Long-term comparison of aortic arch replacement with or without elephant trunk procedure via retrograde cerebral perfusion for aortic arch dissection

Long-term comparison of aortic arch replacement with or without elephant trunk procedure via retrograde cerebral perfusion for aortic arch dissection

Objective: The aim of this study is to investigate the effects of the duration of retrograde cerebral perfusion (RCP) in patients with aortic arch dissection. Methods: Between 1993 and December 2000, 56 patients were operated on for aortic arch dissection. Elephant trunk procedure was performed in 2...

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Veröffentlicht in:Cardiovascular surgery (London, England) England), 2002-02, Vol.10 (1), p.38-44
Hauptverfasser: Kırali, Kaan, Ömeroğlu, Suat N., Ardal, Hasan, Toker, Mehmet E., Erdoğan, Hasan B., Dağlar, Bahadįr, Balkanay, Mehmet, İpek, Gökhan, Işįk, Ömer, Yakut, Cevat
Format: Artikel
Sprache:eng
Schlagworte:
Adult
Aged
Aneurysm, Dissecting - complications
Aneurysm, Dissecting - mortality
Aneurysm, Dissecting - surgery
Aortic Aneurysm - complications
Aortic Aneurysm - mortality
Aortic Aneurysm - surgery
aortic arch
Brain Ischemia - prevention & control
circulatory arrest
elephant trunk
Female
Follow-Up Studies
Hospital Mortality
Humans
Male
Middle Aged
Nervous System Diseases - etiology
Nervous System Diseases - mortality
Perfusion - methods
Postoperative Complications - etiology
Postoperative Complications - mortality
Predictive Value of Tests
retrograde cerebral perfusion
semiarcus
Survival Analysis
Time Factors
Treatment Outcome
Vascular Surgical Procedures - methods
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Zusammenfassung:Objective: The aim of this study is to investigate the effects of the duration of retrograde cerebral perfusion (RCP) in patients with aortic arch dissection. Methods: Between 1993 and December 2000, 56 patients were operated on for aortic arch dissection. Elephant trunk procedure was performed in 28 patients (Group A) and semiarcus replacement in 28 patients (Group B). Type I dissection ( P=0.003), chronic ethiology ( P=0.006), medial degeneration ( P
ISSN:0967-2109
DOI:10.1016/S0967-2109(01)00108-9