Table 4 Postoperative outcome
From: Combining aortic arch dissection stent implantation and root surgery for aortic dissection type A
AMDS | Control | P-value | |
|---|---|---|---|
(n = 9) | (n = 111) | ||
Hospital stay, d (mean ± SD) | 20.4 ± 19.9 | 17.0 ± 13.3 | 0.87 |
ICU stay, h (mean ± SD) | 140 ± 190 | 186 ± 272 | 0.51 |
Mechanical ventilation, h (mean ± SD) | 23.3 ± 17.9 | 50.3 ± 54.0 | 0.27 |
Tracheostomy, n (%) | 1 (11.1) | 9/106 (8.5) | 0.57 |
Chest tube drainage volume, ml (mean ± SD) | 901 ± 617 | 1392 ± 1144 | 0.13 |
Blood transfusions | |||
Packed red blood cells, n (mean ± SD) | 1.78 ± 2.11 | 2.72 ± 4.43 | 0.87 |
Packed platelets, n (mean ± SD) | 0.67 ± 0.87 | 0.90 ± 2.04 | 0.52 |
Packed fresh frozen plasma, n (mean ± SD) | 3.56 ± 4.13 | 3.50 ± 4.57 | 0.86 |
Left ventricular ejection fraction, % (mean ± SD) | 45.8 ± 22.7 | 46.8 ± 24.5 | 0.34 |
In-hospital adverse events | |||
MACCE, n (%) | 4 (44.4) | 43/111 (38.7) | 0.74 |
In-hospital death, n (%) | 1 (11.1) | 24/110 (21.8) | 0.68 |
Death within 24 h after surgery, n (%) | 0 (0.0) | 10/110 (9.1) | > 0.99 |
Extracorporeal life support, n (%) | 1 (11.1) | 13/106 (12.3) | > 0.99 |
Cardiopulmonary resuscitation, n (%) | 2 (22.2) | 10/105 (9.5) | 0.24 |
Reoperation, n (%) | 3 (33.3) | 28/108 (25.9) | 0.70 |
Thoracic bleeding, n (%) | 2 (66.7) | 23 (82.1) | |
Pacemaker implantation, n (%) | 0 (0.0) | 1 (3.6) | |
Wound healing disorder, n (%) | 0 (0.0) | 1 (3.6) | |
Other, n (%) | 1 (33.3) | 3 (10.7) | |
Vascular intervention, n (%) | 1 (11.1) | 13/106 (12.3) | > 0.99 |
Multi organ dysfunction syndrome, n (%) | 1 (11.1) | 6/106 (5.7) | 0.44 |
Stroke, n (%) | 2 (22.2) | 18/106 (17.0) | 0.65 |
Thromboembolism, n (%) | 1 (11.1) | 4/106 (3.8) | 0.34 |
Hemodialysis, n (%) | 1 (11.1) | 24/107 (22.4) | 0.68 |
Sepsis, n (%) | 0 (0.0) | 1/106 (0.9) | > 0.99 |
Compartment syndrome, n (%) | 0 (0.0) | 4/105 (3.8) | > 0.99 |
Hematothorax, n (%) | 2 (22.2) | 18/108 (16.7) | 0.65 |
Arrhythmia, n (%) | 5 (55.6) | 48/108 (44.4) | 0.73 |
Respiratory failure, n (%) | 2 (22.2) | 20/107 (18.7) | 0.68 |
Postoperative laboratory values | |||
First postoperative day | |||
Troponin T, ng/l (mean ± SD) | 11,649 ± 30,155 | 3,328 ± 6,378 | 0.95 |
Creatine kinase, U/l (mean ± SD) | 3,351 ± 3,761 | 5,385 ± 16,518 | 0.39 |
Creatinine, mg/dl (mean ± SD) | 1.48 ± 0.41 | 1.68 ± 0.74 | 0.80 |
Urea, mg/dl (mean ± SD) | 45.6 ± 11.9 | 65.5 ± 30.4 | 0.03 |
Hemoglobin, g/dl (mean ± SD) | 9.43 ± 1.80 | 9.53 ± 1.71 | 0.50 |
Aspartate amino transferase, U/l (mean ± SD) | 283 ± 259 | 348 ± 581 | 0.44 |
Alanine amino transferase, U/l (mean ± SD) | 123 ± 96 | 141 ± 245 | 0.30 |
Platelets, 103/µl (mean ± SD) | 130 ± 35 | 140 ± 75 | 0.97 |
Fifth postoperative day | |||
Troponin T, ng/l (mean ± SD) | 522 ± 239 | 1,459 ± 1,989 | 0.23 |
Creatine kinase, U/l (mean ± SD) | 924 ± 930 | 1,689 ± 6,023 | 0.38 |
Creatinine, mg/dl (mean ± SD) | 1.27 ± 0.57 | 1.40 ± 0.79 | 0.86 |
Urea, mg/dl (mean ± SD) | 84.6 ± 37.2 | 69.3 ± 33.2 | 0.24 |
Hemoglobin, g/dl (mean ± SD) | 9.24 ± 0.47 | 10.06 ± 1.46 | 0.08 |
Aspartate amino transferase, U/l (mean ± SD) | 647 ± 1,330 | 137 ± 285 | 0.72 |
Alanine amino transferase, U/l (mean ± SD) | 788 ± 869 | 98 ± 107 | < 0.01 |
Platelets, 103/µl (mean ± SD) | 131 ± 44 | 138 ± 75 | 0.97 |