Key result
Head First approach for complex arch replacement yields acceptable outcomes and shortens circulatory arrest.
Why the study?
The Head First graft technique has emerged as a preferred approach for aortic replacement, but its performance and safety regarding operative efficiency, cerebral protection, and outcomes required evaluation.
Does the "Head First" graft technique provide acceptable safety and operative efficiency in patients undergoing zone 2 or more extensive aortic arch replacement?
Cohort (n=150)
Does the "Head First" graft technique provide acceptable safety and operative efficiency in patients undergoing zone 2 or more extensive aortic arch replacement?
The "Head First" approach for complex aortic arch replacement demonstrates acceptable outcomes and may facilitate timely reconstruction with shorter circulatory arrest.
Objective: The "Head First" graft technique has emerged as a preferred approach for aortic replacement by many surgeons. This study evaluated its performance and safety, focusing on operative efficiency, cerebral protection, and its role in open arch repair outcomes. Methods: We reviewed 150 patients who underwent zone 2 or more extensive arch replacement using the "Head First" approach from August 2020 to March 2025. Perioperative variables were compared between patients with acute type A aortic dissection (n = 40) and elective repair (n = 84). Logistic regression identified risk factors for stroke. Results: 057) showed borderline associations. Conclusions: The "Head First" approach demonstrated acceptable outcomes in complex arch replacement. It prioritizes cerebral protection, facilitates timely reconstruction with shorter circulatory arrest, and may improve technical feasibility.
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Wu et al. (2025) conducted a cohort in Aortic arch replacement (n=150). "Head First" graft technique vs. Acute type A aortic dissection vs elective repair was evaluated on Operative efficiency, cerebral protection, and open arch repair outcomes. The 'Head First' approach for complex arch replacement demonstrated acceptable outcomes, prioritizing cerebral protection and facilitating timely reconstruction with shorter circulatory arrest.
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