A Modified Approach with Caval Transection for Supracardiac Total Anomalous Pulmonary Venous Connection: Comparison Between Conventional and Sutureless Surgery in 173 Patients

Qiu, Zhihuang; Liao, Lianming; Xiao, Jun; Chen, Xingfeng; Liao, Dong-San; Tang, Mirong; Wu, Qiong-Song; Xie, Xianbiao; Zhu, Yongping

doi:10.1007/s00246-021-02573-6

Cited by 3 publications

(9 citation statements)

References 20 publications

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“…These two studies were deemed high quality ( 19 , 23 ). The remaining five studies were deemed moderate quality ( 8 , 18 , 20 – 22 ).…”

Section: Resultsmentioning

confidence: 99%

“…One study ( 23 ) did not report reoperations due to PVO following the sutureless repair, therefore this meta-analysis was based on 10 studies ( 8 , 14 – 22 ). The pooled estimate of postoperative PVO was 1.8% (95% CI, 0.3–3.3%; I 2 = 0; Figure 3B ) following the sutureless repair.…”

Section: Resultsmentioning

confidence: 99%

“…A total of six studies ( 8 , 18 – 22 ) compared the incidence of reoperations due to PVO, and they were involved in this meta-analysis. The meta-analysis suggested that the sutureless technique was associated with a lower incidence of reoperations due to PVO (OR, 0.25; 95% CI, 0.10–0.63; P = 0.003; I 2 = 0; Figure 4B ).…”

Section: Resultsmentioning

confidence: 99%

“…A total of six studies ( 8 , 18 – 22 ) compared the late mortality after repair of both procedures, and they were involved in this meta-analysis. This meta-analysis revealed that the late mortality was not significantly different between the sutureless technique and conventional surgery (OR, 0.63; 95% CI, 0.13–3.00; P = 0.58; I 2 = 57%; Figure 4D ).…”

Section: Resultsmentioning

confidence: 99%

“…Based on two-arm studies, compared with studies published earlier than 2016, the sutureless technique significantly reduced risks for postoperative PVO in studies published during the last 5 years ( Table 3 ). In the literature, concerning postoperative PVO and early mortality, the use of sutureless technique in supracardiac or cardiac TAPVC was not completely promising ( 18 , 20 , 22 ) suggesting that the sutureless technique might not be beneficial for patients with unobstructed PVs. Although we aimed to explore the effectiveness of the sutureless repair for supracardiac or cardiac TAPVC, we did not identify significant differences between different subtypes of TAPVC ( Table 3 ).…”

Section: Discussionmentioning

confidence: 99%

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Sutureless Technique for Primary Total Anomalous Pulmonary Venous Connection Repair: An Updated Meta-Analysis

Zhao

Pan

et al. 2022

Front. Cardiovasc. Med.

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BackgroundAn updated meta-analysis was performed to explore the clinical outcomes following the sutureless repair in patients with total anomalous pulmonary venous connection (TAPVC) and compare outcomes between the sutureless technique and conventional surgery.MethodsA systematic search of PubMed, Ovid-Embase, and Cochrane Library (CENTRAL) for relevant published studies that reported the clinical outcomes of the sutureless technique in children with TAPVC was performed in February 2022. The publication language was restricted to English.ResultsEleven studies were included involving 771 patients in total. Following the sutureless technique, the incidences of postoperative pulmonary venous obstruction (PVO) and reoperations due to PVO were 3.3% [95% confidence interval (CI), 1.3–5.3%] and 1.8% (95% CI, 0.3–3.3%), respectively. The early and late mortality rates were 3.2% (95% CI, 1.0–5.3%) and 2.5% (95% CI, 0.7–4.3%), respectively. Compared with conventional surgery, the sutureless technique significantly reduced the incidences of postoperative PVO [odds ratio (OR), 0.16; 95% CI, 0.08–0.33; P < 0.00001], reoperations due to PVO (OR, 0.25; 95% CI, 0.10–0.63; P = 0.003), and early mortality (OR, 0.40; 95% CI, 0.21–0.79; P = 0.008). However, no significant difference was found between conventional surgery and the sutureless technique concerning late mortality (OR, 0.63; 95% CI, 0.13–3.00; P = 0.58).ConclusionThe sutureless technique is superior to conventional surgery for the primary repair of TAPVC concerning postoperative PVO, reoperations due to PVO, and early mortality. However, the level of evidence is of low quality. Prospective cohort studies or randomized control trials (RCTs) should be performed to evaluate the effectiveness of sutureless techniques for primary TAPVC repair.

