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Table 2 Intraoperative results and postoperative situation in the two groups

From: Is limited aortic resection more justified in elderly patients with type A acute aortic dissection?-insights from single center experience

Variable

LAR (n = 41)

TAR + SET (n = 62)

P

Arterial cannulation sites

 Right axillary artery, n (%)

31(75.6)

45(72.6)

0.732

 Femoral artery, n (%)

5(12.2)

6(9.7)

0.686

 Both, n (%)

5(12.2)

11(17.7)

0.447

Tear location

 Ascending, n (%)

30(73.2)

31(50.0)

0.019

 Aortic arch, n (%)

3(7.3)

4(6.5)

1

 Beyond arch, n (%)

3(7.3)

21(33.9)

0.002

 No tear (hematoma), n (%)

5(12.2)

6(9.7)

0.686

CPB time, min

161.5 ± 17.2

179.5 ± 22.1

< 0.01

Cross-clamp time, min

93.8 ± 15.1

119.4 ± 20.5

< 0.01

Circulatory arrest time, min

18.7 ± 2.6a

21.3 ± 2.3

< 0.01

Concomitant surgery in proximal

  + AVR, n

4

9

0.557

  + CABG, n

2

4

1

  + Bentall, n

2

3

1

  + no-coronary sinus replacement, n

3

3

0.680

  + ascending-femoral artery bypass, n

0

2

0.516

  + femoral-femoral artery bypass, n

0

1

1

Major postoperative complications, n (%)

0

11(17.7)b

< 0.01

 Dialysis due to new acute kidney injury, n

0

3

 New stroke, n

0

1

 New paraparesis, n

0

1

 New paraplegia, n

0

1

 Tracheotomy for lung infection, n

0

5

 Gastrointestinal bleeding, n

0

1

Intubation time, d

2.2 ± 1.3

4.6 ± 3.7

< 0.01

ICU stay time, d

4.7 ± 3.4

7.7 ± 5.8

< 0.01

Hospital stay time, d

17.5 ± 2.6

21.1 ± 4.8

< 0.01

Hospital mortality, n (%)

2(4.9)

12(19.4)

0.042

  1. Abbreviations: CPB cardiopulmonary bypass, AVR aortic valve replacement, CABG coronary artery bypass graft, Bentall a name of procedure, ICU intensive care unit
  2. Notes: aOnly 36 patients were included because three patients underwent the ascending aorta replacement under cross-clamp without circulatory arrest.
  3. bOne patient had dialysis due to new acute kidney injury and gastrointestinal bleeding simultaneously