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Axillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest

DC Field Value Language
dc.contributor.author김정환-
dc.contributor.author유경종-
dc.contributor.author윤영남-
dc.contributor.author이삭-
dc.contributor.author이승현-
dc.contributor.author주현철-
dc.date.accessioned2020-04-13T17:10:30Z-
dc.date.available2020-04-13T17:10:30Z-
dc.date.issued2020-
dc.identifier.issn0022-5223-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/175680-
dc.description.abstractOBJECTIVE: To evaluate the efficacy of axillary artery cannulation for early embolic stroke and operative mortality, we retrospectively compared the outcomes between patients with or without axillary artery cannulation during open aortic arch repair with circulatory arrest. METHODS: Between January 2004 and December 2017, 468 patients underwent open aortic arch repair with circulatory arrest using antegrade cerebral perfusion and were divided into 2 groups according to the site of arterial cannulation: the axillary artery (axillary group, n = 352) or another site (nonaxillary group, n = 116) groups. Embolic stroke was defined as a physician-diagnosed new postoperative neurologic deficit lasting more than 72 hours, generally confirmed by computed tomography or magnetic resonance imaging. RESULTS: After propensity score matching, the patients' characteristics were comparable between the groups (n = 116 in each). The incidences of acute type A dissection, aortic rupture, shock, or emergency operation were similar between groups. The incidence of early embolic stroke was significantly lower in axillary group (n = 3 [2.6%] vs n = 10 [8.6%]; P = .046). Also, 30-day mortality (n = 3 [2.6%] vs n = 10 [8.6%]; P = .046) and in-hospital mortality (n = 3 [2.6%] vs n = 11 [9.5%]; P = .027) occurred significantly lower in the axillary group. CONCLUSIONS: Axillary artery cannulation reduced the early embolic stroke and early mortality after open arch repair with circulatory arrest. Axillary artery cannulation as the arterial cannulation site during open arch repair with circulatory arrest may be helpful in preventing embolic stroke and reducing early mortality.-
dc.description.statementOfResponsibilityopen-
dc.formatapplication/pdf-
dc.languageEnglish-
dc.publisherMosby-
dc.relation.isPartOfJOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.subject.MESHAged-
dc.subject.MESHAorta, Thoracic/physiopathology-
dc.subject.MESHAorta, Thoracic/surgery*-
dc.subject.MESHAortic Diseases/physiopathology-
dc.subject.MESHAortic Diseases/surgery*-
dc.subject.MESHAxillary Artery*/physiopathology-
dc.subject.MESHCatheterization, Peripheral*/adverse effects-
dc.subject.MESHCatheterization, Peripheral*/mortality-
dc.subject.MESHCerebrovascular Circulation*-
dc.subject.MESHFemale-
dc.subject.MESHHeart Arrest, Induced*/adverse effects-
dc.subject.MESHHeart Arrest, Induced*/mortality-
dc.subject.MESHHospital Mortality-
dc.subject.MESHHumans-
dc.subject.MESHIntracranial Embolism/etiology-
dc.subject.MESHIntracranial Embolism/mortality-
dc.subject.MESHIntracranial Embolism/physiopathology-
dc.subject.MESHIntracranial Embolism/prevention & control*-
dc.subject.MESHMale-
dc.subject.MESHMiddle Aged-
dc.subject.MESHPerfusion*/adverse effects-
dc.subject.MESHPerfusion*/mortality-
dc.subject.MESHPunctures-
dc.subject.MESHRetrospective Studies-
dc.subject.MESHRisk Assessment-
dc.subject.MESHRisk Factors-
dc.subject.MESHStroke/etiology-
dc.subject.MESHStroke/mortality-
dc.subject.MESHStroke/physiopathology-
dc.subject.MESHStroke/prevention & control*-
dc.subject.MESHTime Factors-
dc.subject.MESHTreatment Outcome-
dc.subject.MESHVascular Surgical Procedures*/adverse effects-
dc.subject.MESHVascular Surgical Procedures*/mortality-
dc.titleAxillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine (의과대학)-
dc.contributor.departmentDept. of Thoracic and Cardiovascular Surgery (흉부외과학교실)-
dc.contributor.googleauthorJung-Hwan Kim-
dc.contributor.googleauthorSeung Hyun Lee-
dc.contributor.googleauthorSak Lee-
dc.contributor.googleauthorYoung-Nam Youn-
dc.contributor.googleauthorKyung-Jong Yoo-
dc.contributor.googleauthorHyun-Chel Joo-
dc.identifier.doi10.1016/j.jtcvs.2019.02.112-
dc.contributor.localIdA00905-
dc.contributor.localIdA02453-
dc.contributor.localIdA02576-
dc.contributor.localIdA02807-
dc.contributor.localIdA02935-
dc.contributor.localIdA03960-
dc.relation.journalcodeJ01906-
dc.identifier.eissn1097-685X-
dc.identifier.pmid30992210-
dc.subject.keywordaxillary artery-
dc.subject.keywordopen arch repair-
dc.subject.keywordstroke-
dc.contributor.alternativeNameKim, Jung Hwan-
dc.contributor.affiliatedAuthor김정환-
dc.contributor.affiliatedAuthor유경종-
dc.contributor.affiliatedAuthor윤영남-
dc.contributor.affiliatedAuthor이삭-
dc.contributor.affiliatedAuthor이승현-
dc.contributor.affiliatedAuthor주현철-
dc.citation.volume159-
dc.citation.number3-
dc.citation.startPage772-
dc.citation.endPage778.e4-
dc.identifier.bibliographicCitationJOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, Vol.159(3) : 772-778.e4, 2020-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers

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