2015
DOI: 10.1055/s-0035-1555752
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Abstract: Within a short circulatory arrest time, MHCA combined with ACP seemed to be a safe and effective method to protect cerebral and visceral organs during total aortic arch replacement.

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Cited by 12 publications
(14 citation statements)
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References 16 publications
(23 reference statements)
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“…Due to our many years of experience with this technique, exposure and snaring of supraaortic vessels with elastomer loops can be safely performed and did not take more time even in redo surgery. Concerning the level of hypothermia during circulatory arrest, we absolutely agree with Ma et al 25 In their study with patients who underwent the FET procedure for type A dissection, they demonstrated that MSHCA combined with ACP seemed to be a safe and effective method to protect cerebral and visceral organs during total aortic arch replacement. Their result shows that TND incidence was lower in the MSHCA group compared with the DHCA group (21.3% vs. 40.4%, p ¼ 0.041).…”
Section: Commentsupporting
confidence: 86%
“…Due to our many years of experience with this technique, exposure and snaring of supraaortic vessels with elastomer loops can be safely performed and did not take more time even in redo surgery. Concerning the level of hypothermia during circulatory arrest, we absolutely agree with Ma et al 25 In their study with patients who underwent the FET procedure for type A dissection, they demonstrated that MSHCA combined with ACP seemed to be a safe and effective method to protect cerebral and visceral organs during total aortic arch replacement. Their result shows that TND incidence was lower in the MSHCA group compared with the DHCA group (21.3% vs. 40.4%, p ¼ 0.041).…”
Section: Commentsupporting
confidence: 86%
“…We compared studies performed only in patients with spinal cord coverage T8 or beyond or 15 cm or greater stent length (n ¼ 6, 201 patients), 15,23,[32][33][34]42 with studies performed only in patients with stent length equal to 10 cm (n ¼ 19, 1634 patients). 15,[17][18][19]21,22,24,25,27,28,33,35,37,[40][41][42]45,46 The patients Figure E1).…”
Section: Subgroup Analysismentioning
confidence: 99%
“…When we compared studies performed only in patients with acute type A aortic dissection (n ¼ 12, 1300 patients) 21,23,25,[27][28][29][30]35,37,41,46,47 with studies performed only in patients with nonacute type A dissection and aneurysm (n ¼ 14, 741 patients), 14,15,17,19,22,[24][25][26]34,40,[42][43][44][45] we found the following results: The pooled mortality rate was 9.2% (95% CI, 6.9-12.4) in the patients with acute type A and 7.6% (95% CI, 4.9-11.4) in the patients with nonacute dissection and aneurysm (P ¼ .46). The pooled rate of stroke in these 2 groups was 9.3% (95% CI, 4.5-18.5) and 6.6% (95% CI, 3.1-13.5) (P ¼ .51), and the pooled rate of SCI was 2.4% (95% CI, 1.3-4.2) and 5.2% (95% CI, 3.1-8.5) (P ¼ .05), respectively ( Figure E2).…”
Section: Acute Type a Versus Nonacute Type A And Aneurysmmentioning
confidence: 99%
“…PND are defined as stroke or persistent focal neurologic dysfunction, often accompanied by changes in brain imaging. [ 21 ] Mortality is defined as death that occurred intraoperatively, within the same admission postoperatively, or by 30 days postoperatively. [ 7 ] Temporal were neurological deficits (TND) and acute kidney injury (AKI) will also be recorded as secondary outcomes.…”
Section: Methodsmentioning
confidence: 99%