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Axillary Versus Femoral Arterial Cannulation in Acute Type A Dissection: International Multicenter Data

Thursday, July 11, 2024

Submitted by

Jo Chikwe

Source

Source Name: The Annals of Thoracic Surgery

Source URL: https://www.annalsthoracicsurgery.org/article/S0003-4975(24)00170-X/abstract

Author(s)

Malak Elbatarny, Santi Trimarchi, Amit Korach, Marco Di Eusanio, Davide Pacini, Raffi Bekeredjian, Truls Myrmel, Joseph E. Bavaria, Nimesh D. Desai, Ibrahim Sultan, Derek R. Brinster, Chih-Wen Pai, Kim A. Eagle, Himanshu J. Patel, Mark D. Peterson

A cohort of 2145 patients from the International Registry of Acute Aortic Dissection were compared according to whether they had axillary (1106 [52 percent]) or femoral (1039 [48 percent]) arterial cannulation. Patients with axillary cannulation had more total arch (15 percent versus 11 percent, P < .02) and valve-sparing root replacements (22 percent versus 12 percent, P < .001), but in-hospital mortality (15 percent versus 14 percent, respectively; P = .7) and stroke rates were similar compared with femoral cannulation.