Dataset Information

Clinical outcomes of the cuff wrapping technique in the modified Bentall procedure: a propensity score-matched study.

ABSTRACT:

Background

This study was designed to evaluate the clinical outcomes of our modified cuff wrapping Bentall (M-Bentall) procedure, which uses a cuff wrapping technique with remnant aortic root tissue.

Methods

From July 2017 to December 2021, a total of 136 patients met the inclusion criteria for this study. Among them, patients who underwent the modified Bentall procedure using the cuff wrapping technique were included in the M-Bentall group (n=46), while patients who underwent the classic Bentall (C-Bentall) procedure were categorized into the C-Bentall group (n=90). To reduce baseline differences between the two groups, 1:1 nearest-neighbor propensity score matching (PSM) was performed. Demographic and perioperative data were documented and compared between the two groups.

Results

Ninety patients were successfully matched (45 pairs). In-hospital mortality was not significantly different between the two groups after PSM (P=1). No differences were found in serious adverse events. The cardiopulmonary bypass (CPB) time was longer in the M-Bentall group than in the C-Bentall group (154 vs. 126 min, P=0.018). The same was also observed for the aortic cross-clamp time (113 vs. 92 min, P=0.009). Postoperatively, the peak value of D-dimer showed a significant difference, with higher values in the C-Bentall group (4.73 vs. 2.89 mg/L, P=0.019). The incidence of postoperative contrast extravasation at the aortic root (P=0.030) was higher in the C-Bentall group. The incidence of persistent aortic-right atrial shunts showed an increased tendency in the C-Bentall group (8.89% vs. 0%, P=0.117).

Conclusions

The cuff wrapping technique is a safe and effective method to facilitate hemostasis of the aortic root in the modified Bentall procedure.

SUBMITTER: Huang LC

PROVIDER: S-EPMC10482619 | biostudies-literature | 2023 Aug

REPOSITORIES: biostudies-literature

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Publications

Clinical outcomes of the cuff wrapping technique in the modified Bentall procedure: a propensity score-matched study.

Huang Ling-Chen LC Liu Chuang C Fan Shu-Ya SY Sun Yang-Xue YX Guo Hong-Wei HW

Journal of thoracic disease 20230803 8

<h4>Background</h4>This study was designed to evaluate the clinical outcomes of our modified cuff wrapping Bentall (M-Bentall) procedure, which uses a cuff wrapping technique with remnant aortic root tissue.<h4>Methods</h4>From July 2017 to December 2021, a total of 136 patients met the inclusion criteria for this study. Among them, patients who underwent the modified Bentall procedure using the cuff wrapping technique were included in the M-Bentall group (n=46), while patients who underwent the ...[more]

PMID: 37691682

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Dataset Information

Clinical outcomes of the cuff wrapping technique in the modified Bentall procedure: a propensity score-matched study.

Background

Methods

Results

Conclusions

Publications

Clinical outcomes of the cuff wrapping technique in the modified Bentall procedure: a propensity score-matched study.

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