Direct Aortic Versus Supra-Aortic Arterial Cannulation During Surgery for Acute Type A Aortic Dissection
Aims In this study we evaluated the impact of direct aortic cannulation versus innominate/subclavian/axillary artery cannulation on the outcome after surgery for type A aortic dissection. Methods The outcomes of patients included in a multicenter European registry (ERTAAD) who underwent surgery for...
Gespeichert in:
| Veröffentlicht in: | World journal of surgery 2023-11, Vol.47 (11), p.2899-2908 |
|---|---|
| Hauptverfasser: | , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 2908 |
|---|---|
| container_issue | 11 |
| container_start_page | 2899 |
| container_title | World journal of surgery |
| container_volume | 47 |
| creator | Juvonen, Tatu Jormalainen, Mikko Mustonen, Caius Demal, Till Fiore, Antonio Perrotti, Andrea Hervé, Amélie Mazzaro, Enzo Gatti, Giuseppe Pettinari, Matteo Peterss, Sven Buech, Joscha Nappi, Francesco Conradi, Lenard Pinto, Angel G. Rodriguez Lega, Javier Pol, Marek Kacer, Petr Dell’Aquila, Angelo M. Rukosujew, Andreas Wisniewski, Konrad Vendramin, Igor Piani, Daniela Ferrante, Luisa Rinaldi, Mauro Quintana, Eduard Pruna-Guillen, Robert Gerelli, Sebastien Di Perna, Dario Folliguet, Thierry Acharya, Metesh Field, Mark Kuduvalli, Manoj Onorati, Francesco Rossetti, Cecilia Mäkikallio, Timo Raivio, Peter Mariscalco, Giovanni Biancari, Fausto |
| description | Aims
In this study we evaluated the impact of direct aortic cannulation versus innominate/subclavian/axillary artery cannulation on the outcome after surgery for type A aortic dissection.
Methods
The outcomes of patients included in a multicenter European registry (ERTAAD) who underwent surgery for acute type A aortic dissection with direct aortic cannulation versus those with innominate/subclavian/axillary artery cannulation, i.e. supra-aortic arterial cannulation, were compared using propensity score matched analysis.
Results
Out of 3902 consecutive patients included in the registry, 2478 (63.5%) patients were eligible for this analysis. Direct aortic cannulation was performed in 627 (25.3%) patients, while supra-aortic arterial cannulation in 1851 (74.7%) patients. Propensity score matching yielded 614 pairs of patients. Among them, patients who underwent surgery for TAAD with direct aortic cannulation had significantly decreased in-hospital mortality (12.7% vs. 18.1%,
p
= 0.009) compared to those who had supra-aortic arterial cannulation. Furthermore, direct aortic cannulation was associated with decreased postoperative rates of paraparesis/paraplegia (2.0 vs. 6.0%,
p
|
| doi_str_mv | 10.1007/s00268-023-07116-z |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_hal_p</sourceid><recordid>TN_cdi_hal_primary_oai_HAL_hal_04389496v1</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2871485314</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4604-d8e4f9d96e4015901109bc8ab51f6f70f0c7156466660d9896fef285b775724f3</originalsourceid><addsrcrecordid>eNqNkc1u1DAUhS1ERYeBF2CBLLGBRcr1T-yYXZihtNVILFpgaXkydusqk6R2DJo-PR4yLRILhDe2rr5zdK4PQq8InBAA-T4CUFEVQFkBkhBR3D9BM8IZLSij7CmaARM8vwk7Rs9jvAUgUoB4ho6ZzBSndIZulj7YZsR1H0bf4G82xBTxZRqCKQ6zOow2eNPihem61JrR9x1epuC76wyGaxt22PUB100aLb7aDRbXD35LH2O2z4oX6MiZNtqXh3uOvp5-ulqcFasvn88X9apouABebCrLndooYTmQUgEhoNZNZdYlccJJcNBIUgou8oGNqpRw1tGqXEtZSsodm6N3k--NafUQ_NaEne6N12f1Su9nwFmluBI_SGbfTuwQ-rtk46i3Pja2bU1n-xR19uWclYRWGX3zF3rbp9DlTTIlCa9Kln9-juhENaGPMVj3mICA3nemp8507kz_7kzfZ9Hrg3Vab-3mUfJQUgY-TMBP39rdf1jq7xeXH09BcbaPxCZxHPaN2fAn-D8y_QLR6LEB</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2871485314</pqid></control><display><type>article</type><title>Direct