Bilateral versus unilateral antegrade cerebral perfusion in arch reconstruction for aortic dissection

The Annals of Thoracic Surgery
Shuyang LuChunsheng Wang

Abstract

The superiority of bilateral versus unilateral antegrade cerebral perfusion (ACP) has been the subject of much debate. This study aimed to compare the two methods of cerebral perfusion. Between September 2005 and June 2011, 263 patients (median age 51.4±10.1 years, range, 26 to 75; 200 men) underwent open aortic arch reconstruction with hypothermic circulatory arrest and bilateral or unilateral ACP. Among them, 231 patients had acute aortic dissection, 12 had subacute aortic dissection, 20 had chronic aortic dissection, 7 had Marfan syndrome, 8 had reconstruction secondary to endovascular stent graft placement for type B dissection, and 9 had bicuspid aortic valve. Our patient cohort is divided into those protected with hypothermic circulatory arrest and bilateral ACP (group A, n=128) and those with hypothermic circulatory arrest and unilateral ACP (group B, n=135). There was no significant difference between groups A and B in cardiopulmonary bypass time, cross-clamp time, or cerebral perfusion time. Overall in-hospital mortality was 11.7% for group A and 11.1% for group B (p=0.877). Postoperative temporary and permanent neurologic dysfunction was 5.5% versus 6.7% and 12.5% versus 10.4%, respectively (group A versus group B: p=...Continue Reading

References

Jul 28, 2004·The Annals of Thoracic Surgery·Mehmet Ali OzatikOğuz Taşdemir
Mar 28, 2006·The Annals of Thoracic Surgery·Alessandro Della CorteMaurizio Cotrufo
Jan 30, 2007·The Annals of Thoracic Surgery·Teruhisa KazuiTakayasu Suzuki

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Citations

Mar 29, 2013·Journal of the Royal Society, Interface·Alkiviadis TsamisDavid A Vorp
Apr 13, 2013·Journal of Cardiothoracic Surgery·Jiayu ZhengChunsheng Wang
Jun 3, 2014·Journal of Cardiothoracic Surgery·Jige GuoXiming Qian
Apr 22, 2015·The Annals of Thoracic Surgery·Emiliano AngeloniRiccardo Sinatra
Feb 27, 2013·The Annals of Thoracic Surgery·Shuyang LuChunsheng Wang
Feb 27, 2013·The Annals of Thoracic Surgery·Emanuele BovioCarlo Bassano
Nov 26, 2015·The Canadian Journal of Cardiology·Ismail El-HamamsyUNKNOWN Canadian Thoracic Aortic Collaborative (CTAC)
Aug 12, 2014·Journal of Cardiothoracic and Vascular Anesthesia·Jacob T GutscheJohn G T Augoustides
Oct 9, 2012·The Journal of Thoracic and Cardiovascular Surgery·Michel F MitsomoyRochd Sayah
Jan 27, 2015·Journal of Cardiothoracic and Vascular Anesthesia·Michael SecoMichael P Vallely
Dec 3, 2014·The Annals of Thoracic Surgery·Ourania PreventzaJoseph S Coselli
Oct 21, 2016·General Thoracic and Cardiovascular Surgery·Michael O Kayatta, Edward P Chen
Feb 21, 2019·Asian Cardiovascular & Thoracic Annals·Pramote Porapakkham
May 9, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Umberto BenedettoEnoch Akowuah
Jul 25, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Antonio PiperataTomaso Bottio

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