Early results of surgery for acute type A aortic dissection without using neurocerebral monitoring

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dc.authoridErdil, Feray Akgül/0000-0002-7544-3717
dc.authoridErdil, Nevzat/0000-0002-8275-840X
dc.authoridGedik, Ender/0000-0002-7175-207X
dc.authorwosidErdil, Feray Akgül/ABI-2474-2020
dc.authorwosidErdil, Nevzat/K-8079-2019
dc.authorwosidBattaloglu, Bektas/ABI-6211-2020
dc.authorwosidGedik, Ender/ABI-2971-2020
dc.contributor.authorErdil, Nevzat
dc.contributor.authorGedik, Ender
dc.contributor.authorErdil, Feray
dc.contributor.authorNisanoglu, Vedat
dc.contributor.authorBattaloglu, Bektas
dc.contributor.authorErsoy, Ozcan
dc.date.accessioned2024-08-04T20:32:51Z
dc.date.available2024-08-04T20:32:51Z
dc.date.issued2010
dc.departmentİnönü Üniversitesien_US
dc.description.abstractBackground: This study aimed to determine if the routine use of unilateral antegrade cerebral perfusion during repair of acute type A aortic dissection can eliminate the need for intraoperative neurophysiologic monitoring. Methods: Between September 2000 and December 2009, 66 consecutive patients with acute type A aortic dissection underwent surgical repair in our clinic. In 57 patients (86.4%), arterial perfusion was provided through a right axillary artery cannula and in the remaining nine patients (13.6%) the arterial perfusion site was the femoral artery. Results: Postoperative hospital mortality was 13.6% (n=9). Postoperative hemorrhage or tamponade requiring resternotomy occurred in seven patients (10.6%). Nine patients (13.6%) required postoperative inotropic support. Postoperative atrial fibrillation was observed in six patients. Mean intensive care unit stay and hospital stay were 5.1 +/- 4.4 days (range, 2 to 26 days) and 10.8 +/- 8.9 days (range, 7 to 60 days), respectively. Mean extubation time was 15.4 +/- 13.9 hours (range, 7 to 74 hours). One of the surviving patients experienced new transient neurological deficits in the postoperative period. Conclusion: Unilateral antegrade selective cerebral perfusion techniques may provide reliable brain protection and reduce cerebral complication rates without the use of routine cerebral monitoring devices, even for longer periods of circulatory arrest during surgery of acute type A aortic dissection.en_US
dc.identifier.endpage263en_US
dc.identifier.issn1301-5680
dc.identifier.issue4en_US
dc.identifier.scopus2-s2.0-79957881131en_US
dc.identifier.scopusqualityQ3en_US
dc.identifier.startpage259en_US
dc.identifier.urihttps://hdl.handle.net/11616/95344
dc.identifier.volume18en_US
dc.identifier.wosWOS:000283410700003en_US
dc.identifier.wosqualityN/Aen_US
dc.indekslendigikaynakWeb of Scienceen_US
dc.indekslendigikaynakScopusen_US
dc.language.isoenen_US
dc.publisherEkin Tibbi Yayincilik Ltd Sti-Ekin Medical Publen_US
dc.relation.ispartofTurk Gogus Kalp Damar Cerrahisi Dergisi-Turkish Journal of Thoracic and Cardiovascular Surgeryen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/closedAccessen_US
dc.subjectAnaesthesiaen_US
dc.subjectaortic ruptureen_US
dc.subjectbrain protectionen_US
dc.subjectcerebral perfusionen_US
dc.subjectsurgeryen_US
dc.titleEarly results of surgery for acute type A aortic dissection without using neurocerebral monitoringen_US
dc.typeArticleen_US

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