Table 1. Operative details for type A (DeBakey I/II) aortic dissection: North American experience.
| First author | Year of publication | Study period | N | Cannulation | Temperature | ACP/RCP | Procedure details: hemiarch vs. total |
|---|---|---|---|---|---|---|---|
| Ehrlich (14) | 2000 | 1984–1998 | 124 | – | DHCA 12–15 °C | – | Ascending aorta (n=43); hemiarch (n=72); ascending aorta and total arch (n=2); ascending aorta, total arch, and descending aorta (n=7) |
| Fusco (23) | 2004 | 1981–2003 | 86 | Femoral (n=79); axillary (n=3); ascending aorta or arch (n=4) | DHCA | – | Hemiarch (n=70); root and ascending (n=16) |
| Zierer (22) | 2007 | 1984–2005 | 175 | Femoral (28)* | 17–19 °C when HCA used; 30 °C with X-clamp | X-clamp (29%); HCA alone (39%); HCA + RCP; (32%) | Hemiarch (n=57); ascending replacement (n=118) |
| Roselli (29) | 2013 | 2009–2012 | 17 (FET only) | Axillary (n=15); central aortic cannulation (n=2) | 18 °C | – | FET (modified stent, sutured into the arch, antegrade delivery) |
| Andersen (30) | 2014 | 1999–2011 | 128 | Right axillary; no mention of other sites | 16±1.4 °C (before 2005); 14.6±1.9 °C (after 2005) | ACP 13%, RCP 55% (before 2005); ACP 96%, RCP 4% (after 2005) | Hemiarch (n=82); total arch (n=2); ascending (n=44) (hemiarch 94% after 2005) |
| Vallabhajosyula (31) | 2014 | 2005–2012 | 242 | Femoral (n=19 stented, n=26 nonstented); axillary (n=16 stented, n=44 nonstented); ascending aorta and arch (n=27 stented, n=110 nonstented) | DHCA (32)* | RCP + ACP (13% stented, 11% nonstented); RCP (18% stented, 65% nonstented); ACP (69% stented, 24% nonstented) | Hemiarch (n=180); hemiarch plus stenting (n=62) |
| Rylski (19) | 2014 | 1999–2013 | 534 | Femoral (n=301); ascending (n=179); axillary (n=46); innominate (n=8) | 15–20 °C (33)* | RCP (90%); ACP (10%) | Hemiarch (n=534) |
| Preventza (17) | 2015 | 2005–2013 | 157 | Right axillary or innominate | 22–24 °C | ACP | Hemiarch (n=146, 25 of which were antegrade stent delivery); arch repair (n=11) |
| Leshnower (16) | 2015 | 2004–2014 | 288 | Right axillary | DHCA (≤24 °C) (n=82, 28.4%); MHCA (≥24 °C) (n=206, 71.5%) | ACP | Hemiarch (n=256); total arch (n=32) |
| Rice (18) | 2015 | 1999–2014 | 489 | Femoral (n=405); axillary (n=18); ascending aorta (n=61); data missing (n=5) | DHCA | RCP | Total arch replacement (n=49); proximal arch replacement (n=440) |
| Trivedi (21) | 2016 | 2007–2014 | 264 | Distal ascending aorta/proximal aortic arch; right subclavian, femoral if central contraindicated | DHCA | Combination RCP and ACP | Hemiarch (n=167); total arch (n=92) |
*This information was inferred from a previous publication (cited here) from this group. ACP, antegrade cerebral perfusion; DHCA, deep hypothermic circulatory arrest; MHCA, moderate hypothermic circulatory arrest; RCP, retrograde cerebral perfusion.