Aortic Versus Supra-Aortic Arterial Cannulation During Surgery for Acute Type A Aortic Dissection</title><source>SpringerNature Journals</source><source>Access via Wiley Online Library</source><creator>Juvonen, Tatu ; Jormalainen, Mikko ; Mustonen, Caius ; Demal, Till ; Fiore, Antonio ; Perrotti, Andrea ; Hervé, Amélie ; Mazzaro, Enzo ; Gatti, Giuseppe ; Pettinari, Matteo ; Peterss, Sven ; Buech, Joscha ; Nappi, Francesco ; Conradi, Lenard ; Pinto, Angel G. ; Rodriguez Lega, Javier ; Pol, Marek ; Kacer, Petr ; Dell’Aquila, Angelo M. ; Rukosujew, Andreas ; Wisniewski, Konrad ; Vendramin, Igor ; Piani, Daniela ; Ferrante, Luisa ; Rinaldi, Mauro ; Quintana, Eduard ; Pruna-Guillen, Robert ; Gerelli, Sebastien ; Di Perna, Dario ; Folliguet, Thierry ; Acharya, Metesh ; Field, Mark ; Kuduvalli, Manoj ; Onorati, Francesco ; Rossetti, Cecilia ; Mäkikallio, Timo ; Raivio, Peter ; Mariscalco, Giovanni ; Biancari, Fausto</creator><creatorcontrib>Juvonen, Tatu ; Jormalainen, Mikko ; Mustonen, Caius ; Demal, Till ; Fiore, Antonio ; Perrotti, Andrea ; Hervé, Amélie ; Mazzaro, Enzo ; Gatti, Giuseppe ; Pettinari, Matteo ; Peterss, Sven ; Buech, Joscha ; Nappi, Francesco ; Conradi, Lenard ; Pinto, Angel G. ; Rodriguez Lega, Javier ; Pol, Marek ; Kacer, Petr ; Dell’Aquila, Angelo M. ; Rukosujew, Andreas ; Wisniewski, Konrad ; Vendramin, Igor ; Piani, Daniela ; Ferrante, Luisa ; Rinaldi, Mauro ; Quintana, Eduard ; Pruna-Guillen, Robert ; Gerelli, Sebastien ; Di Perna, Dario ; Folliguet, Thierry ; Acharya, Metesh ; Field, Mark ; Kuduvalli, Manoj ; Onorati, Francesco ; Rossetti, Cecilia ; Mäkikallio, Timo ; Raivio, Peter ; Mariscalco, Giovanni ; Biancari, Fausto</creatorcontrib><description>Aims
In this study we evaluated the impact of direct aortic cannulation versus innominate/subclavian/axillary artery cannulation on the outcome after surgery for type A aortic dissection.
Methods
The outcomes of patients included in a multicenter European registry (ERTAAD) who underwent surgery for acute type A aortic dissection with direct aortic cannulation versus those with innominate/subclavian/axillary artery cannulation, i.e. supra-aortic arterial cannulation, were compared using propensity score matched analysis.
Results
Out of 3902 consecutive patients included in the registry, 2478 (63.5%) patients were eligible for this analysis. Direct aortic cannulation was performed in 627 (25.3%) patients, while supra-aortic arterial cannulation in 1851 (74.7%) patients. Propensity score matching yielded 614 pairs of patients. Among them, patients who underwent surgery for TAAD with direct aortic cannulation had significantly decreased in-hospital mortality (12.7% vs. 18.1%,
p
= 0.009) compared to those who had supra-aortic arterial cannulation. Furthermore, direct aortic cannulation was associated with decreased postoperative rates of paraparesis/paraplegia (2.0 vs. 6.0%,
p
< 0.0001), mesenteric ischemia (1.8 vs. 5.1%,
p
= 0.002), sepsis (7.0 vs. 14.2%,
p
< 0.0001), heart failure (11.2 vs. 15.2%,
p
= 0.043), and major lower limb amputation (0 vs. 1.0%,
p
= 0.031). Direct aortic cannulation showed a trend toward decreased risk of postoperative dialysis (10.1 vs. 13.7%,
p
= 0.051).
