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Double arterial vs. single axillary cannulation in acute type A aortic dissections: a meta-analysis.
Yamashita, Yoshiyuki; Sicouri, Serge; Dokollari, Aleksander; Ridwan, Khalid; Clarke, Nicholas; Rodriguez, Roberto; Goldman, Scott; Ramlawi, Basel.
Afiliación
  • Yamashita Y; Department of Cardiothoracic Surgery Research, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA.
  • Sicouri S; Department of Cardiothoracic Surgery Research, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA.
  • Dokollari A; Department of Cardiac Surgery, St. Boniface Hospital, University of Manitoba, Winnipeg, Manitoba, Canada.
  • Ridwan K; Department of Cardiothoracic Surgery, Lankenau Heart Institute, Main Line Health Wynnewood, Wynnewood, Pennsylvania, USA.
  • Clarke N; Department of Cardiothoracic Surgery, Lankenau Heart Institute, Main Line Health Wynnewood, Wynnewood, Pennsylvania, USA.
  • Rodriguez R; Department of Cardiothoracic Surgery, Lankenau Heart Institute, Main Line Health Wynnewood, Wynnewood, Pennsylvania, USA.
  • Goldman S; Department of Cardiothoracic Surgery, Lankenau Heart Institute, Main Line Health Wynnewood, Wynnewood, Pennsylvania, USA.
  • Ramlawi B; Department of Cardiothoracic Surgery Research, Lankenau Institute for Medical Research, Wynnewood, Pennsylvania, USA.
Future Cardiol ; 20(5-6): 305-316, 2024 Apr 25.
Article en En | MEDLINE | ID: mdl-38963122
ABSTRACT

Aim:

To evaluate the effects of double (axillary and femoral) vs. single (axillary) cannulation on early outcomes of acute type A aortic dissection (ATAAD). Materials &

methods:

Meta-analysis using PubMed/MEDLINE, Scopus, and Cochrane databases through August 23, 2023. Focused on operative mortality, postoperative stroke, re-exploration for bleeding, spinal cord injury, and renal replacement therapy.

Results:

Among 5 propensity score-matched studies with 2127 patients, double cannulation showed comparable mortality and higher rates of postoperative stroke (pooled odds ratio 1.69, 95% confidence interval 1.19-2.39) and need for renal replacement therapy (pooled odds ratio 1.35, 95% confidence interval 1.13-1.60) compared with single cannulation.

Conclusion:

Double arterial cannulation in ATAAD surgery is associated with increased postoperative stroke and renal replacement therapy than single cannulation.
What is this summary about? We studied the optimal way to maintain blood flow during surgery for acute aortic dissection. We focused on comparing the use of one tube placement site in the axillary artery with two sites, both in the axillary and femoral arteries, in five previous studies.What were the results? Using two sites was associated with a higher risk of stroke and need for dialysis after surgery than using only one site.What do the results mean? Adding a tube in the femoral artery for blood flow may increase the risk of complications. It appears that placing the tube only in the axillary artery may be a safer choice for appropriately selected patients having this surgery.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Axilar / Disección Aórtica Límite: Humans Idioma: En Revista: Future Cardiol Asunto de la revista: CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteria Axilar / Disección Aórtica Límite: Humans Idioma: En Revista: Future Cardiol Asunto de la revista: CARDIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Estados Unidos Pais de publicación: Reino Unido