Unilateral and bilateral selective cerebral perfusion strategies for acute type A aortic dissection with frozen elephant trunk should be tailored to individual patient complexity.
Meta-Analysis
Does unilateral selective cerebral perfusion improve outcomes compared to bilateral selective cerebral perfusion in patients with acute type A aortic dissection undergoing frozen elephant trunk?
The choice between unilateral and bilateral selective cerebral perfusion during FET for ATAAD should be tailored to individual patient complexity rather than seeking a universally superior technique.
: Our analysis showed that centers already apply the appropriate perfusion strategy tailored to the complexity of the patient's condition. It is therefore crucial to tailor the approach to the complexities of individual patients rather than seeking a definitive superiority between the two perfusion techniques to optimize outcomes during FET for ATAAD. Further studies are warranted to confirm these results.
Baudo et al. (Wed,) conducted a meta-analysis in Acute Type A Aortic Dissection with Frozen Elephant Trunk. Unilateral Selective Cerebral Perfusion vs. Bilateral Selective Cerebral Perfusion was evaluated. Unilateral and bilateral selective cerebral perfusion strategies for acute type A aortic dissection with frozen elephant trunk should be tailored to individual patient complexity.