Conclusions
This multicenter cohort study showed that direct aortic cannulation compared to supra-aortic arterial cannulation is associated with a significant reduction of the risk of in-hospital mortality after surgery for acute type A aortic dissection.
Trial registration
ClinicalTrials.gov Identifier: NCT04831073.</description><identifier>ISSN: 0364-2313</identifier><identifier>EISSN: 1432-2323</identifier><identifier>DOI: 10.1007/s00268-023-07116-z</identifier><identifier>PMID: 37432422</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdominal Surgery ; Amputation ; Aorta ; Aortic dissection ; Cannulation ; Cardiac Surgery ; Congestive heart failure ; Dialysis ; Dissection ; General Surgery ; Hospitals ; Ischemia ; Life Sciences ; Medicine ; Medicine & Public Health ; Mortality ; Original Scientific Report ; Paraplegia ; Paraplegics ; Patients ; Sepsis ; Surgery ; Thoracic Surgery ; Vascular Surgery</subject><ispartof>World journal of surgery, 2023-11, Vol.47 (11), p.2899-2908</ispartof><rights>The Author(s) under exclusive licence to Société Internationale de Chirurgie 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023 The Author(s) under exclusive licence to Société Internationale de Chirurgie</rights><rights>2023. The Author(s) under exclusive licence to Société Internationale de Chirurgie.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4604-d8e4f9d96e4015901109bc8ab51f6f70f0c7156466660d9896fef285b775724f3</citedby><cites>FETCH-LOGICAL-c4604-d8e4f9d96e4015901109bc8ab51f6f70f0c7156466660d9896fef285b775724f3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00268-023-07116-z$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00268-023-07116-z$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,315,782,786,887,1419,27933,27934,41497,42566,45583,45584,51328</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37432422$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-04389496$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Juvonen, Tatu</creatorcontrib><creatorcontrib>Jormalainen, Mikko</creatorcontrib><creatorcontrib>Mustonen, Caius</creatorcontrib><creatorcontrib>Demal, Till</creatorcontrib><creatorcontrib>Fiore, Antonio</creatorcontrib><creatorcontrib>Perrotti, Andrea</creatorcontrib><creatorcontrib>Hervé, Amélie</creatorcontrib><creatorcontrib>Mazzaro, Enzo</creatorcontrib><creatorcontrib>Gatti, Giuseppe</creatorcontrib><creatorcontrib>Pettinari, Matteo</creatorcontrib><creatorcontrib>Peterss, Sven</creatorcontrib><creatorcontrib>Buech, Joscha</creatorcontrib><creatorcontrib>Nappi, Francesco</creatorcontrib><creatorcontrib>Conradi, Lenard</creatorcontrib><creatorcontrib>Pinto, Angel G.</creatorcontrib><creatorcontrib>Rodriguez Lega, Javier</creatorcontrib><creatorcontrib>Pol, Marek</creatorcontrib><creatorcontrib>Kacer, Petr</creatorcontrib><creatorcontrib>Dell’Aquila, Angelo M.</creatorcontrib><creatorcontrib>Rukosujew, Andreas</creatorcontrib><creatorcontrib>Wisniewski, Konrad</creatorcontrib><creatorcontrib>Vendramin, Igor</creatorcontrib><creatorcontrib>Piani, Daniela</creatorcontrib><creatorcontrib>Ferrante, Luisa</creatorcontrib><creatorcontrib>Rinaldi, Mauro</creatorcontrib><creatorcontrib>Quintana, Eduard</creatorcontrib><creatorcontrib>Pruna-Guillen, Robert</creatorcontrib><creatorcontrib>Gerelli, Sebastien</creatorcontrib><creatorcontrib>Di Perna, Dario</creatorcontrib><creatorcontrib>Folliguet, Thierry</creatorcontrib><creatorcontrib>Acharya, Metesh</creatorcontrib><creatorcontrib>Field, Mark</creatorcontrib><creatorcontrib>Kuduvalli, Manoj</creatorcontrib><creatorcontrib>Onorati, Francesco</creatorcontrib><creatorcontrib>Rossetti, Cecilia</creatorcontrib><creatorcontrib>Mäkikallio, Timo</creatorcontrib><creatorcontrib>Raivio, Peter</creatorcontrib><creatorcontrib>Mariscalco, Giovanni</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><title>Direct Aortic Versus Supra-Aortic Arterial Cannulation During Surgery for Acute Type A Aortic Dissection</title><title>World journal of surgery</title><addtitle>World J Surg</addtitle><addtitle>World J Surg</addtitle><description>Aims
In this study we evaluated the impact of direct aortic cannulation versus innominate/subclavian/axillary artery cannulation on the outcome after surgery for type A aortic dissection.
Methods
The outcomes of patients included in a multicenter European registry (ERTAAD) who underwent surgery for acute type A aortic dissection with direct aortic cannulation versus those with innominate/subclavian/axillary artery cannulation, i.e. supra-aortic arterial cannulation, were compared using propensity score matched analysis.
Results
Out of 3902 consecutive patients included in the registry, 2478 (63.5%) patients were eligible for this analysis. Direct aortic cannulation was performed in 627 (25.3%) patients, while supra-aortic arterial cannulation in 1851 (74.7%) patients. Propensity score matching yielded 614 pairs of patients. Among them, patients who underwent surgery for TAAD with direct aortic cannulation had significantly decreased in-hospital mortality (12.7% vs. 18.1%,
p
= 0.009) compared to those who had supra-aortic arterial cannulation. Furthermore, direct aortic cannulation was associated with decreased postoperative rates of paraparesis/paraplegia (2.0 vs. 6.0%,
p
< 0.0001), mesenteric ischemia (1.8 vs. 5.1%,
p
= 0.002), sepsis (7.0 vs. 14.2%,
p
< 0.0001), heart failure (11.2 vs. 15.2%,
p
= 0.043), and major lower limb amputation (0 vs. 1.0%,
p
= 0.031). Direct aortic cannulation showed a trend toward decreased risk of postoperative dialysis (10.1 vs. 13.7%,
p
= 0.051).
Conclusions
This multicenter cohort study showed that direct aortic cannulation compared to supra-aortic arterial cannulation is associated with a significant reduction of the risk of in-hospital mortality after surgery for acute type A aortic dissection.
Trial registration
ClinicalTrials.gov Identifier: NCT04831073.</description><subject>Abdominal Surgery</subject><subject>Amputation</subject><subject>Aorta</subject><subject>Aortic dissection</subject><subject>Cannulation</subject><subject>Cardiac Surgery</subject><subject>Congestive heart failure</subject><subject>Dialysis</subject><subject>Dissection</subject><subject>General Surgery</subject><subject>Hospitals</subject><subject>Ischemia</subject><subject>Life Sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Mortality</subject><subject>Original Scientific Report</subject><subject>Paraplegia</subject><subject>Paraplegics</subject><subject>Patients</subject><subject>Sepsis</subject><subject>Surgery</subject><subject>Thoracic Surgery</subject><subject>Vascular Surgery</subject><issn>0364-2313</issn><issn>1432-2323</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNqNkc1u1DAUhS1ERYeBF2CBLLGBRcr1T-yYXZihtNVILFpgaXkydusqk6R2DJo-PR4yLRILhDe2rr5zdK4PQq8InBAA-T4CUFEVQFkBkhBR3D9BM8IZLSij7CmaARM8vwk7Rs9jvAUgUoB4ho6ZzBSndIZulj7YZsR1H0bf4G82xBTxZRqCKQ6zOow2eNPihem61JrR9x1epuC76wyGaxt22PUB100aLb7aDRbXD35LH2O2z4oX6MiZNtqXh3uOvp5-ulqcFasvn88X9apouABebCrLndooYTmQUgEhoNZNZdYlccJJcNBIUgou8oGNqpRw1tGqXEtZSsodm6N3k--NafUQ_NaEne6N12f1Su9nwFmluBI_SGbfTuwQ-rtk46i3Pja2bU1n-xR19uWclYRWGX3zF3rbp9DlTTIlCa9Kln9-juhENaGPMVj3mICA3nemp8507kz_7kzfZ9Hrg3Vab-3mUfJQUgY-TMBP39rdf1jq7xeXH09BcbaPxCZxHPaN2fAn-D8y_QLR6LEB</recordid><startdate>202311</startdate><enddate>202311</enddate><creator>Juvonen, Tatu</creator><creator>Jormalainen, Mikko</creator><creator>Mustonen, Caius</creator><creator>Demal, Till</creator><creator>Fiore, Antonio</creator><creator>Perrotti, Andrea</creator><creator>Hervé, Amélie</creator><creator>Mazzaro, Enzo</creator><creator>Gatti, Giuseppe</creator><creator>Pettinari, Matteo</creator><creator>Peterss, Sven</creator><creator>Buech, Joscha</creator><creator>Nappi, Francesco</creator><creator>Conradi, Lenard</creator><creator>Pinto, Angel G.