Impact of an On-Call Specialist Aortic Rota Implementation in Acute Type a Aortic Dissection on Outcomes and Repair Complexity: A Retrospective Cohort Study.

ABSTRACT:

Objectives

Acute Type A aortic dissection (ATAAD) repair is a high-risk procedure with significant in-hospital mortality. This study evaluates the impact of implementing an On-call Specialist Aortic Rota on ATAAD repair outcomes.

Methods

Retrospective analysis of prospectively collected data for all ATAAD repairs performed in our centre between January 2015 and October 2023 (n = 406). In September 2020, an On-Call Specialist Aortic Rota was introduced, requiring surgeons to perform at least 10 major aortic cases and 4 ATAAD repairs annually. Outcomes were compared between the pre-Rota (Group A) and post-Rota (Group B) implementation groups.

Results

Preoperative characteristics were similar between groups (mean age 59.7 ± 14 years, 68% male). In multivariable analysis,

SUBMITTER: Pruna-Guillen R 

PROVIDER: S-EPMC12782723 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature