Unilateral Versus Bilateral Antegrade Cerebral Protection During Aortic Surgery: An Updated Meta-Analysis Emiliano Angeloni, MD, Giovanni Melina, PhD,

Slides:

Advertisements

Similar presentations

Unilateral versus Bilateral Antegrade Cerebral Protection During Circulatory Arrest in Aortic Surgery: A Meta-Analysis of 5462 patients Emiliano Angeloni,

Advertisements

Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies Christos G. Mihos, DO, Romain Capoulade, PhD, Evin Yucel,

Assessment of the Association of Bilateral Internal Thoracic Artery Skeletonization and Sternal Wound Infection After Coronary Artery Bypass Grafting

A Meta-Analysis of Transcatheter Aortic Valve Implantation Versus Surgical Aortic Valve Replacement Hisato Takagi, MD, PhD, Masao Niwa, MD, Yusuke Mizuno,

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Reply The Annals of Thoracic Surgery

Constantin Stefanidis, MD, Albert M

Risk-Adjusted Prolonged Length of Stay as an Alternative Outcome Measure for Pediatric Congenital Cardiac Surgery Ming Liu, MS, MA, Charlotte M. Druschel,

Postoperative Atrial Fibrillation Prophylaxis After Lung Surgery: Systematic Review and Meta-Analysis Lars Peter Riber, MD, PhD, Torben Bjerregaard Larsen,

Moderate chronic kidney disease and left ventricular hypertrophy after aortic valve replacement for aortic valve stenosis Umberto Benedetto, MD, Giovanni.

Metabolic Syndrome Affects Midterm Outcome After Coronary Artery Bypass Grafting Emiliano Angeloni, MD, Giovanni Melina, PhD, Umberto Benedetto, PhD,

Bilateral Double Free-Flaps for Reconstruction of Extensive Chest Wall Defect Emre Gazyakan, MD, Holger Engel, MD, Marcus Lehnhardt, MD, PhD, Michael.

Unprotected Left Main Coronary Artery Stenting Versus Coronary Artery Bypass Graft Surgery Hisato Takagi, MD, PhD, Hideaki Manabe, MD, Norikazu Kawai,

Mina L. Boutrous, MD, Rana O. Afifi, MD, Hazim J. Safi, MD, Anthony L

Frederik H. W. Jonker, MD, Felix J. V. Schlosser, MD, PhD, Jeffrey E

Harm H. H. Feringa, MD, Leslee J

Meta-Analysis of Survival After Pleurectomy Decortication Versus Extrapleural Pneumonectomy in Mesothelioma Emanuela Taioli, MD, PhD, Andrea S. Wolf,

Shangyi Ji, MD, Jianan Yang, MD, Xiaoqing Ye, MD, Xiaolei Wang, MD

n-3 Polyunsaturated Fatty Acids After Coronary Artery Bypass Grafting

Antegrade or Retrograde Cerebral Perfusion in Ascending Aorta and Hemiarch Surgery? A Propensity-Matched Analysis Konstantinos Perreas, FRCS C/Th, PhD,

Left Main Coronary Disease Treated by Direct Surgical Angioplasty: Long-Term Results Pablo Maureira, MD, Fabrice Vanhuyse, MD, Malik Lekehal, MD, Nguyen.

Surgical Versus Medical Therapy for Prosthetic Valve Endocarditis: A Meta-Analysis of 32 Studies Christos G. Mihos, DO, Romain Capoulade, PhD, Evin Yucel,

Ourania Preventza, MD, Katherine H. Simpson, MS, Denton A

Readmission to Intensive Care Unit After Initial Recovery From Major Thoracic Oncology Surgery Suk-Won Song, MD, Hyun-Sung Lee, MD, PhD, Jae-Hyun Kim,

Preoperative Angiotensin-Converting Enzyme Inhibitors and Acute Kidney Injury After Coronary Artery Bypass Grafting Umberto Benedetto, MD, Sebastiano.

Pleural Metastasis of Osteosarcoma

Retrograde Cerebral Perfusion Is Effective for Prolonged Circulatory Arrest in Arch Aneurysm Repair Christopher Lau, MD, Mario Gaudino, MD, Erin Mills.

Analyzing Effectiveness of Routine Pleural Drainage After Nuss Procedure: A Randomized Study Krystian Pawlak, MD, PhD, Łukasz Gąsiorowski, MD, PhD, Piotr.

Similar cerebral protective effectiveness of antegrade and retrograde cerebral perfusion combined with deep hypothermia circulatory arrest in aortic arch.

Mariano E. Brizzio, MD, Alex Zapolanski, MD, Richard E

Who Do You Say You Are? The Annals of Thoracic Surgery

The “Double-Valve” Sign in Acute Type A Aortic Dissection

Use of Amiodarone After Major Lung Resection

Hisato Takagi, MD, PhD, Takuya Umemoto, MD, PhD

Jaimin R. Trivedi, MD, MPH, Allen Cheng, MD, Michele Gallo, MD, Erin M

Mallory L. Irons, MD, MBE, J. William Gaynor, MD, Thomas L

Lung Function and ECMO After Lung Transplantation

Outcomes of Delayed Chest Closure After Bilateral Lung Transplantation

Coronary Artery Bypass Revascularization Using Bilateral Internal Thoracic Arteries in Diabetic Patients: A Systematic Review and Meta-Analysis Kan Kajimoto,

Percutaneous Transcatheter Closure of the Aortic Valve

Gerald G.R. Sng, Cameron D. Wright, MD The Annals of Thoracic Surgery

W. Brent Keeling, MD, David H. Tian, MD, PhD, Brad G

Aortic Arch Repair With Antegrade Selective Cerebral Perfusion Using Mild to Moderate Hypothermia of More Than 28°C Satoshi Numata, MD, PhD, Yasushi.

