Meta-analysis of open surgical repair versus hybrid arch repair for aortic arch aneurysm.

Abstract:

OBJECTIVE:To conduct a meta-analysis of available comparative studies evaluating hybrid arch repair versus open surgical repair of aortic arch aneurysm. METHODS:A literature search was performed using PubMed, Embase and Web of Science to identify any studies comparing the results of hybrid arch repair with open surgical repair of aortic arch aneurysm. Study quality was assessed with the Newcastle-Ottawa Scale. Statistical heterogeneity was estimated using the chi-square test. A random-effects model was used to illustrate heterogeneity. Publication bias was evaluated by funnel plots. RESULTS:Seven retrospective cohort studies from 2009 to 2016 comprising 727 patients were included. Among these patients, 269 were treated with hybrid arch repair and 458 with open surgical repair. There was no significant difference in operative mortality (OR 0.75; 95% CI 0.41-1.39; P = 0.37), permanent neurological deficit (OR 1.24; 95% CI 0.73-2.13; P = 0.42), late mortality (2 years) (OR 3.41; 95% CI 0.83-14.03; P = 0.09) or renal failure (OR 0.80; 95% CI 0.40-1.61; P = 0.53). Interestingly, the meta-analysis indicated that the hybrid group needed more reinterventions (OR 3.43; 95% CI 1.72-6.84; P = 0.0005). CONCLUSIONS:We found no strong evidence indicating that hybrid arch repair is superior to open surgical repair. Furthermore, the hybrid arch repair resulted in more reinterventions despite the fact that it was a less invasive procedure; it also required fewer days in the hospital. Further studies with large numbers of participants and long-term follow-ups are necessary to confirm the effectiveness of hybrid arch repair.

authors

Miao L,Song L,Sun SK,Wang ZG

doi

10.1093/icvts/ivw305

subject

Has Abstract

pub_date

2017-01-01 00:00:00

pages

34-40

issue

1

eissn

1569-9293

issn

1569-9285

pii

ivw305

journal_volume

24

pub_type

杂志文章,meta分析,评审
  • Increased mRNA expression of decorin in the prolapsing posterior leaflet of the mitral valve.

    abstract::To improve our understanding of myxomatous degeneration of the valvar tissue as seen in mitral valve prolapse, we have compared the biosynthetic phenotype of the connective tissue cells in myxomatous segments (n=4) resected during surgery with that of homologous segments of normal valves (n=4) harvested in age-matched...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(03)00107-5

    authors: Radermecker MA,Limet R,Lapiere CM,Nusgens B

    更新日期:2003-09-01 00:00:00

  • Successful transapical aortic valve implantation four weeks before 97th birthday.

    abstract::Aortic valve replacement (AVR) is currently the treatment of choice in patients with symptomatic aortic stenosis, but transcatheter off-pump aortic valve implantation is a novel and emerging technique, which might be performed more frequently in the near future and may be a less invasive alternative to conventional AV...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2008.201798

    authors: Wendt D,Eggebrecht H,Kahlert P,Thielmann M

    更新日期:2009-06-01 00:00:00

  • A meta-analysis of adjusted risk estimates for survival from observational studies of complete versus incomplete revascularization in patients with multivessel disease undergoing coronary artery bypass grafting.

    abstract::To determine whether coronary artery bypass grafting (CABG) with complete revascularization improves survival in patients with multivessel disease (MVD) over CABG with incomplete revascularization, we performed a meta-analysis of adjusted (but not unadjusted) risk estimates from observational studies. Databases includ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,meta分析,评审

    doi:10.1093/icvts/ivu012

    authors: Takagi H,Watanabe T,Mizuno Y,Kawai N,Umemoto T,ALICE (All-Literature Investigation of Cardiovascular Evidence) Group.

    更新日期:2014-05-01 00:00:00

  • Mid-term outcomes of congenital mitral valve surgery: Shone's syndrome is a risk factor for death and reintervention.

    abstract:OBJECTIVES:To study the recent trends and outcomes of congenital mitral valve surgery in children. METHODS:From 2008 to 2014, 84 procedures in 66 consecutive patients (41 procedures in 31 patients with mitral stenosis and 43 procedures in 35 patients with mitral regurgitation) were retrospectively evaluated. The mean ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx211

    authors: Sughimoto K,Konstantinov IE,d'Udekem Y,Brink J,Zannino D,Brizard CP

    更新日期:2017-11-01 00:00:00

  • Endovascular repair of a proximal ilio-iliac arterio-venous fistula and distal pseudoaneurysm of the hypogastric artery 23 years after penetrating trauma.

    abstract::We report the treatment of a proximal ilio-iliac arterio-venous fistula and distal omolateral hypogastric artery pseudoaneurysm 23 years after incurring a gunshot wound in a 43-year old man presenting with lower back pain. No cardiac, pulmonary or omolateral lower limb alteration was observed. Endovascular exclusion o...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivv131

    authors: Marino M,Kasemi H,Di Angelo CL,Fadda GF

    更新日期:2015-08-01 00:00:00

  • A rare case of left innominate vein aneurysm mimicking thymoma.

    abstract::Thoracic venous aneurysms are very rare conditions, even more unusual from left innominate vein. We report a case of a 57-year-old male who presented an anterior mediastinal mass suspicious of thymoma by chest computed tomography. Median sternotomy was performed aiming for total thymectomy, but intraoperative findings...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw420

    authors: Huang W,Jiang GN

    更新日期:2017-10-01 00:00:00

  • Extracorporeal life support in the acute management of tumour lysis syndrome.

    abstract::A 16-month old boy presented with a severe tumour lysis syndrome (TLS) complicating induction therapy for acute myeloid leukaemia. This was further complicated by a respiratory syncytial virus infection. The failure of response to escalating treatment necessitated the use of extracorporeal life support (ECLS) during c...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs233

    authors: Prabhu AD,Mos K,Karl TR,Anderson B

    更新日期:2012-09-01 00:00:00

  • Type II endoleak after endoluminal repair of thoracic aortic aneurysm associated with native coarctation.

    abstract::Aneurysm formation and recurrent coarctation are common complications of coarctation repair, and various types of treatment have been described. Native aortic coarctation during adult life is rarer and can be responsible for severe complications. We report an original case of thoracic aortic aneurysm associated with n...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw340

    authors: Maitrias P,Mage A,Belhomme D,Reix T

    更新日期:2017-02-01 00:00:00

  • Inotropic support and peritoneal dialysis adequacy in neonates after cardiac surgery.

    abstract::We describe the impact of cardiovascular pharmacologic support on peritoneal dialysis adequacy in 20 neonates who required postoperative renal replacement therapy following cardiopulmonary bypass exposure. Peritoneal dialysis was administered for 2.5 (2) days. Peritoneal dialysis creatinine clearance was 3.4 (2.1) ml/...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.165118

    authors: Ricci Z,Morelli S,Ronco C,Polito A,Stazi GV,Giorni C,Di Chiara L,Picardo S

    更新日期:2008-02-01 00:00:00

  • Cardiac myxoma mimicking extension of renal cell carcinoma.

    abstract::Cardiac myxomas are the commonest benign tumour of the heart. We are describing a rare presentation of a myxoma in a patient with renal cell carcinoma (RCC). Since there was no single reported case of myxoma with RCC, a presumptive diagnosis of RCC with right atrial extension of tumour thrombus was made. Both the tumo...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.227504

    authors: Gopalakrishnan M,Benjamin M,Kamath M,Thekkepurackal R

    更新日期:2010-05-01 00:00:00

  • Surgical treatment of postinfarction ventricular septal defect: risk factors and outcome analysis.

