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Comparison of the results of Teflon felt and Dacron strip usage in Stanford type A dissection

Yıl 2019, , 274 - 281, 04.03.2019
https://doi.org/10.18621/eurj.410024

Öz

Objectives:
In patients
who undergo surgery for aortic dissection, the anastomotic leakage and
the bleeding in these regions affect surgical success and mortality rate significantly. Various
surgical materials are used for this purpose. We examined the results obtained
from patients in whom Teflon felt
strip or Dacron strip was used for creating a more secure anastomotic suture
line.

Methods: Twenty-eight
patients who underwent surgery for ascending
aortic dissection between 2013 and 2017 were examined retrospectively. Teflon felt strip or Dacron strip was used to create a more secure anastomotic suture line and to reduce bleeding in these
patients. The patients were divided into the Teflon and Dacron groups according
to the materials used. The amount
of drainage, the amount
of tissue adhesive
used, the number
of red blood cell (RBC) transfusions, and the morbidity
and mortality rates were mainly compared between the two groups.

Results: While Teflon felt strip was used in 13 (46%) patients, Dacron strip was used in 15
(53%) patients. The mean amount of drainage in the first 24 hours
postoperatively was 596.15 ± 165.15 ml in the Teflon group and 546.67 ± 217.5 ml in the Dacron group. There was no
statistically significant difference between the two groups in terms of mean
amount of drainage (p = 0.509). Similarly, the mean number of RBC transfusions was 2.54 ± 0.51 units in the Teflon group and 2.33 ± 0.81
units in the Dacron group. There was no statistically
significant difference between the two groups in terms of mean number of RBC transfusions (p = 0.416).
Although the mean amount of tissue adhesive
used was relatively higher in the Dacron group, there was no
statistically significant difference between the two groups in terms
of mean amount of tissue adhesive
used (p = 0.761). The total mortality rate was 28% (8 patients). There was no statistically significant difference between the two groups in terms of mortality rate (p = 0.281).







Conclusion: We concluded that the results obtained from the Teflon and Dacron groups were not significantly superior to each
other. We think that Dacron strip may be used as an alternative to Teflon felt strip, which is used routinely in
the surgical treatment of aortic
dissection. 

