Autor: |
Irsa Hasan, MD, James A. Brown, MD, MS, Derek Serna-Gallegos, MD, Jianhui Zhu, MS, PhD, Joseph Garvey, BA, Sarah Yousef, MD, Ibrahim Sultan, MD |
Jazyk: |
angličtina |
Rok vydání: |
2023 |
Předmět: |
|
Zdroj: |
JTCVS Open, Vol 15, Iss , Pp 1-13 (2023) |
Druh dokumentu: |
article |
ISSN: |
2666-2736 |
DOI: |
10.1016/j.xjon.2023.04.015 |
Popis: |
Objective: Data regarding management of lower-extremity malperfusion in the setting of type A aortic dissection are limited. This study aimed to compare acute type A aortic dissection with lower-extremity malperfusion outcomes in patients undergoing lower-extremity revascularization with no revascularization. Methods: Consecutive patients undergoing acute type A aortic dissection surgery were identified from a prospectively maintained database. Perioperative variables were compared between patients with and without lower-extremity malperfusion. Factors associated with lower-extremity malperfusion, revascularization, and mortality were determined using univariable Cox regression and Firth's penalized likelihood modeling. Results: From January 2007 to December 2021, 601 patients underwent proximal aortic repair for acute type A aortic dissection at a quaternary care center. Of these, 85 of 601 patients (14%) presented with lower-extremity malperfusion and were more often male (P = .02), had concomitant moderate or greater aortic insufficiency (P = .05), had lower ejection fraction (P = .004), had preoperative dialysis dependence (P = .01), and had additional cerebral, visceral, and renal malperfusion syndromes (P |
Databáze: |
Directory of Open Access Journals |
Externí odkaz: |
|