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Central versus peripheral cannulation for acute type A aortic dissection: A meta-analysis of over 14,000 patients.
Samadzadeh Tabrizi, Nika; Sá, Michel Pompeu; Jacquemyn, Xander; Yousef, Sarah; Brown, James A; Serna-Gallegos, Derek; Sultan, Ibrahim.
Affiliation
  • Samadzadeh Tabrizi N; Albany Medical College, Albany, NY, USA. Electronic address: samadzn@amc.edu.
  • Sá MP; Department of Cardiothoracic Surgery, University of Pittsburgh, Pennsylvania, USA; UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center, USA.
  • Jacquemyn X; Department of Cardiovascular Sciences, KU Leuven, Leuven, Belgium.
  • Yousef S; Department of Cardiothoracic Surgery, University of Pittsburgh, Pennsylvania, USA; UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center, USA.
  • Brown JA; Department of Cardiothoracic Surgery, University of Pittsburgh, Pennsylvania, USA; UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center, USA.
  • Serna-Gallegos D; Department of Cardiothoracic Surgery, University of Pittsburgh, Pennsylvania, USA; UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center, USA.
  • Sultan I; Department of Cardiothoracic Surgery, University of Pittsburgh, Pennsylvania, USA; UPMC Heart and Vascular Institute, University of Pittsburgh Medical Center, USA.
Am J Surg ; 237: 115780, 2024 Nov.
Article in En | MEDLINE | ID: mdl-38825544
ABSTRACT

OBJECTIVE:

The optimal cannulation strategy for patients with acute type A aortic dissections (ATAAD) is unclear.

METHODS:

A systematic search was performed to identify all studies comparing aortic and non-aortic cannulation in patients undergoing ATAAD repair. The primary endpoint was overall survival. The secondary endpoints were operative mortality, postoperative stroke, renal failure, renal replacement therapy, paraplegia, and mesenteric ischemia. Pooled meta-analyses with aggregated and reconstructed time-to-event data were performed.

RESULTS:

Twenty-three studies were included (aortic 3904; non-aortic 10,719). Ten-year overall survival was 61.1 â€‹% and 58.4 â€‹% for aortic and non-aortic cannulation, respectively (HR 1.07; 95 â€‹% CI 0.92-1.25; p â€‹= â€‹0.38). No statistically significant difference was observed for operative mortality (p â€‹= â€‹0.10), stroke (p â€‹= â€‹0.89), renal failure (p â€‹= â€‹0.83), or renal replacement therapy (p â€‹= â€‹0.77).

CONCLUSION:

Patients undergoing surgery for ATAAD can undergo aortic cannulation with similar outcomes to those who undergo non-aortic cannulation.
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Catheterization, Peripheral / Aortic Dissection Limits: Humans Language: En Journal: Am J Surg Year: 2024 Document type: Article Country of publication:
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Full text: 1 Collection: 01-internacional Database: MEDLINE Main subject: Catheterization, Peripheral / Aortic Dissection Limits: Humans Language: En Journal: Am J Surg Year: 2024 Document type: Article Country of publication: