Ishtiaq A Rahman, M. Khatri, P. Narayan, Alan J Bryan
{"title":"Outcome of surgery for type A aortic dissection – Twenty year evolution of a single surgeon practice","authors":"Ishtiaq A Rahman, M. Khatri, P. Narayan, Alan J Bryan","doi":"10.33582/2639-9229/1005","DOIUrl":null,"url":null,"abstract":"Results: Ten year study eras included 47 and 45 patients respectively. Era A patients were more likely (91%) to present with good, and era B (35%) moderate, left ventricular function. Incidence of arch replacement, composite root replacement and interposition graft was comparable. Circulatory arrest became less common (91% vs. 82%; p=0.13). Circulatory arrest, CPB and AXC times remained constant. Perfusion strategy shifted from femoral cannulation (89% vs. 24%; p<0.01). Overall mortality was 13% and improved with time (17% vs. 9%; p=0.36). Composite end point of freedom of death, neurological injury and reoperation for bleeding remained similar (66% vs. 69%;p=0.36). Renal complications, tracheostomy, ICU and hospital stay did not alter.","PeriodicalId":123308,"journal":{"name":"International Journal of Innovative Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0000,"publicationDate":"2018-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Innovative Surgery","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.33582/2639-9229/1005","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"","JCRName":"","Score":null,"Total":0}
引用次数: 0
Abstract
Results: Ten year study eras included 47 and 45 patients respectively. Era A patients were more likely (91%) to present with good, and era B (35%) moderate, left ventricular function. Incidence of arch replacement, composite root replacement and interposition graft was comparable. Circulatory arrest became less common (91% vs. 82%; p=0.13). Circulatory arrest, CPB and AXC times remained constant. Perfusion strategy shifted from femoral cannulation (89% vs. 24%; p<0.01). Overall mortality was 13% and improved with time (17% vs. 9%; p=0.36). Composite end point of freedom of death, neurological injury and reoperation for bleeding remained similar (66% vs. 69%;p=0.36). Renal complications, tracheostomy, ICU and hospital stay did not alter.
结果:10年研究期分别包括47例和45例患者。A期患者(91%)表现为良好的左心室功能，B期患者(35%)表现为中度的左心室功能。牙弓置换术、复合根置换术和间置移植物的发生率比较。循环停止变得不那么常见(91%对82%;p = 0.13)。循环停搏、CPB和AXC次数保持不变。灌注策略从股动脉插管转移(89% vs. 24%;p < 0.01)。总死亡率为13%，并随时间改善(17% vs. 9%;p = 0.36)。死亡自由、神经损伤和出血再手术的复合终点相似(66% vs 69%;p=0.36)。肾脏并发症、气管切开术、ICU和住院时间没有改变。
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