Samurai cannulation (direct true-lumen cannulation) for acute Stanford Type A aortic dissection†
| Autor: | Kensuke Kobayashi, Rihito Horikoshi, Kagami Miyaji, Yuki Tanaka, Yuki Ohtomo, Shinzo Torii, Tadashi Kitamura, Akihiro Sasahara |
|---|---|
| Rok vydání: | 2018 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine Cardiac Catheterization medicine.medical_specialty 030204 cardiovascular system & hematology law.invention 03 medical and health sciences Aortic aneurysm Postoperative Complications 0302 clinical medicine Aneurysm law medicine.artery medicine Cardiopulmonary bypass Humans Stroke Aged Retrospective Studies Aged 80 and over Aortic dissection Aorta Cardiopulmonary Bypass Aortic Aneurysm Thoracic business.industry Retrospective cohort study General Medicine Middle Aged medicine.disease Surgery Aortic Dissection 030228 respiratory system Cardiothoracic surgery Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Cardio-Thoracic Surgery. 54:498-503 |
| ISSN: | 1873-734X 1010-7940 |
| DOI: | 10.1093/ejcts/ezy066 |
| Popis: | Objectives In this study, we investigated early outcomes of patients who underwent surgical aortic repair for acute Stanford Type A aortic dissection at the Kitasato University Hospital and compared the results of Samurai cannulation (direct true-lumen cannulation) with other cannulation options. Methods Inpatient and outpatient records were retrospectively reviewed. Results Among the 100 patients who were operated on for acute Type A aortic dissection between April 2011 and April 2017, sole Samurai cannulation was used in 61 patients (Group S) and other cannulation options were used in the remaining 39 patients (Group O). No significant difference was observed in preoperative demographics between the groups. True-lumen cannulation was successful in all Group S patients, whereas 3 cannulation-related complications were observed in Group O patients. In Group S, the 30-day and in-hospital mortality occurred in 3 (5%) and 4 (7%) patients, respectively, and in Group O, these occurred in 3 (8%), and 6 (15%) patients, respectively. Four patients in each group (7% and 10%) experienced disabling or fatal strokes. Early mortality or stroke rate between the groups were not significantly different. During follow-up, there was no statistically significant difference between the groups in terms of survival, freedom from aorta-related death or freedom from aortic events. Conclusions Early outcomes of the initial series of surgery for Stanford Type A aortic dissection with Samurai cannulation was favourable with acceptable mortality and stroke rates without cannulation-related complications. Samurai cannulation represents an easy, safe and reasonable option for cardiopulmonary bypass in surgery for acute Stanford Type A aortic dissection. |
| Databáze: | OpenAIRE |
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