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Outcome after Surgery for Iatrogenic Acute Type A Aortic Dissection
F. Biancari, M. Pettinari, G. Mariscalco, C. Mustonen, F. Nappi, J. Buech, C. Hagl, A. Fiore, J. Touma, AM. Dell'Aquila, K. Wisniewski, A. Rukosujew, A. Perrotti, A. Hervé, T. Demal, L. Conradi, M. Pol, P. Kacer, F. Onorati, C. Rossetti, I....
Status neindexováno Jazyk angličtina Země Švýcarsko
Typ dokumentu časopisecké články
NLK
Directory of Open Access Journals
od 2012
Free Medical Journals
od 2012
PubMed Central
od 2012
Europe PubMed Central
od 2012
ProQuest Central
od 2019-01-01
Open Access Digital Library
od 2012-01-01
Open Access Digital Library
od 2012-01-01
Health & Medicine (ProQuest)
od 2019-01-01
ROAD: Directory of Open Access Scholarly Resources
od 2012
PubMed
36431205
DOI
10.3390/jcm11226729
Knihovny.cz E-zdroje
- Publikační typ
- časopisecké články MeSH
(1) Background: Acute Stanford type A aortic dissection (TAAD) may complicate the outcome of cardiovascular procedures. Data on the outcome after surgery for iatrogenic acute TAAD is scarce. (2) Methods: The European Registry of Type A Aortic Dissection (ERTAAD) is a multicenter, retrospective study including patients who underwent surgery for acute TAAD at 18 hospitals from eight European countries. The primary outcomes were in-hospital mortality and 5-year mortality. Twenty-seven secondary outcomes were evaluated. (3) Results: Out of 3902 consecutive patients who underwent surgery for acute TAAD, 103 (2.6%) had iatrogenic TAAD. Cardiac surgery (37.8%) and percutaneous coronary intervention (36.9%) were the most frequent causes leading to iatrogenic TAAD, followed by diagnostic coronary angiography (13.6%), transcatheter aortic valve replacement (10.7%) and peripheral endovascular procedure (1.0%). In hospital mortality was 20.5% after cardiac surgery, 31.6% after percutaneous coronary intervention, 42.9% after diagnostic coronary angiography, 45.5% after transcatheter aortic valve replacement and nihil after peripheral endovascular procedure (p = 0.092), with similar 5-year mortality between different subgroups of iatrogenic TAAD (p = 0.710). Among 102 propensity score matched pairs, in-hospital mortality was significantly higher among patients with iatrogenic TAAD (30.4% vs. 15.7%, p = 0.013) compared to those with spontaneous TAAD. This finding was likely related to higher risk of postoperative heart failure (35.3% vs. 10.8%, p < 0.0001) among iatrogenic TAAD patients. Five-year mortality was comparable between patients with iatrogenic and spontaneous TAAD (46.2% vs. 39.4%, p = 0.163). (4) Conclusions: Iatrogenic origin of acute TAAD is quite uncommon but carries a significantly increased risk of in-hospital mortality compared to spontaneous TAAD.
Cardiac Surgery Molinette Hospital University of Turin 10126 Turin Italy
Cardiothoracic Department University Hospital of Udine 33100 Udine Italy
Cardiovascular Surgery Department University Hospital Gregorio Marañón 28007 Madrid Spain
Centre Hospitalier Annecy Genevois 74370 Annecy France
Department of Cardiac Surgery Centre Cardiologique du Nord de Saint Denis 93200 Paris France
Department of Cardiac Surgery Glenfield Hospital Leicester LE3 9QP UK
Department of Cardiac Surgery Ziekenhuis Oost Limburg 3600 Genk Belgium
Department of Cardiothoracic Surgery University Hospital Muenster 48149 Muenster Germany
Department of Thoracic and Cardiovascular Surgery University of Franche Comte 25030 Besancon France
Division of Cardiac Surgery Medical School University of Verona 37124 Verona Italy
German Centre for Cardiovascular Research Partner Site Munich Heart Alliance 80539 Munich Germany
Liverpool Centre for Cardiovascular Sciences Liverpool Heart and Chest Hospital Liverpool L14 3PE UK
Research Unit of Surgery Anesthesia and Critical Care University of Oulu 90570 Oulu Finland
Citace poskytuje Crossref.org
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