Alternative cannulation techniques in surgical repair for acute type A aortic dissection

Yavuz, Şenol

doi:10.18621/eurj.2016.2.1.1

Cited by 5 publications

(5 citation statements)

References 25 publications

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“…The main methods such as retrograde cerebral perfusion under deep hypothermia, direct right axillary artery cannulation or right axillary artery side-graft cannulation, and antegrade cerebral perfusion under moderate hypothermia have been used [12]. All of these have advantages and disadvantages to each other [13]. However, although short periods of deep hypothermic circulatory arrest (30-40 min) do not make a significant difference in terms of neurological complications and mortality outcomes when compared with other cerebral protection methods [14].…”

Section: Discussionmentioning

confidence: 99%

Comparison of the results of Teflon felt and Dacron strip usage in Stanford type A dissection

Demir

Kahraman

2019

The European Research Journal

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Objectives: In patients who undergo surgery for aortic dissection, the anastomotic leakage and the bleeding in these regions affect surgical success and mortality rate significantly. Various surgical materials are used for this purpose. We examined the results obtained from patients in whom Teflon felt strip or Dacron strip was used for creating a more secure anastomotic suture line. Methods: Twenty-eight patients who underwent surgery for ascending aortic dissection between 2013 and 2017 were examined retrospectively. Teflon felt strip or Dacron strip was used to create a more secure anastomotic suture line and to reduce bleeding in these patients. The patients were divided into the Teflon and Dacron groups according to the materials used. The amount of drainage, the amount of tissue adhesive used, the number of red blood cell (RBC) transfusions, and the morbidity and mortality rates were mainly compared between the two groups. Results: While Teflon felt strip was used in 13 (46%) patients, Dacron strip was used in 15 (53%) patients. The mean amount of drainage in the first 24 hours postoperatively was 596.15 ± 165.15 ml in the Teflon group and 546.67 ± 217.5 ml in the Dacron group. There was no statistically significant difference between the two groups in terms of mean amount of drainage (p = 0.509). Similarly, the mean number of RBC transfusions was 2.54 ± 0.51 units in the Teflon group and 2.33 ± 0.81 units in the Dacron group. There was no statistically significant difference between the two groups in terms of mean number of RBC transfusions (p = 0.416). Although the mean amount of tissue adhesive used was relatively higher in the Dacron group, there was no statistically significant difference between the two groups in terms of mean amount of tissue adhesive used (p = 0.761). The total mortality rate was 28% (8 patients). There was no statistically significant difference between the two groups in terms of mortality rate (p = 0.281). Conclusion: We concluded that the results obtained from the Teflon and Dacron groups were not significantly superior to each other. We think that Dacron strip may be used as an alternative to Teflon felt strip, which is used routinely in the surgical treatment of aortic dissection.

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Section: Discussionmentioning

confidence: 99%

Comparison of the results of Teflon felt and Dacron strip usage in Stanford type A dissection

Demir

Kahraman

2019

The European Research Journal

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“…Various techniques can be used in arterial cannulation in ATAAD surgery. [9][10][11][12] Today, axillary artery cannulation is frequently used. There are still debates about how this cannulation should be performed.…”

Section: Should We Follow the Patients With Intraoperative Low Hemato...mentioning

confidence: 99%

“…In the present study, Chiba et al 4 have been preferred subclavian artery, left ventricular apex, or femoral artery cannulation for arterial cannulation in their patients and performed the operations using standard CPB circuits. Various techniques can be used in arterial cannulation in ATAAD surgery 9–12 . Today, axillary artery cannulation is frequently used.…”

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confidence: 99%

Intraoperative nadir hematocrit as a poor outcome predictor after acute type A aortic dissection surgey

Yavuz

Engin

2022

Journal of Cardiac Surgery

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Acute type A aortic dissection is a life‐threatening disease associated with high morbidity and mortality that requires urgent surgical intervention. Hemodilution is inevitable in cardiac operations performed with cardiopulmonary bypass, which leads to nadir hematocrit levels. Studies have shown that nadir hematocrit levels are associated with poor postoperative outcomes. The management strategy of intraoperative anemia in these operations is still controversial. Should we follow the patients with intraoperative low hematocrit values or should we transfuse them? In addition to intraoperative nadir hematocrit, cannulation strategies play an important role in early postoperative outcomes after aortic dissection surgery.

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“…After decided to emergent surgical intervention, the patient has taken to the operating room. Following right axillary artery cannulation [4][5][6], cardiopulmonary bypass was established. Later a sternotomy incision was made and presence of intimal tear in the supracoronary ascending aorta revealed.…”

Section: Case Presentationmentioning

confidence: 99%

Peripartum type A dissection: a case report

Sanrı

Özsin

Toktaş

et al. 2018

The European Research Journal

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Aortic dissection is a rare but potentially lethal complication during pregnancy in young women and usually diagnosis could be overlooked. We reported a 40-year-old postpartum female with aortic dissection which developed in peripartum period. She complained of interscapular back pain and chest pain. The patient's pain had continued after caesarean section. She admitted to our clinic six days after this intervention. Contrastenhanced computed tomography revealed the aortic dissection. Hemiarch replacement performed successfully and the patient discharged uneventfully despite of delayed diagnosis.

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Alternative cannulation techniques in surgical repair for acute type A aortic dissection

Cited by 5 publications

References 25 publications

Comparison of the results of Teflon felt and Dacron strip usage in Stanford type A dissection

Comparison of the results of Teflon felt and Dacron strip usage in Stanford type A dissection

Intraoperative nadir hematocrit as a poor outcome predictor after acute type A aortic dissection surgey

Peripartum type A dissection: a case report

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