Double arterial vs. single axillary cannulation in acute type A aortic dissections: a meta-analysis.
Yoshiyuki YamashitaSerge SicouriAleksander DokollariKhalid RidwanNicholas ClarkeRoberto RodriguezScott GoldmanBasel RamlawiPublished in: Future cardiology (2024)
Aim: To evaluate the effects of double (axillary and femoral) vs. single (axillary) cannulation on early outcomes of acute type A aortic dissection (ATAAD). Materials & methods: Meta-analysis using PubMed/MEDLINE, Scopus, and Cochrane databases through August 23, 2023. Focused on operative mortality, postoperative stroke, re-exploration for bleeding, spinal cord injury, and renal replacement therapy. Results: Among 5 propensity score-matched studies with 2127 patients, double cannulation showed comparable mortality and higher rates of postoperative stroke (pooled odds ratio: 1.69, 95% confidence interval: 1.19-2.39) and need for renal replacement therapy (pooled odds ratio: 1.35, 95% confidence interval: 1.13-1.60) compared with single cannulation. Conclusion: Double arterial cannulation in ATAAD surgery is associated with increased postoperative stroke and renal replacement therapy than single cannulation.
Keyphrases
- ultrasound guided
- aortic dissection
- extracorporeal membrane oxygenation
- atrial fibrillation
- acute kidney injury
- respiratory failure
- spinal cord injury
- lymph node
- patients undergoing
- liver failure
- sentinel lymph node
- neoadjuvant chemotherapy
- acute respiratory distress syndrome
- cardiovascular events
- ejection fraction
- newly diagnosed
- spinal cord
- minimally invasive
- squamous cell carcinoma
- early stage
- left ventricular
- prognostic factors
- adipose tissue
- drug induced
- metabolic syndrome
- cardiovascular disease
- brain injury
- intensive care unit
- patient reported outcomes
- coronary artery
- pulmonary arterial hypertension
- phase iii
- double blind