Significance of hemodynamic parameters in the treatment of type A aortic dissection with severe cephalic-brachial vascular injury by Suns procedure(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2021年第8期
- Page:
- 1018-1022
- Research Field:
- 医学生物物理
- Publishing date:
Info
- Title:
- Significance of hemodynamic parameters in the treatment of type A aortic dissection with severe cephalic-brachial vascular injury by Suns procedure
- Author(s):
- CHEN Lei; SUN Jiangbin
- Ward 3, Heart Center, Guilin Peoples Hospital, Guilin 541002, China
- Keywords:
- Keywords: Suns procedure cephalic-brachial vessel injury type A aortic dissection hemodynamic parameter
- PACS:
- R654
- DOI:
- DOI:10.3969/j.issn.1005-202X.2021.08.019
- Abstract:
- Abstract: Objective To explore the effects of Suns procedure for type A aortic dissection with severe cephalic-brachial vascular injury on hemodynamic parameters. Methods A total of 125 patients with type A aortic dissection with severe cephalic-brachial vascular injury were enrolled for Suns procedure. The cardiopulmonary bypass time, aortic occlusion time, low-flow selective cerebral perfusion time and concurrent surgeries were recorded. The incidences of complications and death within 30 days were analyzed, and moreover, left ventricular end-diastolic diameter (LVEDD), cardiac index (CI) and central venous pressure (CVP) before and after surgery were measured. Results The averages of cardiopulmonary bypass time, aortic occlusion time and low-flow selective cerebral perfusion time were (194.32±52.64), (103.66±33.07) and (23.15±7.29) min, respectively. The main concurrent surgeries included Bentall operation, replacement of ascending aorta and aortic valvuloplasty. A total of 19 cases (15.20%) had complications, mainly including nervous system complications, multiple organs dysfunction or even failure, renal dysfunction or even failure and 8 cases (6.40%) died within 30 days, mainly died of multiple organ dysfunction or even failure. Compared with those before surgery, LVEDD was decreased significantly after surgery, while CVP and CI were increased significantly, and the differences were statistically significant (P<0.05). Conclusion Suns procedure for type A aortic dissection with severe cephalic-brachial vascular injury can not only reduce the incidence of complications and mortality, but also improve hemodynamic parameters, having a positive significance for the clinical treatment of type A aortic dissection.
Last Update: 2021-07-31