Kaynakça

  • [1] Siegal EM. Acute aortic dissection. J Hosp Med 2006;1:94-105.
  • [2] Shemirani H, Mirmohamadsadeghi A, Mahaki B, Farhadi S, Badalabadi RM, Bidram P, et al. Evaluation of acute aortic dissection type a factors and comparison the postoperative clinical outcomes between two surgical methods. Adv Biomed Res 2017;6:85.
  • [3] Rylski B, Beyersdorf F, Kari FA, Schlosser J, Blanke P, Siepe M. Acute type A aortic dissection extending beyond ascending aorta: limited or extensive distal repair. J Thorac Cardiovasc Surg 2014;148:949-54.
  • [4] Luo J, Fu X, Zhou Y, Tang H, Song G, Tang T, et al. Aortic remodeling following Sun’s procedure for acute type A aortic dissection. Med Sci Monit 2017;23:2143-50.
  • [5] Caus T, Frapier JM, Giorgi R, Aymard T, Riberi A, Albat B, et al. Clinical outcome after repair of acute type A dissection in patients over 70 years old. Eur J Cardiothorac Surg 2002;22:211-7.
  • [6] Kazui T, Washiyama N, Muhammad BAH, Terada H, Yamashita K, Takinami M, et al. Extended total arch replacement for acute type A aortic dissection: experience with seventy patients. J Thorac Cardiovasc Surg 2000;119: 558-65.
  • [7] Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, et al. Diagnosis and management of aortic dissection. Eur Heart J 2001;22:1642-81.
  • [8] Yavuz S, Göncü MT, Türk T. Axillary artery cannulation for arterial ınflow in patients with acute dissection of the ascending aorta. Eur J Cardiothorac Surg 2002;22:313-5.
  • [9] Yangfeng T, Zilin L, Lin H, Hao T, Zhigang S, Zhiyun X. Long-term results of modified sandwich repair of aortic root in 151 patients with acute type A aortic dissection. Interact Cardiovasc Thorac Surg 2017;25:109-13.
  • [10] Emrecan B, Yılık L, Özsöyler İ, Lafcı B, Kestelli M, Göktoğan T, et al. [Our clinical experience of axillary artery cannulation in stanford type a aortic dissections]. Turk Gogus Kalp Dama 2006;14:3-8. [Article in Turkish]
  • [11] Olsson C, Franco-Cereceda A. Impact of organ failure and major complications on outcome in acute type A aortic dissection. Scand Cardiovasc J 2013;47:352-8.
  • [12] Yavuz S, Toktas F, Yumun G, Turk T. eComment. Extended utilization of axillary cannulation as arterial access for cardiopulmonary bypass. Interact Cardiovasc Thorac Surg 2013;16:759.
  • [13] Yavuz S. Alternative cannulation techniques in surgical repair for acute type a aortic dissection. Eur Res J 2016;2:1-6.
  • [14] Svensson LG. Antegrade perfusion during suspended animation? J Thorac Cardiovasc Surg. 2002;124:1068-70.
  • [15] Tasdemir O, Saritas A, Kucuker S, Ozatik MA, Sener E. Aortic arch repair with right brachial artery perfusion. Ann Thorac Surg 2002;73:1837-42.
  • [16] Sabik JF, Nemeh H, Lytle BW, Blackstone EH, Gillinov AM, Rajeswaran J, et al. Cannulation of the axillary artery with a side graft reduces morbidity. Ann Thorac Surg 2004;77:1315-20.
  • [17] Ohira S, Watanabe T, Yaku H. Layered wrapping technique combined with oxidized cellulose and vascular prosthesis for effective haemostasis in aortic surgery. Interact Cardiovasc Thorac Surg 2015;20:276-7.
  • [18] Pinheiro BB, Fagundes WV, Muniz LFF, Dreifaldt M, Arbeus M, Souza DSR. Dacron graft intussusception technique for treatment of type A aortic dissections: technical notes and preliminary results. Braz J Cardiovasc Surg 2016;31:115-9.
  • [19] Ata Y, Türk T, Yalçın M, Yavuz Ş, Özyazıcıoğlu A. [Antegrade selective cerebral perfusion via axillary artery in arcus aorta surgery]. İstanbul Üniversitesi Kardiyoloji Enstitüsü Dergisi 2009;8:11-5. [Article in Turkish]
Yıl 2019, , 274 - 281, 04.03.2019
https://doi.org/10.18621/eurj.410024

