Variable | Central repair, n (%) | Early reperfusion, n (%) | RR, MD | P |
---|---|---|---|---|
Number of patients | 472 | 86 | Â | Â |
Mean age, years | 61.1 ± 17.3 | 60.9 ± 16.4 | 0.20(-3.73, 4.13) | 0.92 |
Sex, male | 189/322 | 54/86 | 0.93(0.78, 1.13) | 0.48 |
Hypertension | 187/270 | 50/68 | 0.94(0.80, 1.11) | 0.47 |
DM | 8/181 | 5/23 | 0.20(0.07, 0.57) | 0.002 |
COPD | 3/143 | 1/23 | 0.48(0.05, 4.44) | 0.52 |
Coronary artery disease | 16/234 | 3/28 | 0.64(0.20, 2.05) | 0.45 |
Renal insufficiency | 3/143 | 12/58 | 0.10(0.03, 0.35) | <0.01 |
Aortic valve insufficiency | 6/44 | 15/50 | 0.45(0.19, 1.07) | 0.07 |
Organ malperfusion | Â | Â | Â | Â |
Coronary | 36/341 | 10/61 | 0.64(0.34, 1.23) | 0.18 |
Mesenteric | 30/293 | 0/28 | 6.02(0.38, 95.86) | 0.20 |
Limb | 64/341 | 6/68 | 2.13(0.96, 4.71) | 0.06 |
Kidney | 24/182 | 2/38 | 2.51(0.62, 10.16) | 0.2 |
Cardiac tamponade | 78/391 | 4/40 | 1.99(0.77, 5.16) | 0.15 |
Preoperative presentation | Â | Â | Â | Â |
Coma | 79/436 | 13/60 | 0.84(0.50, 1.41) | 0.50 |
Hemiplegia | 120/257 | 14/69 | 2.30(1.42, 3.74) | < 0.001 |
Neurologic deficit | 15/44 | 14/45 | 1.10(0.60, 1.99) | 0.76 |
Syncope | 15/150 | 7/23 | 0.33(0.15, 0.72) | 0.005 |
Hemianopsia | 30/207 | 1/23 | 3.33(0.48, 23.32) | 0.23 |
Shock | 5/44 | 9/68 | 0.86(0.31, 2.39) | 0.77 |
Involved artery | Â | Â | Â | Â |
RCCA | 142/248 | 30/51 | 0.97(0.76, 1.25) | 0.83 |
LCCA | 91/248 | 12/61 | 1.87(1.09, 3.18) | 0.02 |
BCCA | 9/32 | 5/70 | 3.94(1.43, 10.81) | <0.01 |
Innominate artery | 1/16 | 21/37 | 0.11(0.02, 0.75) | 0.02 |
Time to surgery, h | 8.2 ± 15.3 | 7.8 ± 5.4 | 0.4(-1.6, 2.40) | 0.7 |
Surgery procedure | Â | Â | Â | Â |
Hemiarch | 87/396 | 18/67 | 0.82(0.53, 1.27) | 0.37 |
Partial arch | 2/53 | 3/35 | 0.44(0.08, 2.50) | 0.35 |
Total arch | 128/396 | 46/67 | 0.47(0.38, 0.58) | <0.01 |
Ascending replacement | 43/61 | 8/51 | 4.49(2.33, 8.67) | <0.01 |
Bentall | 55/303 | 26/51 | 0.36(0.25, 0.51) | <0.01 |
Valve sparing | 1/153 | 24/51 | 0.01(0, 0.1) | <0.01 |
AVR | 1/12 | 11/23 | 0.17(0.03, 1.19) | 0.08 |
CABG | 3/12 | 10/51 | 1.27(0.41, 3.93) | 0.67 |
Elephant trunk | 39/108 | 32/51 | 0.58(0.41, 0.80) | 0.001 |
Arterial cannulation | Â | Â | Â | Â |
Axillary artery | 101/344 | 15/51 | 1.00(0.63, 1.57) | 0.99 |
Femoral artery | 127/344 | 35/51 | 0.54(0.43, 0.68) | <0.01 |
Carotid artery | 4/150 | 27/32 | 0.03(0.01, 0.08) | <0.01 |
Aortic | 56/150 | 1/53 | 19.79(2.81, 139.41) | 0.003 |
Cerebral perfusion | Â | Â | Â | Â |
ACP | 284/420 | 86/86 | 0.68(0.63, 0.73) | <0.01 |
RCP | 110/420 | 0/86 | 45.67(2.87, 727.71) | 0.007 |
Lowest temperature, °C | 21.7 ± 3.3 | 25.3 ± 2.4 | -3.60(-4.32, -2.88) | <0.01 |
CPB, min | 220.7 ± 94.5 | 220.3 ± 68.1 | 0.4(-18.42, 19.22) | 0.97 |
Acc, min | 141.3 ± 76.5 | 117.3 ± 48.5 | 24(15.48, 32.52) | <0.01 |
HCA, min | 35.1 ± 18.2 | 39.4 ± 15.7 | -4.30(-16.07, 7.47) | 0.47 |