Double arterial cannulation versus single axillary arterial cannulation in acute type A aortic dissections: A study level meta-analysis.

P0111 

Abstract Submission 

Yoshiyuki Yamashita (1), Serge Sicouri (2), Basel Ramlawi (3)

(1) Lankenau Institute for Medical Research, Wynnewood, PA, (2) Lankenau Institute for Medical Research, Wynnewood, PAX, (3) Lankenau Heart Institute, Wynnewood, PA

Yoshiyuki Yamashita    -  Contact Me
Lankenau Institute for Medical Research

Serge Sicouri    -  Contact Me
Lankenau Institute for Medical Research

*Basel Ramlawi    -  Contact Me
Lankenau Heart Institute

Yoshiyuki Yamashita    -  Contact Me
N/A

Objective: This study aimed to evaluate the impact of double (axillary and femoral) versus single (axillary) arterial cannulation on outcomes of surgery for acute type A aortic dissection (ATAAD)
Methods: The PubMed/MEDLINE, Scopus, and Cochrane Central Register of Controlled Trials were searched until August 23, 2023, to conduct a meta-analysis. Primary endpoints of the study were operative mortality and postoperative stroke. Secondary endpoints were cardiopulmonary bypass time, myocardial ischemic time, hypothermic circulatory arrest time, postoperative re-exploration for bleeding, spinal cord injury, renal replacement therapy, and intensive care unit length of stay. A random-effect model was used to estimate the pooled effect size.
Results: Five retrospective propensity score-matched studies met our eligibility criteria, including a total of 3607 patients. Although operative mortality was not significantly different between the groups, double arterial cannulation was associated with an increased incidence of postoperative stroke (pooled odds ratio: 1.69, 95% confidence interval: 1.19-2.39) compared to single axillary cannulation. Double arterial cannulation was also associated with a higher incidence of renal replacement therapy requirement (pooled odds ratio: 1.35, 95% confidence interval: 1.13-1.60)
Conclusions: Double arterial cannulation is associated with higher incidence of postoperative stroke and renal replacement therapy compared to single arterial cannulation.

Dissection