Cited 5 times in
Unilateral versus bilateral antegrade cerebral perfusion during surgical repair for patients with acute type A aortic dissection
DC Field | Value | Language |
---|---|---|
dc.contributor.author | 김완기 | - |
dc.contributor.author | 김태훈 | - |
dc.contributor.author | 송석원 | - |
dc.contributor.author | 송승준 | - |
dc.date.accessioned | 2023-03-10T01:27:30Z | - |
dc.date.available | 2023-03-10T01:27:30Z | - |
dc.date.issued | 2022-05 | - |
dc.identifier.uri | https://ir.ymlib.yonsei.ac.kr/handle/22282913/193174 | - |
dc.description.abstract | Objectives: To compare unilateral versus bilateral antegrade cerebral perfusion (ACP) techniques on cerebral protection during acute type A aortic dissection repair. Methods: Using an institutional database, we retrospectively reviewed patients who underwent acute type A aortic dissection repair with selective ACP techniques from October 2008 to December 2019. Primary end point was the detection of neurologic dysfunctions. The secondary end point was mortality. For baseline adjustment, the propensity score matching method was used. Multivariable logistic regression analysis was performed to determine the predictor of neurologic events. Results: Among 522 patients (aged 62.0 ± 14.9 years; 45.7% women), unilateral and bilateral ACP techniques were used in 357 (64.7%) and 165 (35.3%) patients, respectively. Transient (19.6% vs 21.2%; P = .65) and permanent (7.0% vs 10.3%; P = .70) neurologic dysfunction rates were not significantly different in patients with unilateral versus bilateral ACP, respectively. Observed mortality rate was higher in the patients with bilateral ACP (hazard ratio, 2.05; 95% CI, 1.33-3.14; P = .001). Propensity-score matching yielded 94 pairs of patients. In matched analysis, bilateral ACP did not significantly lower the risks for transient (odds ratio, 0.87; 95% CI, 0.42-1.81; P = .71) and permanent (odds ratio, 1.42; 95% CI, 0.55-3.85; P = .47) neurologic dysfunction or death (hazard ratio, 1.65; 95% CI, 0.87-3.15; P = .13). In the multivariable analysis, the ACP technique was not significantly associated with perioperative neurologic deficit. Conclusions: Despite additional supply, the patients undergoing bilateral ACP during acute type A aortic dissection repair did not have superior outcomes in neurologic and death events compared with the patients undergoing unilateral ACP. | - |
dc.description.statementOfResponsibility | open | - |
dc.format | application/pdf | - |
dc.language | English | - |
dc.publisher | Elsevier | - |
dc.relation.isPartOf | JTCVS Open | - |
dc.rights | CC BY-NC-ND 2.0 KR | - |
dc.title | Unilateral versus bilateral antegrade cerebral perfusion during surgical repair for patients with acute type A aortic dissection | - |
dc.type | Article | - |
dc.contributor.college | College of Medicine (의과대학) | - |
dc.contributor.department | Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) | - |
dc.contributor.googleauthor | Seung Jun Song | - |
dc.contributor.googleauthor | Wan Kee Kim | - |
dc.contributor.googleauthor | Tae-Hoon Kim | - |
dc.contributor.googleauthor | Suk-Won Song | - |
dc.identifier.doi | 10.1016/j.xjon.2022.05.006 | - |
dc.contributor.localId | A06065 | - |
dc.contributor.localId | A01085 | - |
dc.contributor.localId | A02028 | - |
dc.relation.journalcode | J04387 | - |
dc.identifier.eissn | 2666-2736 | - |
dc.identifier.pmid | 36172412 | - |
dc.subject.keyword | ACP, antegrade cerebral perfusion | - |
dc.subject.keyword | ATAAD, acute type A aortic dissection | - |
dc.subject.keyword | CPB, cardiopulmonary bypass | - |
dc.subject.keyword | CT, computed tomography | - |
dc.subject.keyword | PND, permanent neurologic deficit | - |
dc.subject.keyword | TCA, total circulatory arrest | - |
dc.subject.keyword | TND, transient neurologic deficit | - |
dc.subject.keyword | aortic dissection | - |
dc.subject.keyword | cerebral protection | - |
dc.subject.keyword | selective cerebral perfusion | - |
dc.contributor.alternativeName | Kim, Wan Kee | - |
dc.contributor.affiliatedAuthor | 김완기 | - |
dc.contributor.affiliatedAuthor | 김태훈 | - |
dc.contributor.affiliatedAuthor | 송석원 | - |
dc.citation.volume | 11 | - |
dc.citation.startPage | 37 | - |
dc.citation.endPage | 48 | - |
dc.identifier.bibliographicCitation | JTCVS Open, Vol.11 : 37-48, 2022-05 | - |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.