Öz

Kaynakça

  • [1] Siegal EM. Acute aortic dissection. J Hosp Med 2006;1:94-105.
  • [2] Shemirani H, Mirmohamadsadeghi A, Mahaki B, Farhadi S, Badalabadi RM, Bidram P, et al. Evaluation of acute aortic dissection type a factors and comparison the postoperative clinical outcomes between two surgical methods. Adv Biomed Res 2017;6:85.
  • [3] Rylski B, Beyersdorf F, Kari FA, Schlosser J, Blanke P, Siepe M. Acute type A aortic dissection extending beyond ascending aorta: limited or extensive distal repair. J Thorac Cardiovasc Surg 2014;148:949-54.
  • [4] Luo J, Fu X, Zhou Y, Tang H, Song G, Tang T, et al. Aortic remodeling following Sun’s procedure for acute type A aortic dissection. Med Sci Monit 2017;23:2143-50.
  • [5] Caus T, Frapier JM, Giorgi R, Aymard T, Riberi A, Albat B, et al. Clinical outcome after repair of acute type A dissection in patients over 70 years old. Eur J Cardiothorac Surg 2002;22:211-7.
  • [6] Kazui T, Washiyama N, Muhammad BAH, Terada H, Yamashita K, Takinami M, et al. Extended total arch replacement for acute type A aortic dissection: experience with seventy patients. J Thorac Cardiovasc Surg 2000;119: 558-65.
  • [7] Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, et al. Diagnosis and management of aortic dissection. Eur Heart J 2001;22:1642-81.
  • [8] Yavuz S, Göncü MT, Türk T. Axillary artery cannulation for arterial ınflow in patients with acute dissection of the ascending aorta. Eur J Cardiothorac Surg 2002;22:313-5.
  • [9] Yangfeng T, Zilin L, Lin H, Hao T, Zhigang S, Zhiyun X. Long-term results of modified sandwich repair of aortic root in 151 patients with acute type A aortic dissection. Interact Cardiovasc Thorac Surg 2017;25:109-13.
  • [10] Emrecan B, Yılık L, Özsöyler İ, Lafcı B, Kestelli M, Göktoğan T, et al. [Our clinical experience of axillary artery cannulation in stanford type a aortic dissections]. Turk Gogus Kalp Dama 2006;14:3-8. [Article in Turkish]
  • [11] Olsson C, Franco-Cereceda A. Impact of organ failure and major complications on outcome in acute type A aortic dissection. Scand Cardiovasc J 2013;47:352-8.
  • [12] Yavuz S, Toktas F, Yumun G, Turk T. eComment. Extended utilization of axillary cannulation as arterial access for cardiopulmonary bypass. Interact Cardiovasc Thorac Surg 2013;16:759.
  • [13] Yavuz S. Alternative cannulation techniques in surgical repair for acute type a aortic dissection. Eur Res J 2016;2:1-6.
  • [14] Svensson LG. Antegrade perfusion during suspended animation? J Thorac Cardiovasc Surg. 2002;124:1068-70.
  • [15] Tasdemir O, Saritas A, Kucuker S, Ozatik MA, Sener E. Aortic arch repair with right brachial artery perfusion. Ann Thorac Surg 2002;73:1837-42.
  • [16] Sabik JF, Nemeh H, Lytle BW, Blackstone EH, Gillinov AM, Rajeswaran J, et al. Cannulation of the axillary artery with a side graft reduces morbidity. Ann Thorac Surg 2004;77:1315-20.
  • [17] Ohira S, Watanabe T, Yaku H. Layered wrapping technique combined with oxidized cellulose and vascular prosthesis for effective haemostasis in aortic surgery. Interact Cardiovasc Thorac Surg 2015;20:276-7.
  • [18] Pinheiro BB, Fagundes WV, Muniz LFF, Dreifaldt M, Arbeus M, Souza DSR. Dacron graft intussusception technique for treatment of type A aortic dissections: technical notes and preliminary results. Braz J Cardiovasc Surg 2016;31:115-9.
  • [19] Ata Y, Türk T, Yalçın M, Yavuz Ş, Özyazıcıoğlu A. [Antegrade selective cerebral perfusion via axillary artery in arcus aorta surgery]. İstanbul Üniversitesi Kardiyoloji Enstitüsü Dergisi 2009;8:11-5. [Article in Turkish]
Toplam 19 adet kaynakça vardır.

Ayrıntılar

Birincil Dil İngilizce
Konular Sağlık Kurumları Yönetimi
Bölüm Original Article
Yazarlar

Deniz Demir 0000-0003-2169-7647

Nail Kahraman 0000-0001-9343-0947

Yayımlanma Tarihi 4 Mart 2019
Gönderilme Tarihi 27 Mart 2018
Kabul Tarihi 29 Mayıs 2018
Yayımlandığı Sayı Yıl 2019

Kaynak Göster

AMA Demir D, Kahraman N. Comparison of the results of Teflon felt and Dacron strip usage in Stanford type A dissection. Eur Res J. Mart 2019;5(2):274-281. doi:10.18621/eurj.410024

e-ISSN: 2149-3189 


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