Systematic review of clinical outcomes in hybrid procedures for aortic arch dissections and other arch diseases Piergiorgio Cao, MD, FRCS, Paola De Rango,

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Presentation transcript:

Systematic review of clinical outcomes in hybrid procedures for aortic arch dissections and other arch diseases Piergiorgio Cao, MD, FRCS, Paola De Rango, MD, PhD, Martin Czerny, MD, Arturo Evangelista, MD, Rossella Fattori, MD, Christoph Nienaber, MD, Hervè Rousseau, MD, Marc Schepens, MD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 6, Pages 1286-1300.e2 (December 2012) DOI: 10.1016/j.jtcvs.2012.06.013 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Search strategy. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Perioperative mortality in hybrid arch repair. A, Debranching technique. B, Frozen elephant trunk technique. C, Stented elephant trunk technique. CI, Confidence interval; ET, elephant trunk. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Perioperative mortality in hybrid arch repair. A, Debranching technique. B, Frozen elephant trunk technique. C, Stented elephant trunk technique. CI, Confidence interval; ET, elephant trunk. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Perioperative stroke in hybrid arch repair. A, Debranching technique. B, Frozen elephant trunk technique. C, Stented elephant trunk technique. CI, Confidence interval; ET, elephant trunk. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Perioperative stroke in hybrid arch repair. A, Debranching technique. B, Frozen elephant trunk technique. C, Stented elephant trunk technique. CI, Confidence interval; ET, elephant trunk. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Perioperative spinal cord ischemia in hybrid arch repair. A, Debranching technique. B, Frozen elephant trunk technique. C, Stented elephant trunk technique. CI, Confidence interval; ET, elephant trunk. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Perioperative spinal cord ischemia in hybrid arch repair. A, Debranching technique. B, Frozen elephant trunk technique. C, Stented elephant trunk technique. CI, Confidence interval; ET, elephant trunk. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Perioperative results in hybrid arch repair for aortic dissection. A, Perioperative mortality. B, Perioperative stroke. C, Perioperative spinal cord ischemia. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Perioperative results in hybrid arch repair for aortic dissection. A, Perioperative mortality. B, Perioperative stroke. C, Perioperative spinal cord ischemia. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Perioperative results in hybrid repairs by landing zone (zone 0 vs zone 1) A, Perioperative mortality. B, Perioperative stroke. C, Perioperative spinal cord ischemia. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Perioperative results in hybrid repairs by landing zone (zone 0 vs zone 1) A, Perioperative mortality. B, Perioperative stroke. C, Perioperative spinal cord ischemia. CI, Confidence interval. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1286-1300.e2DOI: (10.1016/j.jtcvs.2012.06.013) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions