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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)
  1. AA = ascending aorta; ACP = antegrade cerebral perfusion; Ax = axillary artery; CA = circulatory arrest; CPB = cardiopulmonary bypass; CCT = cross-clamp time; CM = cerebral malperfusion; CP = cerebral perfusion; ER = emergency room; FA = femoral artery; HAR = hemiarch replacement; HCA = hypothermic cardiac arrest; IA = innominate artery; LCCA Rep = left common carotid artery replacement; NA = not available; ONSTS time = the median time from onset of neurological symptoms to surgery; PAR = partial arch replacement; RCCA Rep = right common carotid artery replacement; RCP = retrograde cerebral perfusion; T = temperature; TAAAD = Type A acute aortic dissection; TAR = total arch replacement