Long-term survival and related outcomes for hybrid versus traditional arch repair-a meta-analysis

Annals of Cardiothoracic Surgery
Adam ChakosDavid H Tian

Abstract

Surgical interventions for aortic aneurysm and dissection remain associated with high risk of mortality and morbidity. Advances in operative techniques have led to a variety of options for the cardiac surgeon, including endovascular and hybrid approaches. Debate remains over which of these techniques provide optimal outcomes for the patient. The present systematic review and meta-analysis aims to evaluate long term patient survival and identify short-term outcomes for conventional (open) aortic arch repair and hybrid aortic arch repair (HAR). An electronic literature search was conducted according to predefined inclusion criteria for hybrid and conventional aortic arch repair surgery. Digitized survival data was extracted from identified studies' Kaplan-Meier curves and used to re-create individual patient data for aggregated survival analysis. Post-operative morbidity and mortality were analyzed using random-effects model meta-analysis. Nine studies were included, containing 841 hybrid arch repair and 1,182 conventional arch repair patients. Pooled Kaplan-Meier analysis of all patients demonstrated higher survival in hybrid arch repair patients than conventional arch repair patients, however, this was noted to be sensitive to ...Continue Reading

Citations

Aug 8, 2019·Current Opinion in Cardiology·Davide CarinoEduard Quintana
Jun 1, 2019·Indian Journal of Thoracic and Cardiovascular Surgery : Official Organ, Association of Thoracic and Cardiovascular Surgeons of India·Swarnika Srivastava, Anil Bhan
Aug 28, 2019·Journal of Cardiothoracic and Vascular Anesthesia·Benjamin N MorrisRoger L Royster
Feb 12, 2021·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Gabriele Piffaretti, Santi Trimarchi
Nov 24, 2020·Annals of Vascular Surgery·Nicholas Gr BayfieldAndrew Mtl Choong
Dec 12, 2018·The Journal of Thoracic and Cardiovascular Surgery·Francesco Formica, Stefano D'Alessandro
Jun 5, 2021·The Cochrane Database of Systematic Reviews·Ala ElhelaliFionnuala Jordan
Aug 27, 2021·Journal of Cardiovascular Development and Disease·Massimo CapocciaUlrich P Rosendahl

❮ Previous
Next ❯

Related Concepts

Related Feeds

Cardiac Aneurysm

Aneurysm refers to a bulge of the wall or lining of a vessel commonly occurring in the blood vessels at the base of the septum or within the aorta. In the heart, it usually arises from a patch of weakened tissue in a ventricular wall, which swells into a bubble filled with blood. Discover the latest research on cardiac aneurysm here.

Aortic Aneurysm

An aortic aneurysm is the weakening and bulging of the blood vessel wall in the aorta. This causes dilatation of the aorta, which is usually asymptomatic but carries the risk of rupture and hemorrhage. Find the latest research on aortic aneurysms here.