Evidence map›Paper›PMID 41112481›Full record

ArticleJTCVS techniques2025

Sutureless total arch replacement in patients with acute type A aortic dissection.

Dong-Yun Qiu, Er-Jun Zhu, Yong-Tao Li, Yang-Hong Xue, Hai-Tao Zhang, Bo Sun, Chao Chi, Wei-Xin Meng, Guo-Fu Zhang, Lei Xu and 4 more

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Article in JTCVS techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from 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.

2 · The registry

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3 · Its place in the literature

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No citing paper in PubMed yet.

4 · The record

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PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

14 authors.

Dong-Yun QiuDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Er-Jun ZhuDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Yong-Tao LiDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Yang-Hong XueDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Hai-Tao ZhangDepartment of Cardiac Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Bo SunDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Chao ChiDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Wei-Xin MengDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Guo-Fu ZhangDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Lei XuDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.
Hao-Dong PanDepartment of Clinical Medicine, Norman Bethune Health Science Center of Jilin University, Changchun, China.
Hanghang WangDivision of Cardiac Surgery, Department of Surgery, Johns Hopkins School of Medicine, Baltimore, Md.
Tuo PanDepartment of Cardiac Surgery, Nanjing Drum Tower Hospital, Affiliated Hospital of Medical School, Nanjing University, Nanjing, China.
Bao-Dong XieDepartment of Cardiovascular Surgery, The First Affiliated Hospital of Harbin Medical University, Harbin, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objective: Acute type A aortic dissection is a life-threatening condition characterized by high morbidity and mortality. Surgical intervention is the primary means of saving lives in acute type A aortic dissection cases; however, in-hospital mortality rates remain high. We implemented a novel surgical approach, the sutureless total arch replacement, aimed at reducing in-hospital mortality. This study compares the safety and efficacy of the sutureless total arch replacement with conventional total arch replacement. Methods: The retrospective, single-center cohort study included 382 patients who underwent acute type A aortic dissection repair involving ascending aortic replacement, total arch replacement, and the frozen elephant trunk procedure at our institution between 2019 and 2023. Of these patients, 296 underwent conventional total arch replacement from 2019 to 2022, and 86 received sutureless total arch replacement from 2022 to 2023. Propensity score matching resulted in 77 patients each in the sutureless total arch replacement and conventional total arch replacement groups for comparison. Results: The sutureless total arch replacement group had shorter total operative time, cardiopulmonary bypass time, circulatory arrest time, and reduced intraoperative bleeding (all Conclusions: Sutureless total arch replacement improves operative efficiency and bleeding control in acute type A aortic dissection repairs and is associated with lower in-hospital mortality.

Indexed as

acute Stanford type A aortic dissectionclinical outcomessutureless techniquetotal arch replacement

Identifiers

PMID41112481
PMCPMC12529702

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