ReviewGeneral thoracic and cardiovascular surgery2017
The cannulation strategy in surgery for acute type A dissection.
Review in General thoracic and cardiovascular surgery, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers, 1 of them a synthesis that pooled it.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
31 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Central (Aortic) Cannulation versus Peripheral (Axillary or Femoral) Cannulation in Acute Type A Aortic Dissections: A Meta-Analysis of Comparative Studies.Reviews in cardiovascular medicine · 2024Pooled it
- Double arterial cannulation strategy for acute type A aortic dissection repair: A 10-year single-institution experience.PloS one · 2019Trial
- Transesophageal Echocardiographic Guidance of Transapical Aortic Cannulation for Cardiopulmonary Bypass.CASE (Philadelphia, Pa.) · 2026Article
- Ascending aortic versus axillary artery cannulation in Stanford type A aortic dissection repair: a propensity score-weighted cohort study.Journal of thoracic disease · 2026Article
- A comparative study of axillary and innominate artery cannulation: insights from clinical experience in acute type A aortic dissection.Kardiochirurgia i torakochirurgia polska = Polish journal of cardio-thoracic surgery · 2026Article
- Neurological complications post aortic arch surgery: a state of art review.Journal of cardiothoracic surgery · 2025Review
- Direct Innominate Artery Cannulation for Thoracic Aortic Surgery.Journal of clinical medicine · 2025Article
- Cerebral and Spinal Cord Protection Strategies in Aortic Arch Surgery.Journal of cardiovascular development and disease · 2025Review
- Direct cannulation of the brachiocephalic artery in acute aortic dissection: A report of two cases.International journal of surgery case reports · 2025Article
- Optimizing aortic arch branch cannulation in acute type A dissection surgery: a minimally invasive approach.Frontiers in cardiovascular medicine · 2025Article
- Aortic arch registry of type a aortic dissection (AoArch) - rationale, design and definition criteria.Journal of cardiothoracic surgery · 2024Observational
- A Retrospective Cohort Study Comparing Different Cannulation Strategies in Type A Aortic Dissection Surgery: 20-year Single-Center Experience in a Referral Center.Aorta (Stamford, Conn.) · 2024Article
- Exploring Differences in Surgical Outcomes Depending on the Arterial Cannulation Strategy for Acute Type A Aortic Dissection: A Single-Center Study.Journal of chest surgery · 2024Article
- A challenging case of emergency redo surgery for acute type A aortic dissecting aneurysm of ascending and aortic arch with frozen elephant trunk following aortic root replacement.Journal of cardiothoracic surgery · 2024Article
- Is Deep Hypothermic Cardiac Arrest Mandatory in Aortic Arch Surgeries?Brazilian journal of cardiovascular surgery · 2024Article
- Cannulation Strategies in Type A Aortic Dissection: Overlooked Details and Novel Approaches.Cureus · 2023Review
- Cerebral Perfusion and Neuromonitoring during Complex Aortic Arch Surgery: A Narrative Review.Journal of clinical medicine · 2023Review
- Does arterial cannulation site for aortic dissection repair impact surgical outcomes?Journal of thoracic disease · 2023Article
- Cardiopulmonary bypass for total aortic arch replacement surgery: A review of three techniques.Frontiers in cardiovascular medicine · 2023Review
- Cannulation strategies in aortic surgery: techniques and decision making.Indian journal of thoracic and cardiovascular surgery · 2022Review
Corrections and comments
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Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The rates of mortality and morbidity remain high in surgery for acute type A dissection. There is controversy regarding the best cannulation strategy for achieving good clinical results. Each cannulation technique has different anatomical characteristics and a different flow pattern inside the aorta during cardiopulmonary bypass. Some adverse, clinically important outcomes may be related to events at this time. Femoral artery cannulation, axillary artery cannulation, and central aortic cannulation are the three major cannulation strategies that are adopted in many centers in the world. Accumulating results from comparative studies between right axillary artery cannulation and femoral artery cannulation show that right axillary artery cannulation is associated with better clinical outcomes. However, all of the studies have been retrospective, and few studies have compared the results of other combinations of cannulation strategies. Observational studies using newer monitoring techniques clearly show that no perfusion strategy is perfect or free from complications. In summary, the evidence is insufficient to make a strong recommendation regarding cannulation strategies. Based on the fairly consistent results of retrospective studies, more surgeons are tending to switch from a retrograde perfusion strategy to adopt an antegrade perfusion strategy. Regardless of the routine cannulation strategy that is adopted, careful monitoring and a swift response to adverse events are necessary. The further accumulation of evidence is warranted.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.