    abstract:OBJECTIVES:Postinfarction ventricular septal defect is a serious mechanical complication of acute myocardial infarction associated with high postoperative mortality. The aim of this study was to review our experience with surgical repair of postinfarction ventricular septal defect and to identify predictors of early an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx230

    authors: Pojar M,Harrer J,Omran N,Turek Z,Striteska J,Vojacek J

    更新日期:2018-01-01 00:00:00

  • Women have a higher resection rate for lung cancer and improved survival after surgery.

    abstract:OBJECTIVES:Surgery is the standard treatment in early-stage non-small-cell lung cancer and select cases of small-cell lung cancer, but gender differences in its use and outcome are poorly known. Gender differences in surgical resection rates and long-term survival after lung cancer surgery were therefore investigated. ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivab006

    authors: Lautamäki A,Gunn J,Sipilä J,Rautava P,Sihvo E,Kytö V

    更新日期:2021-02-01 00:00:00

  • Acceptance and introduction of disruptive technologies - simple steps to build a fully functional pulmonary valved stent.

    abstract::Valved stents are new land for cardiac surgeons even though they are being used more frequently by interventional disciplines. This paper presents simple steps to build a patient-specific pulmonary valved stent and its delivery device. The design concept was tested by random participants at a med-tech meeting. The val...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2007.153494

    authors: Huber CH,Marty B,von Segesser LK

    更新日期:2007-08-01 00:00:00

  • Potassium-induced conversion of ventricular fibrillation after aortic declamping.

    abstract:OBJECTIVES:The anti-fibrillatory effect of potassium is well recognized from experimental models. There have, however, been very few clinical reports on the use of potassium to convert ventricular fibrillation (VF) after cardioplegic arrest. METHODS:In total, 8465 adult patients undergoing cardiac operations on cardio...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivs455

    authors: Almdahl SM,Damstuen J,Eide M,Mølstad P,Halvorsen P,Veel T

    更新日期:2013-02-01 00:00:00

  • Aprotinin reduces the antiplatelet effect of clopidogrel.

    abstract::Aprotinin reduces bleeding and transfusion rates in patients undergoing coronary surgery while on clopidogrel. However, safety studies have indicated that aprotinin may have a possible adverse effect related to an increased incidence of thromboembolic events. We therefore studied the adenosinediphosphate (ADP) mediate...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2009.206342

    authors: Lindvall G,Sartipy U,Bjessmo S,Svenarud P,Lindvall B,van der Linden J

    更新日期:2009-08-01 00:00:00

  • The importance of costoclavicular space on possible compression of the subclavian artery in the thoracic outlet region: a radio-anatomical study.

    abstract:OBJECTIVES:The purposes of this study were to identify possible compression points along the transit route of the subclavian artery and to provide a detailed anatomical analysis of areas that are involved in the surgical management of the thoracic outlet syndrome (TOS). The results of the current study are based on mea...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy129

    authors: Kaplan T,Comert A,Esmer AF,Ataç GK,Acar HI,Ozkurt B,Tekdemir I,Han S

    更新日期:2018-10-01 00:00:00

  • Four-dimensional modelling of the mitral valve by real-time 3D transoesophageal echocardiography: proof of concept.

    abstract:OBJECTIVES:The complexity of the mitral valve (MV) anatomy and function is not yet fully understood. Assessing the dynamic movement and interaction of MV components to define MV physiology during the complete cardiac cycle remains a challenge. We herein describe a novel semi-automated 4D MV model. METHODS:The model ap...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivu357

    authors: Noack T,Mukherjee C,Kiefer P,Emrich F,Vollroth M,Ionasec RI,Voigt I,Houle H,Ender J,Misfeld M,Mohr FW,Seeburger J

    更新日期:2015-02-01 00:00:00

  • Effect of negative pressure wound therapy followed by tissue flaps for deep sternal wound infection after cardiovascular surgery: propensity score matching analysis.

    abstract:OBJECTIVES:Deep sternal wound infection (DSWI) after cardiovascular surgery via median sternotomy remains a severe complication associated with a drastic decrease in the quality of life. We assessed the risk factors for in-hospital death caused by DSWI and the available treatments for DSWI. METHODS:Between January 199...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivw141

    authors: Morisaki A,Hosono M,Murakami T,Sakaguchi M,Suehiro Y,Nishimura S,Sakon Y,Yasumizu D,Kawase T,Shibata T

    更新日期:2016-09-01 00:00:00

  • Preoperative TNM evaluation of peripheral clinical stage I small cell lung cancer treated by initial lobectomy with adjuvant chemotherapy.

    abstract::Surgery with chemotherapy has been the accepted procedure for treating pathological stage I small cell lung cancer. However, there is a question of whether all clinical stage I patients should undergo surgery or not because of discrepancies between clinical and pathological staging. We conducted a retrospective analys...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2004.101428

    authors: Sakai M,Ishikawa S,Yamamoto T,Onizuka M,Sakakibara Y,Iijima T,Noguchi M

    更新日期:2005-04-01 00:00:00

  • Evaluation of differential pulmonary perfusion using 99mTc macroaggregated albumin after the Fontan procedure.

    abstract:OBJECTIVES:The Fontan procedure [total cavopulmonary connection (TCPC)] is the final palliation for patients with univentricular physiology. We studied differential perfusion ratio and percentage uptake of a radiotracer in different zones of each lung following TCPC. METHODS:Between July 2015 and June 2017, 45 patient...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx377

    authors: Talwar S,Sankhyan L,Patel C,Sreenivas V,Choudhary SK,Airan B

    更新日期:2018-04-01 00:00:00

  • Modified ultrafiltration attenuates pulmonary-derived inflammatory mediators in response to cardiopulmonary bypass.

    abstract::Cardiopulmonary bypass (CPB) stimulates systemic and pulmonary inflammation. Modified ultrafiltration (MUF) mitigates deleterious CPB effects by unclear mechanisms. We evaluated pulmonary inflammation in piglets undergoing CPB followed by MUF. Twenty-four piglets underwent 60 min of hypothermic CPB. MUF subjects (n=12...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2010.234344

    authors: Atkins BZ,Danielson DS,Fitzpatrick CM,Dixon P,Petersen RP,Carpenter AJ

    更新日期:2010-11-01 00:00:00

  • Outcome reporting for surgical treatment of degenerative mitral valve disease: a systematic review and critical appraisal.

    abstract:OBJECTIVES:Standardized outcome reporting is of critical importance for performance monitoring, improvement of existing techniques and introduction of novel technologies. Whether outcome reporting for surgical treatment of degenerative mitral valve disease complies with the guidelines has not been assessed to date. ME...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivx370

    authors: Tomšic A,Arabkhani B,Schoones JW,van Brakel TJ,Takkenberg JJM,Palmen M,Klautz RJM

    更新日期:2018-04-01 00:00:00

  • Excellent long-term results with minimally invasive edge-to-edge repair in myxomatous degenerative mitral valve regurgitation.

    abstract:OBJECTIVES:Previous series of minimally invasive mitral valve repairs showed excellent results at up to 10 years of follow-up. The goal of this study was to assess the long-term durability beyond 10 years of the edge-to-edge repair for myxomatous degeneration performed through a minimally invasive approach. METHODS:Ni...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivaa048

    authors: Belluschi I,Lapenna E,Blasio A,Del Forno B,Giacomini A,Ruggeri S,Schiavi D,Castiglioni A,Alfieri O,De Bonis M

    更新日期:2020-07-01 00:00:00

  • Clinical characteristics relevant to myocardial cell apoptosis: analysis of pericardial fluid.

    abstract::We investigated the pro-apoptotic potential of pericardial fluids from patients with different clinical conditions on cultured neonatal rat cardiomyocytes. Pericardial fluids were obtained during open heart surgery from 88 patients with ischemic heart disease (n=44), valvular heart disease (n=32), or aortic disease (n...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/j.icvts.2004.01.019

    authors: Doi K,Hasegawa K,Fujita M,Yamazato A,Yamanaka K,Watanabe M,Tambara K,Komeda M

