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132880

Subclavian Artery Versus Femoral Artery Cannulation as An Access for Cardiopulmonary Bypass in Repair of Acute Type A Aortic Dissection

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Last updated: 24 Dec 2024

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Abstract

Background: Although many studies have reported the advantages and disadvantages between subclavian and femoral and cannulation, however most of these studies reported results for all patients underwent deep hypothermic circulatory arrest (DHCA) with ascending and aortic arch surgery with different pathologies. Objective: In our study we compared femoral and subclavian artery cannulation and reported the results only for the ascending aorta with acute type A aortic dissection (ATAAD). Patients and Methods: From January 2017 to January 2018 in Cairo University Hospitals, we selected 100 patients presented with acute type A aortic dissection and underwent reconstruction of only the ascending aorta. Patients were divided into two groups, Group (A): includes patients with subclavian artery cannulation to establish cardiopulmonary bypass (CPB) and Group (B): includes patients with femoral artery cannulation to establish CPB. Early postoperative results during hospital stay and mortality were reported and compared between the groups. Results: The preoperative data in both groups showed no statistical difference in both groups, in postoperative data only Subclavian cannulation had a better cerebral protection and lower hospital stay than femoral cannulation (2 vs 8%, p = 0.04) while other postoperative data as well as mortality showed no statistical differences in both groups. Conclusions: From results of our study we concluded that subclavian cannulation is better than femoral cannulation in repair of type A aortic dissection as it has better cerebral protection and lower postoperative hospital stay.

DOI

10.21608/ejhm.2020.132880

Keywords

Femoral artery cannulation, Subclavian artery cannulation, Type A acute aortic dissection

Authors

First Name

Fouad M.

Last Name

Rasekh

MiddleName

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Affiliation

Cardiothoracic Surgery, Faculty of Medicine, Cairo University

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Orcid

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First Name

Ahmed S.

Last Name

Mahmoud

MiddleName

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Affiliation

Cardiothoracic Surgery, Faculty of Medicine, Cairo University

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Volume

81

Article Issue

7

Related Issue

19561

Issue Date

2020-10-01

Receive Date

2020-12-27

Publish Date

2020-10-01

Page Start

2,371

Page End

2,373

Print ISSN

1687-2002

Online ISSN

2090-7125

Article File

EJHM_Volume 81_Issue 7_Pages 2371-2373.pdf

PDF . 312.4kB

Link

https://ejhm.journals.ekb.eg/article_132880.html

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https://ejhm.journals.ekb.eg/service?article_code=132880

Order

11

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Original Article

Type Code

606

Publication Type

Journal

Publication Title

The Egyptian Journal of Hospital Medicine

Publication Link

https://ejhm.journals.ekb.eg/

MainTitle

Subclavian Artery Versus Femoral Artery Cannulation as An Access for Cardiopulmonary Bypass in Repair of Acute Type A Aortic Dissection

Details

Type

Article

Created At

22 Jan 2023