</creator><creator>Rodriguez Lega, Javier</creator><creator>Pol, Marek</creator><creator>Kacer, Petr</creator><creator>Dell’Aquila, Angelo M.</creator><creator>Rukosujew, Andreas</creator><creator>Wisniewski, Konrad</creator><creator>Vendramin, Igor</creator><creator>Piani, Daniela</creator><creator>Ferrante, Luisa</creator><creator>Rinaldi, Mauro</creator><creator>Quintana, Eduard</creator><creator>Pruna-Guillen, Robert</creator><creator>Gerelli, Sebastien</creator><creator>Di Perna, Dario</creator><creator>Folliguet, Thierry</creator><creator>Acharya, Metesh</creator><creator>Field, Mark</creator><creator>Kuduvalli, Manoj</creator><creator>Onorati, Francesco</creator><creator>Rossetti, Cecilia</creator><creator>Mäkikallio, Timo</creator><creator>Raivio, Peter</creator><creator>Mariscalco, Giovanni</creator><creator>Biancari, Fausto</creator><general>Springer International Publishing</general><general>Springer Nature B.V</general><general>Springer Verlag</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7QO</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>1XC</scope></search><sort><creationdate>202311</creationdate><title>Direct Aortic Versus Supra-Aortic Arterial Cannulation During Surgery for Acute Type A Aortic Dissection</title><author>Juvonen, Tatu ; Jormalainen, Mikko ; Mustonen, Caius ; Demal, Till ; Fiore, Antonio ; Perrotti, Andrea ; Hervé, Amélie ; Mazzaro, Enzo ; Gatti, Giuseppe ; Pettinari, Matteo ; Peterss, Sven ; Buech, Joscha ; Nappi, Francesco ; Conradi, Lenard ; Pinto, Angel G. ; Rodriguez Lega, Javier ; Pol, Marek ; Kacer, Petr ; Dell’Aquila, Angelo M. ; Rukosujew, Andreas ; Wisniewski, Konrad ; Vendramin, Igor ; Piani, Daniela ; Ferrante, Luisa ; Rinaldi, Mauro ; Quintana, Eduard ; Pruna-Guillen, Robert ; Gerelli, Sebastien ; Di Perna, Dario ; Folliguet, Thierry ; Acharya, Metesh ; Field, Mark ; Kuduvalli, Manoj ; Onorati, Francesco ; Rossetti, Cecilia ; Mäkikallio, Timo ; Raivio, Peter ; Mariscalco, Giovanni ; Biancari, Fausto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4604-d8e4f9d96e4015901109bc8ab51f6f70f0c7156466660d9896fef285b775724f3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Abdominal Surgery</topic><topic>Amputation</topic><topic>Aorta</topic><topic>Aortic dissection</topic><topic>Cannulation</topic><topic>Cardiac Surgery</topic><topic>Congestive heart failure</topic><topic>Dialysis</topic><topic>Dissection</topic><topic>General Surgery</topic><topic>Hospitals</topic><topic>Ischemia</topic><topic>Life Sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Mortality</topic><topic>Original Scientific Report</topic><topic>Paraplegia</topic><topic>Paraplegics</topic><topic>Patients</topic><topic>Sepsis</topic><topic>Surgery</topic><topic>Thoracic Surgery</topic><topic>Vascular Surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Juvonen, Tatu</creatorcontrib><creatorcontrib>Jormalainen, Mikko</creatorcontrib><creatorcontrib>Mustonen, Caius</creatorcontrib><creatorcontrib>Demal, Till</creatorcontrib><creatorcontrib>Fiore, Antonio</creatorcontrib><creatorcontrib>Perrotti, Andrea</creatorcontrib><creatorcontrib>Hervé, Amélie</creatorcontrib><creatorcontrib>Mazzaro, Enzo</creatorcontrib><creatorcontrib>Gatti, Giuseppe</creatorcontrib><creatorcontrib>Pettinari, Matteo</creatorcontrib><creatorcontrib>Peterss, Sven</creatorcontrib><creatorcontrib>Buech, Joscha</creatorcontrib><creatorcontrib>Nappi, Francesco</creatorcontrib><creatorcontrib>Conradi, Lenard</creatorcontrib><creatorcontrib>Pinto, Angel G.