    更新日期:2004-06-01 00:00:00

  • Brachial artery aneurysm accompanying a homozygous methylenetetrahydrofolate reductase mutation.

    abstract::Elevated plasma homocysteine (Hcy) is one of the suggested risk factors for endothelial dysfunction. There is evidence of association between raised plasma Hcy and an increased risk of developing peripheral arterial disease. A causal relationship, however, has not been established. In this report, a 37-year old male p...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivt068

    authors: Guler A,Tavlasoglu M,Arslan Z,Yesil FG

    更新日期:2013-06-01 00:00:00

  • Radiotherapy-related axillary arteriopathy.

    abstract::Treatment of breast cancer involves surgery, then perhaps radiation, hormonal or chemotherapy. Radiation-induced arterial injury is a well-known entity that represents a rare cause of arterial occlusion. We present the case of a 76-year old woman who complained of a severe intermittent claudication of the right upper ...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivr147

    authors: Bucci F,Robert F,Fiengo L,Plagnol P

    更新日期:2012-07-01 00:00:00

  • Advantages of the L-incision approach comprising a combination of left anterior thoracotomy and upper half-median sternotomy for aortic arch aneurysms.

    abstract::Although surgical outcomes of total arch replacement have improved, the strategy for extended arch aneurysms remains controversial. We have applied the L-incision approach (combination of left anterior thoracotomy and upper half-median sternotomy) for total arch replacement for single-stage repair of extensive arch an...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1510/icvts.2011.266791

    authors: Oishi Y,Sonoda H,Tanoue Y,Nishida T,Tokunaga S,Nakashima A,Shiokawa Y,Tominaga R

    更新日期:2011-09-01 00:00:00

  • Preoperative neurological deficit in acute type A aortic dissection.

    abstract:OBJECTIVES:Our goal was to evaluate postoperative outcomes in patients with type A aortic dissection with preoperative neurological deficits independent of shock. METHODS:Between 2002 and 2017, 150 of 1600 patients, operated on for aortic dissection type A in 3 centres, presented with preoperative new onset neurologic...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章,多中心研究

    doi:10.1093/icvts/ivz311

    authors: Kreibich M,Desai ND,Bavaria JE,Szeto WY,Vallabhajosyula P,Itagaki R,Okamura H,Kimura N,Yamaguchi A,Beyersdorf F,Czerny M,Rylski B

    更新日期:2020-04-01 00:00:00

  • Extra-anatomic aortic bypass for complex (re-) coarctation and hypoplastic aortic arch in adolescents and adults.

    abstract::Various surgical approaches have been proposed for complex (re-) coarctation and aortic arch hypoplasia (AAH). We report seven patients (mean age 19.6+/-9.5 years) with complex coarctation or re-coarctation and AAH successfully treated by extra-anatomic ascending-to-descending aortic bypass (ADB) via sternotomy betwee...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1016/S1569-9293(02)00122-6

    authors: Berdat PA,Göber V,Carrel T

    更新日期:2003-06-01 00:00:00

  • Transcatheter aortic valve-in-ring implantation: feasibility in an acute, preclinical, pilot trial.

    abstract:OBJECTIVES:The HAART ring device has been introduced as a novel strategy to facilitate aortic valve repair. This rigid, elliptical device aims to restore normal leaflet configuration and to provide annular stabilization in the setting of aortic regurgitation. The goal of this preclinical study is to evaluate the in viv...

    journal_title:Interactive cardiovascular and thoracic surgery

    pub_type: 杂志文章

    doi:10.1093/icvts/ivy341

    authors: Andreas M,Russo M,Kuwata S,Cesarovic N,Wang C,Guidotti A,Lipiski M,Rankin JS,Regar E,Taramasso M,Maisano F,Weber A

    更新日期:2019-06-01 00:00:00