Key result
Aorto-carotid bypass under circulatory arrest for dissected carotid occlusion is linked to 0% in-hospital mortality.
Why the study?
The surgical management for type A acute aortic dissection complicated with carotid artery occlusion remains controversial.
Does aorto-carotid bypass under hypothermic circulatory arrest improve survival and neurological outcomes in patients with type A acute aortic dissection complicated by carotid artery occlusion?
Observational (n=9)
No
Does aorto-carotid bypass under hypothermic circulatory arrest improve survival and neurological outcomes in patients with type A acute aortic dissection complicated by carotid artery occlusion?
Aorto-carotid bypass under hypothermic circulatory arrest is a safe and effective strategy for type A acute aortic dissection complicated by carotid artery occlusion, yielding 100% 24-month survival and neurological recovery.
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May support feasibility in select cases; leaves open whether aorto-carotid bypass improves outcomes in type A dissection with carotid occlusion.
Sasaki et al. (2020) conducted an observational in Type A acute aortic dissection complicated with carotid artery occlusion (n=9). Aorto-carotid bypass ('no touch until circulatory arrest' strategy) was evaluated on Hospital mortality. Aorto-carotid bypass using a 'no touch until circulatory arrest' strategy for type A acute aortic dissection with carotid artery occlusion resulted in 0% hospital mortality and 100% 24-month survival.
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