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https://ahro.austin.org.au/austinjspui/handle/1/34084
Full metadata record
DC Field | Value | Language |
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dc.contributor.author | Sharma, Varun J | - |
dc.contributor.author | Kanagarajah, Abbie R | - |
dc.contributor.author | Seevanayagam, Siven | - |
dc.contributor.author | Kim, Michelle | - |
dc.contributor.author | Matalanis, George | - |
dc.date | 2022 | - |
dc.date.accessioned | 2023-10-25T06:19:13Z | - |
dc.date.available | 2023-10-25T06:19:13Z | - |
dc.date.issued | 2023-08 | - |
dc.identifier.citation | The Annals of Thoracic Surgery 2023-08; 116(2) | en_US |
dc.identifier.issn | 1552-6259 | - |
dc.identifier.uri | https://ahro.austin.org.au/austinjspui/handle/1/34084 | - |
dc.description.abstract | Aortic arch surgery necessitates interruption of perfusion, thus conferring higher morbidity and mortality compared with other aortic surgery. This report describes a branch-first continuous perfusion aortic arch replacement (BF-CPAR) technique that overcomes these shortcomings and describes midterm results with this technique. This report represents the corresponding author's 15-year experience with BF-CPAR, which involves preliminary mobilization and branch reconstruction before circulatory arrest by using a modified trifurcation graft. Demographic, procedural, and outcome (mortality, reintervention, morbidity, and stroke) were analyzed with Kaplan-Meier and Cox regression. Over 15 years (July 2005-February 2021), 155 patients underwent BF-CPAR, at a median age of 66.8 years, 106 (68.3%) on an elective basis and 49 (31.6%) on an emergency basis. There were no aortic deaths after the first postoperative year, thereby resulting in a 1- and 10-year freedom from aortic death constant at 95.6% in patients undergoing elective BF-CPAR and 93.3% in patients undergoing emergency BF-CPAR patients, respectively. Freedom from reintervention on the operated segment at 5 and 9 years was 93.2% and 93.2% in patients undergoing elective cases and 97.1% and 91.4% in emergency cases, respectively. The 10-year freedom from any aortic reintervention was 72.8% in elective patients and 29.2% in emergency patients; there were 38 reinterventions, 76.3% (n = 29/38) done for progression of aneurysmal or dissection disease, of which 79.3% (n = 23/29) were completed endovascularly. Freedom from cerebrovascular-related events at 5 and 10 years was 90.3% and 82.6% in patients undergoing elective BF-CPAR and 75.4% for both time points in patients undergoing emergency BF-CPAR, respectively. BF-CPAR has excellent 10-year results for elective and emergency cases of arch replacement. | en_US |
dc.language.iso | eng | - |
dc.title | Branch-first Continuous Perfusion Aortic Arch Replacement: Midterm Results. | en_US |
dc.type | Journal Article | en_US |
dc.identifier.journaltitle | The Annals of Thoracic Surgery | en_US |
dc.identifier.affiliation | Thoracic Surgery | en_US |
dc.identifier.affiliation | Cardiac Surgery | en_US |
dc.identifier.affiliation | Surgery (University of Melbourne) | en_US |
dc.identifier.doi | 10.1016/j.athoracsur.2022.09.020 | en_US |
dc.type.content | Text | en_US |
dc.identifier.pubmedid | 36152878 | - |
dc.description.volume | 116 | - |
dc.description.issue | 2 | - |
dc.description.startpage | 280 | - |
dc.description.endpage | 286 | - |
dc.subject.meshtermssecondary | Aorta, Thoracic/surgery | - |
dc.subject.meshtermssecondary | Blood Vessel Prosthesis Implantation/methods | - |
dc.subject.meshtermssecondary | Postoperative Complications/etiology | - |
item.openairetype | Journal Article | - |
item.cerifentitytype | Publications | - |
item.grantfulltext | none | - |
item.fulltext | No Fulltext | - |
item.openairecristype | http://purl.org/coar/resource_type/c_18cf | - |
item.languageiso639-1 | en | - |
crisitem.author.dept | Endocrinology | - |
crisitem.author.dept | Cardiac Surgery | - |
Appears in Collections: | Journal articles |
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