Axillar or Aortic Cannulation for Aortic Repair in Patients With Stanford A Dissection?

Sabashnikov, Anton; Heinen, Stephanie; Deppe, Antje‐Christin; Zeriouh, Mohamed; Weymann, Alexander; Slottosch, Ingo; Eghbalzadeh, Kaveh; Popov, Aron‐Frederik; Liakopoulos, Oliver J.; Rahmanian, Parwis B.; Madershahian, Navid; Kroener, Axel; Choi, Yeong‐Hoon; Kuhn‐Régnier, Ferdinand; Simón, A.; Wahlers, Thorsten; Wippermann, Jens

doi:10.1016/j.athoracsur.2016.03.009

Cited by 34 publications

(52 citation statements)

References 14 publications

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“…The surgical procedure for our patients suffering an AAD is already described by our group and published elsewhere. 14 The primary endpoint was long-term overall cumulative survival with up to 9-year follow up. Secondary endpoints were early postoperative clinical characteristics and complication rates.…”

Section: Methodsmentioning

confidence: 99%

Impact of preoperative elevated serum creatinine on long-term outcome of patients undergoing aortic repair with Stanford A dissection: a retrospective matched pair analysis

Eghbalzadeh

Sabashnikov

Weber

et al. 2018

Therapeutic Advances in Cardiovascular Disease

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Section: Methodsmentioning

confidence: 99%

Impact of preoperative elevated serum creatinine on long-term outcome of patients undergoing aortic repair with Stanford A dissection: a retrospective matched pair analysis

Eghbalzadeh

Sabashnikov

Weber

et al. 2018

Therapeutic Advances in Cardiovascular Disease

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“…The dissection of the aortic wall is prone to extend distally and proximally. The potential risk of exacerbating the dissection and the potential risk of rupture are concerns that are expressed regarding central aortic cannulation [29, 30]. …”

Section: The General Considerations About Cannulation Strategiesmentioning

confidence: 99%

“…The theoretical advantages of this strategy are that antegrade perfusion is achieved and that only a short time is necessary to establish CPB. The major concerns in relation to the use of this technique are the rupture of the cannulation site and false lumen perfusion [29, 30, 47]. …”

Section: Cannulation Strategiesmentioning

confidence: 99%

“…This study seems to be the only comparative study with a significant number of patients that compares these two strategies [29]. They compared the results in a total of propensity-matched patients.…”

Section: Comparative Studies On Cannulation Strategies In Surgery Formentioning

confidence: 99%

“…There was no difference in the incidence of stroke (RR 0.74; 95 % CI 0.17–3.26, calculated by the authors from published data). Long-term survival was significantly worse in patients with central aortic cannulation than in those with axillary artery cannulation [29]. …”

Section: Comparative Studies On Cannulation Strategies In Surgery Formentioning

confidence: 99%

See 2 more Smart Citations

The cannulation strategy in surgery for acute type A dissection

Abe

Usui

2016

Gen Thorac Cardiovasc Surg

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The rates of mortality and morbidity remain high in surgery for acute type A dissection. There is controversy regarding the best cannulation strategy for achieving good clinical results. Each cannulation technique has different anatomical characteristics and a different flow pattern inside the aorta during cardiopulmonary bypass. Some adverse, clinically important outcomes may be related to events at this time. Femoral artery cannulation, axillary artery cannulation, and central aortic cannulation are the three major cannulation strategies that are adopted in many centers in the world. Accumulating results from comparative studies between right axillary artery cannulation and femoral artery cannulation show that right axillary artery cannulation is associated with better clinical outcomes. However, all of the studies have been retrospective, and few studies have compared the results of other combinations of cannulation strategies. Observational studies using newer monitoring techniques clearly show that no perfusion strategy is perfect or free from complications. In summary, the evidence is insufficient to make a strong recommendation regarding cannulation strategies. Based on the fairly consistent results of retrospective studies, more surgeons are tending to switch from a retrograde perfusion strategy to adopt an antegrade perfusion strategy. Regardless of the routine cannulation strategy that is adopted, careful monitoring and a swift response to adverse events are necessary. The further accumulation of evidence is warranted.

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sArterial cannulation to establish cardiopulmonary bypass during surgery for acute aortic dissection

Ohno

Minatoya

2019

Surg Today

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Axillar or Aortic Cannulation for Aortic Repair in Patients With Stanford A Dissection?

Cited by 34 publications

References 14 publications

Impact of preoperative elevated serum creatinine on long-term outcome of patients undergoing aortic repair with Stanford A dissection: a retrospective matched pair analysis

Impact of preoperative elevated serum creatinine on long-term outcome of patients undergoing aortic repair with Stanford A dissection: a retrospective matched pair analysis

The cannulation strategy in surgery for acute type A dissection

sArterial cannulation to establish cardiopulmonary bypass during surgery for acute aortic dissection

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