title: Brain protection during ascending aortic repair for Stanford type A acute aortic dissection surgery. Nationwide analysis in Japan.
abstract: BACKGROUND
  The optimal brain protection strategy for use during acute type A aortic dissection surgery is controversial.
  
  
  RESULTS
  We reviewed the results for 2 different methods: antegrade cerebral perfusion (ACP) and retrograde cerebral perfusion (RCP), during ascending aortic repair for acute type A aortic dissection for the period between 2008 and 2012 nationwide. Cases involving root repair, arch vessel reconstruction and/or concomitant procedures were excluded. Using the Japan Adult Cardiovascular Surgery Database, a total of 4,128 patients (ACP, n=2,769; RCP, n=1,359; mean age, 69.1±11.8 years; male 41.9%) were identified. The overall operative mortality was 8.6%. Following propensity score matching, among 1,320 matched pairs, differences in baseline characteristics between the 2 patient groups diminished. Cardiac arrest time (ACP 116±36 vs. RCP102±38 min, P<0.001), perfusion time (192±54 vs. 174±53 min, P<0.001) and operative time (378±117 vs. 340±108 min, P<0.001) were significantly shorter in the RCP group. There were no significant differences between the 2 groups regarding the incidence of operative mortality or neurological complications, including stroke (ACP 11.2% vs. RCP 9.7%). Postoperative ventilation time was significantly longer in the ACP group (ACP 128.9±355.7 vs. RCP 98.5±301.7 h, P=0.018). There were no differences in other early postoperative complications, such as re-exploration, renal failure, and mediastinitis.
  
  
  CONCLUSIONS
  Among patients undergoing dissection repair without arch vessel reconstruction, RCP had similar mortality and neurological outcome to ACP.
authors.affiliation: Department of Cardiac Surgery, Nagoya University Graduate School of Medicine.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Tokuda
authors.forename: Hiroaki
authors.initials: H
authors.lastname: Miyata
authors.forename: Noboru
authors.initials: N
authors.lastname: Motomura
authors.forename: Hideki
authors.initials: H
authors.lastname: Oshima
authors.forename: Akihiko
authors.initials: A
authors.lastname: Usui
authors.forename: Shinichi
authors.initials: S
authors.lastname: Takamoto
mesh_terms: D000208:Acute Disease; D000368:Aged; D000369:Aged, 80 and over; D001011:Aorta; D017545:Aortic Aneurysm, Thoracic / Q000401:mortality / Q000601:surgery; D001019:Aortic Rupture / Q000401:mortality / Q000601:surgery; D001921:Brain; D016208:Databases, Factual; D005260:Female; D006324:Heart Arrest, Induced / Q000009:adverse effects*; D006801:Humans; D007564:Japan; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000209:etiology / Q000401:mortality / Q000517:prevention & control; D015996:Survival Rate; D013997:Time Factors