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Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement
BACKGROUND: The goal of this study was to determine the clinical outcomes of total arch replacement with frozen elephant trunk surgery and hybrid debranching surgery for acute type A aortic dissection patients. METHODS: From January 2017 to December 2019, the clinical data of acute type A aortic dis...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229500/ https://www.ncbi.nlm.nih.gov/pubmed/35739545 http://dx.doi.org/10.1186/s13019-022-01920-9 |
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author | Huang, Feng Li, Xiaofeng Zhang, Zili Li, Chunping Ren, Fei |
author_facet | Huang, Feng Li, Xiaofeng Zhang, Zili Li, Chunping Ren, Fei |
author_sort | Huang, Feng |
collection | PubMed |
description | BACKGROUND: The goal of this study was to determine the clinical outcomes of total arch replacement with frozen elephant trunk surgery and hybrid debranching surgery for acute type A aortic dissection patients. METHODS: From January 2017 to December 2019, the clinical data of acute type A aortic dissection patients were retrospectively collected and analyzed. There were 142 patients underwent total arch replacement with frozen elephant trunk surgery and 35 patients underwent hybrid debranching surgery. RESULT: The age, the body mass index and the renal insufficiency of patients in the hybrid group were higher than those in the total arch replacement (TAR) group (all P < 0.01). The operation time, the cardiopulmonary bypass time and the aortic occlusion time of patients in the TAR group were significantly longer than those in the hybrid group (all P < 0.01). Patients in the debranching group had shorter ventilator-assisted breathing time, shorter postoperative hospital stay time and shorter intensive care unit (ICU) stay time. The incidence of pulmonary infection and transient neurological dysfunction were lower, and the transfusions of red blood cells and plasma during the perioperative period were smaller. The survival rates at 2 years were 91.9% and 85.9% in the TAR and hybrid groups, respectively. CONCLUSION: Hybrid debranching operation is a safe and effective method for acute type A aortic dissection. Compared with TAR surgery, hybrid debranching surgery has the characteristics of less trauma, rapid recovery and lower incidence of complication. |
format | Online Article Text |
id | pubmed-9229500 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-92295002022-06-25 Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement Huang, Feng Li, Xiaofeng Zhang, Zili Li, Chunping Ren, Fei J Cardiothorac Surg Research Article BACKGROUND: The goal of this study was to determine the clinical outcomes of total arch replacement with frozen elephant trunk surgery and hybrid debranching surgery for acute type A aortic dissection patients. METHODS: From January 2017 to December 2019, the clinical data of acute type A aortic dissection patients were retrospectively collected and analyzed. There were 142 patients underwent total arch replacement with frozen elephant trunk surgery and 35 patients underwent hybrid debranching surgery. RESULT: The age, the body mass index and the renal insufficiency of patients in the hybrid group were higher than those in the total arch replacement (TAR) group (all P < 0.01). The operation time, the cardiopulmonary bypass time and the aortic occlusion time of patients in the TAR group were significantly longer than those in the hybrid group (all P < 0.01). Patients in the debranching group had shorter ventilator-assisted breathing time, shorter postoperative hospital stay time and shorter intensive care unit (ICU) stay time. The incidence of pulmonary infection and transient neurological dysfunction were lower, and the transfusions of red blood cells and plasma during the perioperative period were smaller. The survival rates at 2 years were 91.9% and 85.9% in the TAR and hybrid groups, respectively. CONCLUSION: Hybrid debranching operation is a safe and effective method for acute type A aortic dissection. Compared with TAR surgery, hybrid debranching surgery has the characteristics of less trauma, rapid recovery and lower incidence of complication. BioMed Central 2022-06-23 /pmc/articles/PMC9229500/ /pubmed/35739545 http://dx.doi.org/10.1186/s13019-022-01920-9 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/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/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://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, Feng Li, Xiaofeng Zhang, Zili Li, Chunping Ren, Fei Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement |
title | Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement |
title_full | Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement |
title_fullStr | Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement |
title_full_unstemmed | Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement |
title_short | Comparison of two surgical approaches for acute type A aortic dissection: hybrid debranching versus total arch replacement |
title_sort | comparison of two surgical approaches for acute type a aortic dissection: hybrid debranching versus total arch replacement |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9229500/ https://www.ncbi.nlm.nih.gov/pubmed/35739545 http://dx.doi.org/10.1186/s13019-022-01920-9 |
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