Table 3 Summary of details of procedures in the treatment of TAAAD complicated with CM
From: Surgical treatment of type A acute aortic dissection with cerebral malperfusion: a systematic review
Author | N of patients | Time OSTOR (h) | Procedure | Cannulation (arterial inflow) | CP (ACP/RCP) | T during CA (°C) | HCA (min) | CCT (min) | CPB time (min) |
|---|---|---|---|---|---|---|---|---|---|
Okita et al. [12] | 50 | 6.0 ± 32.6 | HAR 32 PAR 2 TAR 18 | FA 32, Ax 9, AA 7, FA + Ax 3 | NA | NA | NA | NA | NA |
Sugiyama et al. [13] | 19 | 5.7 (3.5–8.4) 7.1 (2.9–9.9) | HAR 3 PAR 5 TAR 11 | Ax + FA | ACP 19 | 23.8 (21.1–24.7) 23.5 (21.8–24.5) | 58 (33–77) 49 (38–65) | 133 (104–199) 152 (100–236) | 275 (162–378) 254 (185–355) |
Gomibuchi et al. [14] | 42 | 8.8 ± 8.2 8.0 ± 2.9 | NA | Ax + FA | ACP 42 | NA | NA | NA | NA |
Sasaki et al. [8] | 9 | 7.2 ± 2.4 | HAR 4 PAR 0 TAR 5 | IA 5, RCCA 4, Ax + FA | ACP 9 | 25 | 57 ± 15 min | 118 ± 24 | 241 ± 44 |
Shimura et al. [15] | 16 | 5.5 (2.9–9.4) | HAR 0 PAR 0 TAR 6 | AA 14, AA + FA 2 | RCP 16 | 17.5 | 33 (25–45) | NA | 203 (128–304) |
Luehr et al. [16] | 23 | 7.0 (4.9–12.1) | HAR 14 PAR 0 TAR 9 | Ax 15, FA 7, IA 1, AA 1, Cardiac apex1 | ACP 23 | 26.0 ± 3.3 | 33.5 ± 14.4 | 111.4 ± 36.2 | 198.2 ± 53.6 |
Di Eusanio et al. [3] | 99 | 12.3 (6.6–56.1), 13.8 (6.3–24.0) | TAR 12 PAR 42 TAR 0 | NA | NA | NA | NA | NA | NA |
Morimoto et al. [5] | 41 | 21.7 ± 40.5 (median 6.5) | HAR 15 PAR 0 TAR 26 | Ax, FA | ACP 19 RCP 22 | 23.0 ± 2.3, 22.0 ± 3.8 | NA | 119.2 ± 51.4, 123.0 ± 62.0 | 196.3 ± 76.8, 191.3 ± 67.7 |
Nakamura [17] | 10 | 9.2 ± 8.7 | HAR 9 PAR 0 TAR 1 | NA | ACP 9 RCP 1 | 25 ± 1 | 31 ± 9 | NA | 144 ± 32 |
Tsukube et al. [18] | 24 | 3.4 ± 1 (21) 35.5 ± 8.4(3) | HAR 19 PAR 0 TAR 5 | FA 23, FA + Ax 1 | ACP 27 | 18 | NA | NA | 267 ± 50 |
Estrera et al. [9] | 14 | 6.1 ± 2.9 (10) 162 ± 90.6(4) | HAR ? PAR 0 TAR 0 | FA, Ax | RCP 16 | 15—20 | 28 (18–46) | NA | 126 (101–236) |
Tanaka et al. [19] | 16 | 7.8 ± 6.6 (3–30) [7,4 days] | HAR 10 PAR 1 TAR 5 | FA 10, FA + Ax 6 | RCP 12 ACP 4 | 20 | NA | NA | NA |
Total | 363 | 13.3 ± 31.3 | HAR = 118 PAR = 50 TAR = 86 | AA 22, apex 1, carotid 11, IA 6 | ACP = 152 RCP = 67 | 22.7 ± 3.3 (15–29.3) | 41.9 ± 16.7 (18–77) | 131 ± 45.4 (61–236) | 213.9 ± 73.8 (101–378) |