Unilateral versus bilateral antegrade cerebral perfusion during surgical repair for patients with acute type A aortic dissection

ABSTRACT:

Objectives

To compare unilateral versus bilateral antegrade cerebral perfusion (ACP) techniques on cerebral protection during acute type A aortic dissection repair.

Methods

Using an institutional database, we retrospectively reviewed patients who underwent acute type A aortic dissection repair with selective ACP techniques from October 2008 to December 2019. Primary end point was the detection of neurologic dysfunctions. The secondary end point was mortality. For baseline adjustment, the propensity score matching method was used. Multivariable logistic regression analysis was performed to determine the predictor of neurologic events.

Results

Among 522 patients (aged 62.0 ± 14.9 years; 45.7% women), unilateral and bilateral ACP techniques were used in 357 (64.7%)

SUBMITTER: Song S 

PROVIDER: S-EPMC9510789 | biostudies-literature | 2022 May

REPOSITORIES: biostudies-literature