September 1, 2001Annals of Surgery180 citationsOpen Access
View Full PaperNew Paradigms and Improved Results for the Surgical Treatment of Acute Type A Dissection
Structured PICO
Does an integrated surgical approach including specific repair techniques, monitoring, and perfusion strategies reduce death and complication rates in patients undergoing acute type A dissection repair?
P
Population
Patients undergoing acute type A dissection repair
I
Intervention
Surgical integration of sinus segment repair or aortic root replacement, use of EEG monitoring, partial or total arch replacement using retrograde cerebral perfusion (RCP), routine antegrade graft perfusion, and uniform use of transesophageal echocardiography
O
Outcome
Death and complication rateshard clinical
An integrated surgical approach incorporating specific repair techniques, monitoring, and perfusion strategies substantially decreases mortality and complications in acute type A dissection repair.
Abstract
The authors have shown that the surgical integration of sinus segment repair or aortic root replacement, the use of EEG monitoring, partial or total arch replacement using RCP, routine antegrade graft perfusion, and the uniform use of transesophageal echocardiography substantially decrease the death and complication rates of acute type A dissection repair.