Changes in operative strategy for patients enrolled in the International Registry of Acute Aortic Dissection interventional cohort program

Abstract Objective Advancements in cardiothoracic surgery prompted investigation into changes in operative management for acute type A aortic dissections over time. Methods One thousand seven hundred thirty-two patients undergoing surgery for type A aortic dissection were identified from the Interna...

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Veröffentlicht in:	The Journal of thoracic and cardiovascular surgery 2017-04, Vol.153 (4), p.S74-S79
Hauptverfasser:	Parikh, Neil, BS, Trimarchi, Santi, MD, PhD, Gleason, Thomas G., MD, Kamman, Arnoud V., MD, di Eusanio, Marco, MD, PhD, Myrmel, Truls, MD, PhD, Korach, Amit, MD, Maniar, Hersh, MD, Ota, Takeyoshi, MD, PhD, Khoynezhad, Ali, MD, PhD, Montgomery, Daniel G., BS, Desai, Nimesh D., MD, PhD, Eagle, Kim A., MD, Nienaber, Christoph A., MD, PhD, Isselbacher, Eric M., MD, Bavaria, Joseph, MD, Sundt, Thoralf M., MD, Patel, Himanshu J., MD
Format:	Artikel
Sprache:	eng
Schlagworte:	Acute Disease Aged Aneurysm, Dissecting - diagnostic imaging Aneurysm, Dissecting - mortality Aneurysm, Dissecting - surgery Aortic Aneurysm - diagnostic imaging Aortic Aneurysm - mortality Aortic Aneurysm - surgery aortic dissection Aortic Valve - physiopathology Aortic Valve - surgery Bioprosthesis - trends Blood Vessel Prosthesis - trends Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - mortality Blood Vessel Prosthesis Implantation - trends Cardiothoracic Surgery Female Heart Valve Prosthesis - trends Heart Valve Prosthesis Implantation - adverse effects Heart Valve Prosthesis Implantation - instrumentation Heart Valve Prosthesis Implantation - mortality Heart Valve Prosthesis Implantation - trends Humans Male Middle Aged operative strategy Postoperative Complications - mortality Prosthesis Design Recovery of Function Registries Retrospective Studies Risk Factors surgical management survival Time Factors Treatment Outcome trends United States
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Zusammenfassung:	Abstract Objective Advancements in cardiothoracic surgery prompted investigation into changes in operative management for acute type A aortic dissections over time. Methods One thousand seven hundred thirty-two patients undergoing surgery for type A aortic dissection were identified from the International Registry of Acute Aortic Dissection Interventional Cohort Database. Patients were divided into time tertiles (T) (T1: 1996-2003, T2: 2004-2010, and T3: 2011-2016). Results Frequency of valve sparing procures increased (T1: 3.9%, T2: 18.6%, and T3: 26.7%; trend P
ISSN:	0022-5223 1097-685X
DOI:	10.1016/j.jtcvs.2016.12.029