</creatorcontrib><creatorcontrib>Rodriguez Lega, Javier</creatorcontrib><creatorcontrib>Pol, Marek</creatorcontrib><creatorcontrib>Kacer, Petr</creatorcontrib><creatorcontrib>Dell’Aquila, Angelo M.</creatorcontrib><creatorcontrib>Rukosujew, Andreas</creatorcontrib><creatorcontrib>Wisniewski, Konrad</creatorcontrib><creatorcontrib>Vendramin, Igor</creatorcontrib><creatorcontrib>Piani, Daniela</creatorcontrib><creatorcontrib>Ferrante, Luisa</creatorcontrib><creatorcontrib>Rinaldi, Mauro</creatorcontrib><creatorcontrib>Quintana, Eduard</creatorcontrib><creatorcontrib>Pruna-Guillen, Robert</creatorcontrib><creatorcontrib>Gerelli, Sebastien</creatorcontrib><creatorcontrib>Di Perna, Dario</creatorcontrib><creatorcontrib>Folliguet, Thierry</creatorcontrib><creatorcontrib>Acharya, Metesh</creatorcontrib><creatorcontrib>Field, Mark</creatorcontrib><creatorcontrib>Kuduvalli, Manoj</creatorcontrib><creatorcontrib>Onorati, Francesco</creatorcontrib><creatorcontrib>Rossetti, Cecilia</creatorcontrib><creatorcontrib>Mäkikallio, Timo</creatorcontrib><creatorcontrib>Raivio, Peter</creatorcontrib><creatorcontrib>Mariscalco, Giovanni</creatorcontrib><creatorcontrib>Biancari, Fausto</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Biotechnology Research Abstracts</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Technology Research Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Engineering Research Database</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>Hyper Article en Ligne (HAL)</collection><jtitle>World journal of surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Juvonen, Tatu</au><au>Jormalainen, Mikko</au><au>Mustonen, Caius</au><au>Demal, Till</au><au>Fiore, Antonio</au><au>Perrotti, Andrea</au><au>Hervé, Amélie</au><au>Mazzaro, Enzo</au><au>Gatti, Giuseppe</au><au>Pettinari, Matteo</au><au>Peterss, Sven</au><au>Buech, Joscha</au><au>Nappi, Francesco</au><au>Conradi, Lenard</au><au>Pinto, Angel G.</au><au>Rodriguez Lega, Javier</au><au>Pol, Marek</au><au>Kacer, Petr</au><au>Dell’Aquila, Angelo M.</au><au>Rukosujew, Andreas</au><au>Wisniewski, Konrad</au><au>Vendramin, Igor</au><au>Piani, Daniela</au><au>Ferrante, Luisa</au><au>Rinaldi, Mauro</au><au>Quintana, Eduard</au><au>Pruna-Guillen, Robert</au><au>Gerelli, Sebastien</au><au>Di Perna, Dario</au><au>Folliguet, Thierry</au><au>Acharya, Metesh</au><au>Field, Mark</au><au>Kuduvalli, Manoj</au><au>Onorati, Francesco</au><au>Rossetti, Cecilia</au><au>Mäkikallio, Timo</au><au>Raivio, Peter</au><au>Mariscalco, Giovanni</au><au>Biancari, Fausto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Direct Aortic Versus Supra-Aortic Arterial Cannulation During Surgery for Acute Type A Aortic Dissection</atitle><jtitle>World journal of surgery</jtitle><stitle>World J Surg</stitle><addtitle>World J Surg</addtitle><date>2023-11</date><risdate>2023</risdate><volume>47</volume><issue>11</issue><spage>2899</spage><epage>2908</epage><pages>2899-2908</pages><issn>0364-2313</issn><eissn>1432-2323</eissn><abstract>Aims
In this study we evaluated the impact of direct aortic cannulation versus innominate/subclavian/axillary artery cannulation on the outcome after surgery for type A aortic dissection.
