Application of ascending aorta cannulation and brachiocephalic trunk cannulation in acute type A aortic dissection: A propensity-score matching study
- VernacularTitle:升主动脉和头臂干双动脉插管在急性A 型主动脉夹层手术中应用的倾向性评分匹配分析
- Author:
Kexiong SUN
1
;
Li ZHANG
1
;
Xia GAO
1
;
Cong CUI
1
;
Xianghui ZHANG
1
;
Changbo XIAO
1
;
Yafei ZHANG
1
;
Gang WU
1
;
Pingfan WANG
1
Author Information
1. The Eighth Ward of Cardiovascular Surgery, Henan Province Chest Hospital, Zhengzhou, 450003, P.R.China
- Publication Type:Journal Article
- Keywords:
Acute type A aortic dissection;
artery cannulation;
cardiopulmonary bypass;
propensity-score matching;
surgery
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(03):325-330
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of ascending aorta cannulation and brachiocephalic trunk cannulation in acute type A aortic dissection. Methods We screened 183 patients with acute type A aortic dissection from January 2017 to January 2020 in our hospital. They were divided into 2 groups according to the cannulation strategy: ascending aorta cannulation and brachiocephalic trunk cannulation (a DAC group, n=42, 33 males and 9 females with a median age of 50 years) and the single axillary artery cannulation (an AAC group, n=141, 116 males and 25 females with a median age of 51 years). The general clinical data, intraoperative data and early postoperative results of the two groups before and after matching with propensity scores were compared. Results Before propensity-score matching, the operation time, cardiopulmonary bypass time, aortic occlusion time and ICU stay in the DAC group were all shorter than those in the AAC group (P<0.05). The early postoperative mortality, and rates of brain complications, renal failure and pulmonary complications in the DAC group were significantly lower than those in the AAC group. After propensity-score matching, the operation time in the DAC group was significantly shorter than that in the AAC group (P<0.05). The early postoperative mortality, and rates of brain complications and pulmonary complications in the DAC group were significantly lower than those in the AAC group. Conclusion Ascending aorta cannulation and brachiocephalic trunk cannulation can provide a safe, fast and effective method of establishing cardiopulmonary bypass for some acute type A aortic dissection patients, and significantly shorten the operation time without increasing surgical complications.
