Current trends in perfusion strategies for neonates undergoing aortic arch repair: the rough path to the perfect idea

Arcieri, Luigi; Federici, Duccio; Giordano, Raffaele

doi:10.21037/jtd.2020.01.60

Cited by 2 publications

(3 citation statements)

References 14 publications

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“…Luciani et al 18 compared BHAS with the selective BHAS method and found that cardiac morbidity was higher in the nonselective group, although they found no significant differences between the groups in terms of long‐term survival or need for reintervention. Luciani et al's 18 study was a multicenter, retrospective, and highly heterogeneous and their results were to an extent speculative 19 . Although it supports our finding that CP is beneficial, we did not find convincing evidence that it should be done selectively.…”

Section: Discussioncontrasting

confidence: 69%

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Short‐ and midterm outcomes of aortic arch reconstruction: Beating heart versus cardiac arrest

et al. 2020

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Objectives: We aimed to compare the short-and midterm results of perfusion strategies used for arch reconstruction surgery. Material and Methods: One hundred and seventy-three consecutive patients who underwent aortic arch reconstruction surgery for transverse arcus hypoplasia between January 2011 and February 2020 were retrospectively analyzed. The patients were divided into two groups, as beating heart (BH) group and cardiac arrest (CA) group. Results: The CA group comprised 60 (35%) patients and the remaining 113 (65%) patients were in the BH group. The median age of the patients was 30 (interquartile range: 18-95) days. The incidences of acute renal failure (ARF) and delayed sternal closure were higher in the CA group (p = .05, <.001, respectively). Balloon angioplasty was performed in 5 (2%) patients and reoperation was performed in 11 (6%) patients due to restenosis. There were no statistically significant differences between the two groups in terms of reoperation or reintervention rates (p = .44 and .34, respectively). Conclusions: Both strategies were associated with satisfactory midterm prevention of reintervention and reoperation. Given the lower incidence of ARF and delayed sternal closure in the postoperative period and similar midterm outcomes, we believe that the BH strategy is preferable.

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Section: Discussioncontrasting

confidence: 69%

“…We believe that this result may be due to better cardiac performance in the BH group in the early postoperative and highly heterogeneous and their results were to an extent speculative. 19 Although it supports our finding that CP is beneficial, we did not find convincing evidence that it should be done selectively.…”

Section: Discussioncontrasting

confidence: 57%

Short‐ and midterm outcomes of aortic arch reconstruction: Beating heart versus cardiac arrest

et al. 2020

View full text Add to dashboard Cite

show abstract

“…Luciani et al compared BHAS with the selective BHAS method and found that cardiac morbidity was higher in the non-selective group, although they found no significant differences between the groups in terms of long-term survival or need for reintervention (18). Luciani et al's study was a multicenter, retrospective, and highly heterogeneous and their results were to an extent speculative (19). Although it supports our finding that coronary perfusion is beneficial, we did not find convincing evidence that it should be done selectively.…”

Section: Discussionmentioning

confidence: 99%

Short- and mid-term outcomes of aortic arch reconstruction: Beating heart versus cardiac arrest

Ergün¹,

Onan²,

Yıldız³

et al. 2020

Preprint

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Objectives: We aimed to compare the short-and mid-term results of perfusion strategies used for arch reconstruction surgery. Material and Methods: One hundred and seventy-three consecutive patients who underwent aortic arch reconstruction surgery for transverse arcus hypoplasia between January 2011 and February 2020 were retrospectively analyzed. The patients were divided into two groups, as beating heart group and cardiac arrest group. Results: The cardiac arrest group comprised 60 (35%) patients and the remaining 113 (65%) patients were in the beating heart group. The median age of the patients was 30 (IQR 18-95) days. The incidences of acute renal failure and delayed sternal closure were higher in the cardiac arrest group (P = 0.05,P < 0.001 respectively). Balloon angioplasty was performed in 5 (2%) patients and reoperation was performed in 11 (6%) patients due to restenosis. There were no statistically significant differences between the two groups in terms of reoperation or reintervention rates (P = 0.44 and 0.34, respectively). Conclusions: Both strategies were associated with satisfactory mid-term prevention of reintervention and reoperation. Given the lower incidence of acute renal failure and delayed sternal closure in the postoperative period and similar mid-term outcomes, we believe that the beating heart strategy is preferable.

show abstract

Current trends in perfusion strategies for neonates undergoing aortic arch repair: the rough path to the perfect idea

Cited by 2 publications

References 14 publications

Short‐ and midterm outcomes of aortic arch reconstruction: Beating heart versus cardiac arrest

Short‐ and midterm outcomes of aortic arch reconstruction: Beating heart versus cardiac arrest

Short- and mid-term outcomes of aortic arch reconstruction: Beating heart versus cardiac arrest

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