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Andreas Zierer, MD, Marc R. Moon, MD, Spencer J

Editorial Board, January 2010

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Michael T. Durheim, MD, Sunghee Kim, PhD, Brian C

Assessment of the Association of Bilateral Internal Thoracic Artery Skeletonization and Sternal Wound Infection After Coronary Artery Bypass Grafting

Vacuum-Assisted Closure for the Treatment of Complex Chest Wounds

The Unifocal Bilateral Bidirectional Cavopulmonary Anastomosis

What Is the Role of Minimally Invasive Mitral Valve Surgery in High-Risk Patients? A Meta-Analysis of Observational Studies Marco Moscarelli, MD, Khalil.

Marco Di Eusanio, MD, Marc A. A

Sequential Design for Clinical Trials Evaluating a Prosthetic Heart Valve Cody Hamilton, PhD, Michael Lu, PhD, Steven Lewis, PhD, William Anderson, PhD

Specialty Training and Mortality After Esophageal Cancer Resection

The Annals of Thoracic Surgery

The American Board of Thoracic Surgery: Update

“Transitions” for Cardiothoracic Surgeons Now Listed on the Web:

Postoperative Cognitive Dysfunction and Aortic Atheroma

Sagar U. Nigwekar, MD, Praveen Kandula, MD, MPH

Prophylactic tricuspid annuloplasty in patients with dilated tricuspid annulus undergoing mitral valve surgery Umberto Benedetto, MD, Giovanni Melina,

Experience With Bovine Pericardium for the Reconstruction of the Aortic Arch in Patients Undergoing a Norwood Procedure Victor O. Morell, MD, Peter A.

Dumbor L. Ngaage, MD, FRCS (C-Th), Michael E. Cowen, FRCS

Late Consequences of a Much Earlier Decision

Hypothermic circulatory arrest with selective antegrade cerebral perfusion in ascending aortic and aortic arch surgery: A risk factor analysis for adverse.

The Impact of New Technology on Cardiothoracic Surgical Practice

Domenico Galetta, MD, PhD, Lorenzo Spaggiari, MD, PhD

Stephen Greer, MD, Ashley D. Miller, FNP, Jeremiah S

Harvey Edward Garrett, MD, Bradley A. Wolf, MD

Induction Chemoradiation Is Not Superior to Induction Chemotherapy Alone in Stage IIIA Lung Cancer Asad A. Shah, MD, Mark F. Berry, MD, Ching Tzao, MD,

Presentation transcript:

Unilateral Versus Bilateral Antegrade Cerebral Protection During Aortic Surgery: An Updated Meta-Analysis Emiliano Angeloni, MD, Giovanni Melina, PhD, Simone K. Refice, MD, Antonino Roscitano, MD, Fabio Capuano, PhD, Cosimo Comito, MD, Riccardo Sinatra, MD The Annals of Thoracic Surgery Volume 99, Issue 6, Pages 2024-2031 (June 2015) DOI: 10.1016/j.athoracsur.2015.01.070 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Meta-analysis of postoperative mortality. (bASCP = bilateral antegrade selective cerebral perfusion; CI = confidence interval; uASCP = unilateral antegrade selective cerebral perfusion.) The Annals of Thoracic Surgery 2015 99, 2024-2031DOI: (10.1016/j.athoracsur.2015.01.070) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 Meta-analysis of postoperative permanent neurologic disease (PND). (bASCP = bilateral antegrade selective cerebral perfusion; CI = confidence interval; uASCP = unilateral antegrade selective cerebral perfusion.) The Annals of Thoracic Surgery 2015 99, 2024-2031DOI: (10.1016/j.athoracsur.2015.01.070) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Meta-regression analysis of time of circulatory arrest (minutes) on mortality rates for (A) bilateral and (B) unilateral antegrade selective cerebral perfusion. (CA = circulatory arrest; b-ASCP = bilateral antegrade selective cerebral perfusion; u-ASCP = unilateral antegrade selective cerebral perfusion.) The Annals of Thoracic Surgery 2015 99, 2024-2031DOI: (10.1016/j.athoracsur.2015.01.070) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 Meta-regression analysis of time of circulatory arrest (minutes) on (A) permanent neurologic dysfunction (PND), and (B) temporary neurologic dysfunction (TND) rates in the overall study population. (CA = circulatory arrest.) The Annals of Thoracic Surgery 2015 99, 2024-2031DOI: (10.1016/j.athoracsur.2015.01.070) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 5 Meta-regression analysis of temperature of circulatory arrest (°C) on (A) mortality, (B) permanent neurologic dysfunction (PND), and (C) temporary neurologic dysfunction (TND) rates in the overall study population. (CA = circulatory arrest.) The Annals of Thoracic Surgery 2015 99, 2024-2031DOI: (10.1016/j.athoracsur.2015.01.070) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 6 Meta-regression analysis of sample size on mortality (A) mortality, (B) permanent neurologic dysfunction (PND), and (C) temporary neurologic dysfunction (TND) rates in the overall study population. (SS = sample size.) The Annals of Thoracic Surgery 2015 99, 2024-2031DOI: (10.1016/j.athoracsur.2015.01.070) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions