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Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair
BACKGROUND: The optimal cannulation strategy in surgery for Stanford type A aortic dissection is critical to patient survival but remains controversial. Different cannulation strategies have their own advantages and drawbacks during cardiopulmonary bypass. Our centre used a combined femoral and axil...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7654610/ https://www.ncbi.nlm.nih.gov/pubmed/33172480 http://dx.doi.org/10.1186/s13019-020-01371-0 |
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author | Huang, Ling-chen Xu, Qi-chen Chen, Dao-zhong Dai, Xiao-fu Chen, Liang-wan |
author_facet | Huang, Ling-chen Xu, Qi-chen Chen, Dao-zhong Dai, Xiao-fu Chen, Liang-wan |
author_sort | Huang, Ling-chen |
collection | PubMed |
description | BACKGROUND: The optimal cannulation strategy in surgery for Stanford type A aortic dissection is critical to patient survival but remains controversial. Different cannulation strategies have their own advantages and drawbacks during cardiopulmonary bypass. Our centre used a combined femoral and axillary perfusion strategy for the surgical treatment of type A aortic dissection. The purpose of this study was to review and clarify the clinical outcome of femoral artery cannulation combined with axillary artery cannulation for the treatment of Stanford type A aortic dissection. METHODS: We performed a retrospective study that included 327 patients who were surgically treated for type A aortic dissection in our institution from January 2017 to June 2019. Femoral and axillary artery cannulation was used to establish cardiopulmonary bypass in patients with type A aortic dissection. The demographic data, surgical data, and clinical results of the patients were calculated. RESULTS: Femoral artery combined with axillary artery cannulation was technically successful in 327 patients. The cardiopulmonary bypass time was 141.60 ± 34.89 min, and the selective antegrade cerebral perfusion time was 14.94 ± 2.76 min. The early mortality rate was 3.06%. The incidence of permanent neurologic dysfunction was 0.92%. Sixteen patients had postoperative renal insufficiency, and five patients had liver failure. CONCLUSION: Femoral artery combined with axillary artery cannulation for type A aortic dissection can significantly improve the prognosis of patients, especially in terms of cerebral protection, and can reduce the occurrence of adverse malperfusion syndrome and neurological complications. |
format | Online Article Text |
id | pubmed-7654610 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-76546102020-11-12 Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair Huang, Ling-chen Xu, Qi-chen Chen, Dao-zhong Dai, Xiao-fu Chen, Liang-wan J Cardiothorac Surg Research Article BACKGROUND: The optimal cannulation strategy in surgery for Stanford type A aortic dissection is critical to patient survival but remains controversial. Different cannulation strategies have their own advantages and drawbacks during cardiopulmonary bypass. Our centre used a combined femoral and axillary perfusion strategy for the surgical treatment of type A aortic dissection. The purpose of this study was to review and clarify the clinical outcome of femoral artery cannulation combined with axillary artery cannulation for the treatment of Stanford type A aortic dissection. METHODS: We performed a retrospective study that included 327 patients who were surgically treated for type A aortic dissection in our institution from January 2017 to June 2019. Femoral and axillary artery cannulation was used to establish cardiopulmonary bypass in patients with type A aortic dissection. The demographic data, surgical data, and clinical results of the patients were calculated. RESULTS: Femoral artery combined with axillary artery cannulation was technically successful in 327 patients. The cardiopulmonary bypass time was 141.60 ± 34.89 min, and the selective antegrade cerebral perfusion time was 14.94 ± 2.76 min. The early mortality rate was 3.06%. The incidence of permanent neurologic dysfunction was 0.92%. Sixteen patients had postoperative renal insufficiency, and five patients had liver failure. CONCLUSION: Femoral artery combined with axillary artery cannulation for type A aortic dissection can significantly improve the prognosis of patients, especially in terms of cerebral protection, and can reduce the occurrence of adverse malperfusion syndrome and neurological complications. BioMed Central 2020-11-10 /pmc/articles/PMC7654610/ /pubmed/33172480 http://dx.doi.org/10.1186/s13019-020-01371-0 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Research Article Huang, Ling-chen Xu, Qi-chen Chen, Dao-zhong Dai, Xiao-fu Chen, Liang-wan Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair |
title | Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair |
title_full | Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair |
title_fullStr | Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair |
title_full_unstemmed | Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair |
title_short | Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair |
title_sort | combined femoral and axillary perfusion strategy for stanford type a aortic dissection repair |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7654610/ https://www.ncbi.nlm.nih.gov/pubmed/33172480 http://dx.doi.org/10.1186/s13019-020-01371-0 |
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