Aortic root repair in acute aortic dissection type A

Хван, Д. С.; Zhulkov, М. О.; Сирота, Д. А.; Фомичев, А. В.; Chernyavsky, Alexander

doi:10.17116/kardio20211401166

Cited by 3 publications

(3 citation statements)

References 27 publications

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“…According to the existing recommendations, surgical intervention on the ascending aorta due to its dissection must obligatorily include resection of the initial intimal tear followed by replacement [22]. However, there is no consensus on the need for the extensive intervention on the aortic arch and its descending part has not been reached so far [23,24]. There are also no clear data on the effect of the technology used (bare metal stents or hybrid grafts) on the rate of the perioperative complications and mortality.…”

Section: Discussionmentioning

confidence: 99%

Hybrid Technologies for Reconstruction of Proximal Aortic Dissection

Sirota,

Zhulkov,

Khvan

et al. 2023

Sovrem Tehnol Med

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The aim of the study is to evaluate the efficacy of various types of hybrid technology in compare to the classical repair of the aortic arch of type I aortic dissection treatment in the in-hospital period. Materials and Methods.A retrospective observational study has been conducted, the results of surgical treatment of 213 patients with DeBakey type I aortic dissection operated on within the period from 2001 to 2017 were compared. Patients were divided into three groups: in group 1, patients undergone a hemiarch type of aortic repair or the total arch replacement (n=121); in group 2, a hemiarch aortic reconstruction and implantation of bare metal stent was performed (n=55); in group 3, a frozen elephant trunk technique was used (n=37).

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Section: Discussionmentioning

confidence: 99%

Hybrid Technologies for Reconstruction of Proximal Aortic Dissection

Sirota,

Zhulkov,

Khvan

et al. 2023

Sovrem Tehnol Med

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show abstract

“…Общепризнанным является факт, что частота и выраженность ишемических повреждений определяется главным образом длительностью отсутствия кровотока в период выполнения основного этапа реконструкции сосудов [8]. Поскольку большая часть времени затрачивается на формирование сосудистых анастомозов разработка устройства, способного ускорить и упростить технику соединения сосудов, может значительно повлиять на частоту развития неврологических осложнений.…”

Section: Review Of Literatureunclassified

Alternative Options of Blood Vessels Anastomosis

Makaev

Zhulkov

Сирота

et al. 2022

VECS

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For a number of centuries, the problem of bleeding arrest from damaged vessels remains the major issue of surgery (alongside with infectious complications and fight against the pain syndrome). The development of vascular surgery began exactly when bleeding from a damaged vessel was arrested by tying it, and the introduction of reconstructive vascular surgery, being one of the most outstanding achievements of the 20th century, was the peak of creation. With the advent and development of this relatively young branch of clinical surgery, it became possible to effectively help patients with various vascular pathologies, previously considered incurable and doomed to death. However, the development of each industry is necessarily associated with the development of technical support. The lack of high-quality suture material and instruments has restrained the development of reconstructive vascular surgery for a long time; this fact forced researchers and surgeons to develop techniques for the seamless connection of blood vessels. Despite the widespread use of manual surgical suture, it is not always possible to use this option due to altered vascular walls. Development of technology for manufacturing synthetic materials allowed for techniques providing fast and high-quality connection of blood vessels, significantly reducing the time required for reconstruction and, as a result, reducing the incidence of complications.

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“…Despite many factors aggravating essentially the condition of patients with proximal aortic dissection, the results of surgical treatment of this cohort of patients are gradually improving owing to timely diagnosis and the surgical intervention performed. Nevertheless, the rate of hospital lethality remains within the range of 10– 30% [ 1 - 6 ].…”

Section: Introductionmentioning

confidence: 99%

Predictors of Lethality, Remodeling, and Aorta-Related Events in Different Types of Proximal Aortic Dissection Surgery

Sirota¹,

Zhulkov²,

Khvan³

et al. 2023

Sovrem Tehnol Med

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The aim of the study is to analyze predictors of lethality, false lumen thrombosis, enlargement of aortic diameter, and frequency of aorta-related events in the early and remote postoperative periods for various types of proximal aortic dissection surgery using the logistic regression method.Materials and Methods. A retrospective observational comparison of the results of surgical treatment of 213 patients with the diagnosis of "DeBakey type I aortic dissection" has been carried out. The participants were divided into three groups: group 1 underwent classic aortic arch reconstruction using hemiarch technique or total reconstruction of the aortic arch with a multiple-branch prosthesis (n=121); group 2

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Aortic root repair in acute aortic dissection type A

Cited by 3 publications

References 27 publications

Hybrid Technologies for Reconstruction of Proximal Aortic Dissection

Hybrid Technologies for Reconstruction of Proximal Aortic Dissection

Alternative Options of Blood Vessels Anastomosis

Predictors of Lethality, Remodeling, and Aorta-Related Events in Different Types of Proximal Aortic Dissection Surgery

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