Sun’s total arch replacement and stent elephant trunk with modified branch-first technique for patients with Stanford type A aortic dissection
| Autor: | Jian-Rong Li, You-Cong Zhang, Yuan Xue, Li-Zhong Sun, Songbo Dong, Shang-Dong Xu, Hui-Qiang Gao, Xu-Dong Pan, Jun Zheng, Wenjian Jiang, Sheng Yang |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Mechanical ventilation
Aortic dissection medicine.medical_specialty Elephant trunks business.industry medicine.medical_treatment Mortality rate Stent General Medicine 030204 cardiovascular system & hematology medicine.disease Intensive care unit Surgery law.invention 03 medical and health sciences 0302 clinical medicine 030228 respiratory system law medicine Cardiopulmonary bypass Original Article Cerebral perfusion pressure business |
| Zdroj: | Ann Transl Med |
| ISSN: | 2305-5847 2305-5839 |
| DOI: | 10.21037/atm-20-3791 |
| Popis: | BACKGROUND: Stanford type A aortic dissection (STAAD) is a critical cardiovascular disease, and surgical procedure is the first-choice treatment. The classical surgical procedure still leads to a high mortality rate and neurological complications. In this study, we introduce a new modified Sun’s procedure and investigate the association between the branch-first technique and the postoperative outcomes of patients with STAAD. METHODS: A total of 108 consecutive patients with STAAD who underwent arch replacement and stent elephant trunk procedure at Beijing Anzhen Hospital between July, 2017 and November, 2018 were included in the analysis. The patients were divided into two groups: the branch-first group and the classic group. The branch-first group and the classic group comprised 24 patients (22.2%) and 84 patients (77.8%), respectively. RESULTS: Patients in the branch-first group had a significantly shorter cardiopulmonary bypass (CPB) duration (172.4±29.9 vs. 194.9±47.4 min; P=0.035), Intensive care unit (ICU) stay [17.0 (14.6–38.2) vs. 42.1 (19.7–87.2) hours; P |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|