Methods
The outcomes of patients included in a multicenter European registry (ERTAAD) who underwent surgery for acute type A aortic dissection with direct aortic cannulation versus those with innominate/subclavian/axillary artery cannulation, i.e. supra-aortic arterial cannulation, were compared using propensity score matched analysis.
Results
Out of 3902 consecutive patients included in the registry, 2478 (63.5%) patients were eligible for this analysis. Direct aortic cannulation was performed in 627 (25.3%) patients, while supra-aortic arterial cannulation in 1851 (74.7%) patients. Propensity score matching yielded 614 pairs of patients. Among them, patients who underwent surgery for TAAD with direct aortic cannulation had significantly decreased in-hospital mortality (12.7% vs. 18.1%,
p
= 0.009) compared to those who had supra-aortic arterial cannulation. Furthermore, direct aortic cannulation was associated with decreased postoperative rates of paraparesis/paraplegia (2.0 vs. 6.0%,
p
< 0.0001), mesenteric ischemia (1.8 vs. 5.1%,
p
= 0.002), sepsis (7.0 vs. 14.2%,
p
< 0.0001), heart failure (11.2 vs. 15.2%,
p
= 0.043), and major lower limb amputation (0 vs. 1.0%,
p
= 0.031). Direct aortic cannulation showed a trend toward decreased risk of postoperative dialysis (10.1 vs. 13.7%,
p
= 0.051).
Conclusions
This multicenter cohort study showed that direct aortic cannulation compared to supra-aortic arterial cannulation is associated with a significant reduction of the risk of in-hospital mortality after surgery for acute type A aortic dissection.
Trial registration
ClinicalTrials.gov Identifier: NCT04831073.</abstract><cop>Cham</cop><pub>Springer International Publishing</pub><pmid>37432422</pmid><doi>10.1007/s00268-023-07116-z</doi><tpages>10</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0364-2313 |
| ispartof | World journal of surgery, 2023-11, Vol.47 (11), p.2899-2908 |
| issn | 0364-2313 1432-2323 |
| language | eng |
| recordid | cdi_hal_primary_oai_HAL_hal_04389496v1 |
| source | SpringerNature Journals; Access via Wiley Online Library |
| subjects | Abdominal Surgery Amputation Aorta Aortic dissection Cannulation Cardiac Surgery Congestive heart failure Dialysis Dissection General Surgery Hospitals Ischemia Life Sciences Medicine Medicine & Public Health Mortality Original Scientific Report Paraplegia Paraplegics Patients Sepsis Surgery Thoracic Surgery Vascular Surgery |
| title | Direct Aortic Versus Supra-Aortic Arterial Cannulation During Surgery for Acute Type A Aortic Dissection |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-02T17%3A59%3A20IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_hal_p&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Direct%20Aortic%20Versus%20Supra-Aortic%20Arterial%20Cannulation%20During%20Surgery%20for%20Acute%20Type%20A%20Aortic%20Dissection&rft.jtitle=World%20journal%20of%20surgery&rft.au=Juvonen,%20Tatu&rft.date=2023-11&rft.volume=47&rft.issue=11&rft.spage=2899&rft.epage=2908&rft.pages=2899-2908&rft.issn=0364-2313&rft.eissn=1432-2323&rft_id=info:doi/10.1007/s00268-023-07116-z&rft_dat=%3Cproquest_hal_p%3E2871485314%3C/proquest_hal_p%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=2871485314&rft_id=info:pmid/37432422&rfr_iscdi=true |