June 3, 2014Journal of Cardiac Surgery
A Method of Treating Patients with Acute Type A Aortic Dissection and Lower Extremity Malperfusion
Key result
Novel technique uses CPB-connected PTFE graft to manage acute limb ischemia during aortic replacement.
Population
Patients with acute type A aortic dissection and lower extremity malperfusion (acute limb ischemia)
Authors
Discussion
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Implication
Concomitant limb ischemia management during type A repair may reduce staged-approach mortality; leaves open need for prospective validation.
Structured PICO
P
Population
Patients with acute type A aortic dissection and lower extremity malperfusion (acute limb ischemia)
I
Intervention
Concomitant management of acute limb ischemia with replacement of the ascending aorta/hemiarch or aortic arch, perfusing the ischemic lower extremity through a polytetrafluoroethylene (PTFE) graft connected to the cardiopulmonary bypass (CPB) circuit in addition to axillary artery cannulation
Describes a surgical technique for concomitant management of acute type A aortic dissection and lower extremity malperfusion using a PTFE graft connected to the CPB circuit.
Cite This Study
Tsiouris et al. (2014) studied Acute type A aortic dissection and lower extremity malperfusion. Concomitant management of acute limb ischemia with aortic replacement and PTFE graft perfusion was evaluated. A surgical technique is described for concomitantly managing acute limb ischemia during aortic replacement by perfusing the lower extremity through a PTFE graft connected to the CPB circuit.