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“…These two studies were deemed high quality ( 19 , 23 ). The remaining five studies were deemed moderate quality ( 8 , 18 , 20 – 22 ).…”

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 3 more Smart Citations

Sutureless Technique for Primary Total Anomalous Pulmonary Venous Connection Repair: An Updated Meta-Analysis

Zhao

Pan

et al. 2022

Front. Cardiovasc. Med.

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Sutureless Closure Versus Conventional Technique in the Primary Surgery of Total Anomalous Pulmonary Venous Connection: A Systematic Review and Meta-analysis

et al. 2022

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Risk factors for postoperative pulmonary venous obstruction after surgical repair of total anomalous pulmonary venous connection: a systemic review and meta-analysis

Zhang

Shi

Chen

2022

Interactive CardioVascular and Thoracic Surgery

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Background A meta-analysis was performed to investigate the risk factors of postoperative pulmonary venous obstruction (PVO) after surgical repair of total anomalous pulmonary venous connection (TAPVC). Methods Data bases including Pubmed, Embase, Web of Science and Cocrane Libarary were searched systematically for this study aiming to discuss the risk factors for post operation PVO of TAPVC. Publications were screened by two authors independently for criteria inclusion, methodological quality assessment, and data extraction. Newcastle-Ottawa Scale and the Agency for Healthcare Research and Quality (AHRQ) checklist were obtained to assess the quality of studies. Data were pooled by random effect model or fixed effect model according to the heterogeneity test. Results A total of 16 studies (2,385 participants) were included into a meta-analysis. All included studies were retrospective studies. Six potential risk factors were pooled, five of which were significantly associated with postoperative PVO. Patients with preoperative PVO were more likely to suffer from postoperative PVO [odds ratio (OR)=5.27, 95% CI = (2.75, 10.11), P < 0.01]. Comparing with sutureless procedure, conventional operation procedure was associated with postoperative PVO [OR = 1.80, 95% CI = (1.20, 2.71), P < 0.01]. Mixed type TAPVC plays a critical role in postoperative PVO [OR = 3.78, 95% CI = (1.08, 13.18), P = 0.04]. Inverse variance analysis showed that longer cardiopulmonary bypass (CPB) time [hazard ratio (HR)=1.01, 95% CI = (1.01, 1.02), P < 0.00001] and aortic cross-clamp (ACC) time [HR = 1.01, 95% CI = (1.01, 1.02), P < 0.01] were significantly associated with postoperative PVO. Whereas, heterotaxy [OR = 1.18, 95% CI = 0.13, 10.45, P = 0.88] was not statistically significant as a risk factor for postoperative PVO. Conclusions The meta-analysis we presented may provide a perspective on the risk factors of postoperative PVO of TAPVC, thus, furthering studies predicting postoperative PVO of TAPVC with our findings.

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A Modified Approach with Caval Transection for Supracardiac Total Anomalous Pulmonary Venous Connection: Comparison Between Conventional and Sutureless Surgery in 173 Patients

Cited by 3 publications

References 20 publications

Sutureless Technique for Primary Total Anomalous Pulmonary Venous Connection Repair: An Updated Meta-Analysis

Sutureless Technique for Primary Total Anomalous Pulmonary Venous Connection Repair: An Updated Meta-Analysis

Sutureless Closure Versus Conventional Technique in the Primary Surgery of Total Anomalous Pulmonary Venous Connection: A Systematic Review and Meta-analysis

Risk factors for postoperative pulmonary venous obstruction after surgical repair of total anomalous pulmonary venous connection: a systemic review and meta-analysis

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