Central aortic cannulation for Stanford type a XXXX with the use of three-dimensional and two-dimensional transesophageal echocardiography.

@entity1 @entity697 @entity64 @entity810 @entity1167 @entity943 @entity1580
BACKGROUND: There is still significant disagreement among surgeons about the best method for arterial cannulation to institute cardiopulmonary bypass (CPB) in @entity1 with @entity697 @entity1580 (STAADs). This study aimed to provide support for central aortic cannulation as a viable and preferable option, as it reduces time to institute CPB, operative times, and decreases the complexity of the procedure. METHODS: This study is a retrospective review of 34 @entity1 who underwent STAAD repairs consecutively between October 2006 and January 2014. The sample was analyzed for method of cannulation, CPB time, cross-clamp time, circulatory arrest time, mortality, and complication rate. Statistical analysis was performed to compare a control group of @entity1 who underwent nonaortic cannulation. RESULTS: The most common method of cannulation was the distal aortic arch, which also produced the lowest relative mortality. The 30-day mortality was found to be 17.6%. @entity943 , @entity810 , and failure to extubate within 48    hours were the most frequent complications, and @entity64 occurred in three @entity1 (8.8%). Statistically significant differences in bypass and @entity1167 times favored aortic cannulation. CONCLUSIONS: This study supports the notion that central aortic cannulation is a viable option for CPB in STAAD repair, but further prospective, randomized trials are necessary for the procedure to replace peripheral cannulation techniques.
