(minor cognitive function major or silent stroke) paralysis postoperative stroke
Conditions
Interventions
In one group carbon dioxide surgical field flooding is used intraoperatively
and in the other group not
Sponsors
St. Antonius Ziekenhuis
Eligibility
Age
18 Years to 99 Years
Inclusion criteria
Inclusion criteria: all patients accepted for elective surgery on the ascending aorta and aortic arch via median sternotomy
Exclusion criteria
Exclusion criteria: - emergency operation (including type A dissection) - patients with a difficult transtemporal acoustic ultrasound *bone window* - patients with claustrophobia and therefore unwilling to have magnetic resonance brain imaging or that have other contra-indications for this investigation (pacemakers, etc.) - patients with a more than 60% stenosis or occlusion of one or both carotid arteries - intraoperative technical failure of TCD registration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of cerebral microemboli counted on Transcranial Doppler ultrasound recordings | — |
Secondary
| Measure | Time frame |
|---|---|
| Postoperative ischemic reactions in the brain assessed by diffusion-weighted magnetic resonance imaging of the brain | — |
Countries
Netherlands
Outcome results
None listed