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Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection
INTRODUCTION: To evaluate the clinical efficacy of hybrid surgery for Stanford type A aortic dissection. METHODS: Twenty-two patients with Stanford type A aortic dissection were selected. All patients had completed or undergone hybrid surgery, including extracorporeal circulation, treatment of proxi...
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Dove
2021
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286737/ https://www.ncbi.nlm.nih.gov/pubmed/34285615 http://dx.doi.org/10.2147/RMHP.S296165 |
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author | Gu, Jianjun Chen, Ziying |
author_facet | Gu, Jianjun Chen, Ziying |
author_sort | Gu, Jianjun |
collection | PubMed |
description | INTRODUCTION: To evaluate the clinical efficacy of hybrid surgery for Stanford type A aortic dissection. METHODS: Twenty-two patients with Stanford type A aortic dissection were selected. All patients had completed or undergone hybrid surgery, including extracorporeal circulation, treatment of proximal anastomosis of ascending aorta and the distal anastomosis of the ascending aorta, management of the branch vessels on the arch, aortic endovascular repair. This study analyzed the time of surgery and awake, blood transfusion during surgery, patient’s drainage, complications and CTA of aorta was re-examined about one month after operation during patients follow-up. RESULTS: All patients underwent the operation successfully. One patient died of renal failure after the operation. Two patients experienced postoperative neurological complications (anxiety and delirium). Renal function was abnormal in two patients, and one patient needed bedside blood filtration. The serum creatinine levels temporarily increased in seven patients. No stent migration was found during patient follow-up. There was no shift in the stents. The near end of the interlayer was well sealed, without leakage of contrast agent, and the false lumen near the stent was completely thrombosed. Compared with the pre-operative CTA, the true lumen was enlarged and the false lumen was reduced, and the false lumen was completely thrombosed in the proximal end and near the stent. Contrast media was seen in the false lumen. CONCLUSION: One-stage hybrid surgery for Stanford type A aortic dissection can avoid deep hypothermic circulatory arrest, shorten operation time, reduce operation trauma, and reduce the incidence of postoperative complications. This treatment has a effective treatment effect in the short term. However, the limitations imposed by covered stent materials mean that the treatment’s long-term effect is not yet clear, and further research is needed. |
format | Online Article Text |
id | pubmed-8286737 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Dove |
record_format | MEDLINE/PubMed |
spelling | pubmed-82867372021-07-19 Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection Gu, Jianjun Chen, Ziying Risk Manag Healthc Policy Original Research INTRODUCTION: To evaluate the clinical efficacy of hybrid surgery for Stanford type A aortic dissection. METHODS: Twenty-two patients with Stanford type A aortic dissection were selected. All patients had completed or undergone hybrid surgery, including extracorporeal circulation, treatment of proximal anastomosis of ascending aorta and the distal anastomosis of the ascending aorta, management of the branch vessels on the arch, aortic endovascular repair. This study analyzed the time of surgery and awake, blood transfusion during surgery, patient’s drainage, complications and CTA of aorta was re-examined about one month after operation during patients follow-up. RESULTS: All patients underwent the operation successfully. One patient died of renal failure after the operation. Two patients experienced postoperative neurological complications (anxiety and delirium). Renal function was abnormal in two patients, and one patient needed bedside blood filtration. The serum creatinine levels temporarily increased in seven patients. No stent migration was found during patient follow-up. There was no shift in the stents. The near end of the interlayer was well sealed, without leakage of contrast agent, and the false lumen near the stent was completely thrombosed. Compared with the pre-operative CTA, the true lumen was enlarged and the false lumen was reduced, and the false lumen was completely thrombosed in the proximal end and near the stent. Contrast media was seen in the false lumen. CONCLUSION: One-stage hybrid surgery for Stanford type A aortic dissection can avoid deep hypothermic circulatory arrest, shorten operation time, reduce operation trauma, and reduce the incidence of postoperative complications. This treatment has a effective treatment effect in the short term. However, the limitations imposed by covered stent materials mean that the treatment’s long-term effect is not yet clear, and further research is needed. Dove 2021-07-14 /pmc/articles/PMC8286737/ /pubmed/34285615 http://dx.doi.org/10.2147/RMHP.S296165 Text en © 2021 Gu and Chen. https://creativecommons.org/licenses/by-nc/3.0/This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/ (https://creativecommons.org/licenses/by-nc/3.0/) ). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php). |
spellingShingle | Original Research Gu, Jianjun Chen, Ziying Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection |
title | Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection |
title_full | Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection |
title_fullStr | Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection |
title_full_unstemmed | Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection |
title_short | Clinical Efficacy of Hybrid Surgery for Stanford Type A Aortic Dissection |
title_sort | clinical efficacy of hybrid surgery for stanford type a aortic dissection |
topic | Original Research |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8286737/ https://www.ncbi.nlm.nih.gov/pubmed/34285615 http://dx.doi.org/10.2147/RMHP.S296165 |
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