From: The impact of age in acute type A aortic dissection: a retrospective study
Total | 20 s | 30 s | 40 s | 50 s | 60 s | 70 s | 80 s | P value | |
---|---|---|---|---|---|---|---|---|---|
Number | 1092 | 32 | 146 | 281 | 286 | 211 | 118 | 18 | |
Hour from onset to admission | 10 (18–6) | 10 (20–6) | 10 (18–7) | 10 (18–7) | 9 (16–6) | 10 (20–6) | 10 (18–6) | 9 (12–5) | 0.374 |
Hours from admission to surgery | 6 (12–3) | 9 (12–3) | 6 (13–3) | 6 (14–3) | 5 (12–3) | 5 (12–2) | 5 (10–3) | 6 (12–3) | 0.049 |
OP duration | 8.0 ± 2.1 | 8.2 ± 2.1 | 8.2 ± 2.1 | 8.3 ± 2.2 | 7.8 ± 2.3 | 7.7 ± 1.9 | 7.7 ± 1.9 | 7.1 ± 1.6 | < 0.001 |
Cannulation | |||||||||
Ascending | 20 (1.8%) | 2 (6.3%) | 3 (2.1%) | 5 (1.8%) | 3 (1.0%) | 5 (2.4%) | 2 (1.7%) | 0 (0%) | 0.521 |
Femoral | 231 (21.2%) | 7 (21.9%) | 18 (12.3%) | 36 (12.8%) | 68 (23.8%) | 61 (28.9%) | 33 (28.0%) | 8 (44.4%) | 0.000 |
Axillary | 233 (21.3%) | 3 (9.4%) | 25 (17.1%) | 64 (22.8%) | 56 (19.6%) | 50 (23.7%) | 30 (25.4%) | 5 (27.8%) | 0.281 |
Femoral + axillary | 608 (55.7%) | 20 (62.5%) | 100 (68.5%) | 176 (62.6%) | 159 (55.6%) | 95 (45.0%) | 53 (44.9%) | 5 (27.8%) | 0.000 |
HCA | 30.3 ± 11.1 | 29.2 ± 15.6 | 32.4 ± 12.6 | 30.7 ± 10.8 | 29.7 ± 10.8 | 30.6 ± 11.1 | 28.7 ± 8.5 | 24.8 ± 8.7 | 0.021 |
CPB | 240.0 ± 76.1 | 238.8 ± 64.4 | 253.6 ± 74.2 | 245.9 ± 81.4 | 237.7 ± 76.7 | 234.7 ± 75.9 | 228.3 ± 66.9 | 219.3 ± 61.1 | 0.012 |
X-clamp | 166.8 ± 61.1 | 168.5 ± 47.4 | 179.8 ± 59.3 | 169.8 ± 72.3 | 164.1 ± 57.6 | 163.1 ± 57.8 | 157.8 ± 49.1 | 159.7 ± 59.8 | 0.049 |
Cerebral perfusion | < 0.001 | ||||||||
No perfusion | 140 (12.8%) | 7 (21.9%) | 10 (6.8%) | 23 (8.2%) | 43 (15.0%) | 39 (18.5%) | 14 (11.9%) | 4 (22.2%) | |
ACP | 886 (81.1%) | 25 (78.1%) | 130 (89.0%) | 250 (89.0%) | 226 (79.0%) | 153 (72.5%) | 91 (77.1%) | 11 (61.1%) | |
RCP | 66 (6.0%) | 0 (0%) | 6 (4.1%) | 8 (2.8%) | 17 (5.9%) | 19 (9.0%) | 13 (11.0%) | 3 (16.7%) | |
Root procedure | < 0.001 | ||||||||
No | 17 (1.6%) | 2 (6.3%) | 2 (1.4%) | 5 (1.8%) | 3 (1.0%) | 3 (1.4%) | 2 (1.7%) | 0 (0%) | |
Root reconstruction | 828 (75.8%) | 13 (40.6%) | 99 (67.8%) | 213 (75.8%) | 214 (74.8%) | 174 (82.5%) | 101 (85.6%) | 14 (77.8%) | |
Bentall | 228 (20.9%) | 14 (43.8%) | 38 (26.0%) | 60 (21.4%) | 68 (23.8%) | 30 (14.2%) | 14 (11.9%) | 4(22.2%) | |
VSRR | 19 (1.7%) | 3 (9.4%) | 7 (4.8%) | 3 (1.1%) | 1 (0.3%) | 4 (1.9%) | 1 (0.8%) | 0 (0%) | |
Arch procedure | < 0.001 | ||||||||
Sub-arch | 211 (19.9%) | 7 (21.9%) | 18 (12.3%) | 40 (14.2%) | 49 (17.1%) | 47 (22.3%) | 45 (38.1%) | 7 (38.9%) | |
Total arch + FET | 515 (47.1%) | 19 (59.4%) | 88 (60.3%) | 156 (55.5%) | 131 (45.8%) | 88 (41.7%) | 31 (26.3%) | 3 (16.7%) | |
Arch stent | 361 (33.0%) | 6 (18.8%) | 40 (27.4%) | 85 (30.2%) | 106 (37.1%) | 74 (35.1%) | 41 (34.7%) | 8 (44.4%) |