.08.057","article-title":"Single crossclamp improves 6-month cognitive outcome in high-risk coronary bypass patients: the effect of reduced aortic manipulation","volume":"131","author":"Hammon","year":"2006","journal-title":"J Thorac Cardiovasc Surg."},{"issue":"Suppl","key":"10.1016\/j.hlc.2016.11.009_bib0275","doi-asserted-by":"crossref","first-page":"S1377","DOI":"10.1016\/S0003-4975(02)04060-2","article-title":"Off-pump coronary artery bypass with complete avoidance of aortic manipulation","volume":"74","author":"Kim","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0280","first-page":"169","article-title":"Improving neurologic outcome in off- pump surgery: the ``no touch'' technique","volume":"6","author":"Leacche","year":"2003","journal-title":"Heart Surg Forum"},{"key":"10.1016\/j.hlc.2016.11.009_bib0285","doi-asserted-by":"crossref","first-page":"1091","DOI":"10.1016\/j.athoracsur.2009.11.056","article-title":"Postoperative cognitive dysfunction and aortic atheroma","volume":"89","author":"Evered","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0290","doi-asserted-by":"crossref","first-page":"1611","DOI":"10.1213\/ane.0b013e318172b044","article-title":"Epiaortic scanning modifies planned intraoperative surgical management but not cerebral embolic load during coronary artery bypass surgery","volume":"106","author":"Djaiani","year":"2008","journal-title":"Anesth Analg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0295","doi-asserted-by":"crossref","first-page":"99","DOI":"10.1097\/IMI.0b013e3181a3476f","article-title":"Intraoperative epiaortic ultrasound scanning guides operative strategies and identifies patients at high risk during coronary artery bypass grafting","volume":"4","author":"Lyons","year":"2009","journal-title":"Innovations (Phila)"},{"key":"10.1016\/j.hlc.2016.11.009_bib0300","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":"Ann Thorac Surg"},{"key":"10.1016\/j.hlc.2016.11.009_bib0305","first-page":"529","article-title":"Epiaortic ultrasound and intraoperative transesophageal ecocardiography for the thoracic aorta atherosclerosis assessment in patient undergoing CABG. Surgical technique modification to avoid cerebral stroke","volume":"97","author":"Gaspar","year":"2002","journal-title":"Chirurgia (Bucur)"},{"key":"10.1016\/j.hlc.2016.11.009_bib0310","doi-asserted-by":"crossref","first-page":"1579","DOI":"10.1016\/j.athoracsur.2004.05.051","article-title":"Improving outcomes in coronary surgery: the impact of echo-directed aortic cannulation and perioperative hemodynamic management in 500 patients","volume":"78","author":"Gold","year":"2004","journal-title":"Ann Thorac Surg"}],"container-title":["Heart, Lung and Circulation"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1443950616317280?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1443950616317280?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2018,9,5]],"date-time":"2018-09-05T19:50:48Z","timestamp":1536177048000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1443950616317280"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,7]]},"references-count":31,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2017,7]]}},"alternative-id":["S1443950616317280"],"URL":"https:\/\/doi.org\/10.1016\/j.hlc.2016.11.009","relation":{},"ISSN":["1443-9506"],"issn-type":[{"value":"1443-9506","type":"print"}],"subject":[],"published":{"date-parts":[[2017,7]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Intraoperative Epi-Aortic Scans Reduce Adverse Neurological Sequelae in Elderly, High Risk Patients Undergoing Coronary Artery Bypass Surgery \u2013 a Propensity Matched, Cumulative Sum Control Analysis","name":"articletitle","label":"Article Title"},{"value":"Heart, Lung and Circulation","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.hlc.2016.11.009","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2016 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier B.V. All rights reserved.","name":"copyright","label":"Copyright"}]}}