Standardizing Clinical End Points in Aortic Arch Surgery
نویسندگان
چکیده
منابع مشابه
Standardizing clinical end points in aortic arch surgery: a consensus statement from the International Aortic Arch Surgery Study Group.
1610 S ince the introduction of hypothermic circulatory arrest for aortic arch surgery in 1975, 1 there has been considerable progress in addressing this complex surgical pathology. 2–4 However, the rapidity with which operative techniques have evolved has outpaced methodical appraisal of their clinical merit, leaving behind a wealth of perfunctory data. In particular , existing emphasis on neu...
متن کاملModification in aortic arch replacement surgery
OBJECTIVE We modified the conventional aortic arch replacement procedure to avoid circulation arrest and a prolonged extracorporeal circulation time, especially in cases of acute aortic dissection. We herein present our experience with a modified branch-first approach to acute aortic dissection, with anastomosis of the supra aortic vessels prior to commencing cardiopulmonary bypass. METHODS S...
متن کاملCerbral Protection Strategies for Aortic Arch Surgery
Surgical therapy for aortic arch disease involves partial or complete replacement of the aortic arch with reimplantation of the great vessels while the cerebral blood flow is temporarily altered. Patients undergoing this mandatory period of circulatory arrest during arch replacement are at an increased risk for adverse neurologic outcomes, and strategies for cerebral protection must be implemen...
متن کاملCortical blindness following aortic arch surgery.
PURPOSE To report a patient with Marfan's syndrome in whom cortical blindness occurred after planned circulatory arrest during aortic arch surgery. CASE A 31-year-old man underwent aortic arch surgery because of an acute aortic dissection due to Marfan's syndrome. He noticed poor vision after surgery, although his pupillary reflexes and fundi appeared normal. Magnetic resonance imaging (MRI) ...
متن کاملAortic arch surgery: beyond surgical technique alone.
Yan et al. [1] need to be congratulated on forming an international aortic arch study group to improve patient outcomes after aortic arch surgery. Clinical consensus to classify the different temperatures utilized for hypothermia is obviously important; however, it does not take into account metabolic variation between patients [2] and may potentially explain variation in reported outcomes. Wit...
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ژورنال
عنوان ژورنال: Circulation
سال: 2014
ISSN: 0009-7322,1524-4539
DOI: 10.1161/circulationaha.113.006421