Table 2.
Operative Characteristics and Strategies
Operative characteristics | Surgical Era
|
p value | ||
---|---|---|---|---|
Early (n = 309) | Middle (n = 316) | Current (n = 259) | ||
CPB time (min; median, IQR) | 171 (133–218) | 176 (133–229) | 186 (153–242) | 0.003 |
Cross clamp time (min; median, IQR) | 97 (73–134.5) | 106 (76–157) | 110 (80–152) | 0.04 |
Circulatory arrest | 57 (79.2%) | 253 (80.1%) | 214 (82.6%) | 0.68 |
Circulatory arrest (min; median, IQR) | 29 (24–42) | 31 (21–44) | 36 (28–48) | 0.005 |
Circulatory arrest without cerebral perfusion (min; median, IQR) | † | 12 (0–27) | 6 (0–24) | 0.680 |
Cerebral perfusion used during circulatory arrest | † | 46 (74.2%) | 180 (84.5%) | 0.06 |
Cerebral perfusion type | 0.43 | |||
Antegrade | † | 21 (45.7%) | 100 (56.2%) | |
Retrograde | † | 21 (45.7%) | 67 (37.6%) | |
Both antegrade and retrograde | † | 4 (8.7%) | 12 (6.3%) | |
Cerebral perfusion time (min; median, IQR) | † | 24 (19–34) | 29 (20–39) | 0.11 |
Lowest temperature (Celsius; median, IQR) | † | 20 (18–26) | 20 (18–24) | 0.84 |
Aortic root repair | 49 (15.9%) | 123 (38.9%) | 174 (67.2%) | <0.0001 |
Aortic arch repair | 83 (26.9%) | 82 (26.0%) | 96 (37.1%) | 0.007 |
Not captured in STS database during this era
CPB = Cardiopulmonary bypass; IQR = Interquartile range; TEVAR = Thoracic Endovascular Aortic Repair