Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacement
Aim. To compare the shortand medium-term outcomes of hemiarch and nonhemiarch replacement for ascending aortic aneurysm (AAA).Material and methods. The study included 151 patients with non-syndromic AAA who underwent an elective replacement. Patients were divided into two groups: group 1 (non-hemiar...
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| Language: | Russian |
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«FIRMA «SILICEA» LLC
2020-11-01
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| Series: | Российский кардиологический журнал |
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| Online Access: | https://russjcardiol.elpub.ru/jour/article/view/3887 |
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| author | B. N. Kozlov D. S. Panfilov E. L. Sonduev V. L. Lukinov |
| author_facet | B. N. Kozlov D. S. Panfilov E. L. Sonduev V. L. Lukinov |
| author_sort | B. N. Kozlov |
| collection | DOAJ |
| description | Aim. To compare the shortand medium-term outcomes of hemiarch and nonhemiarch replacement for ascending aortic aneurysm (AAA).Material and methods. The study included 151 patients with non-syndromic AAA who underwent an elective replacement. Patients were divided into two groups: group 1 (non-hemiarch, n=40) — standard ascending aortic replacement; group 2 (hemiarch, n=111) — ascending aortic replacement with the hemiarch anastomosis in conditions of moderate hypothermia and circulatory arrest with unilateral antegrade cerebral perfusion. To eliminate systematic differences between the compared groups, the propensity score matching (PSM) method was used.Results. Before PSM, there were no significant intergroup differences in the incidence of neurological complications, myocardial infarction, prolonged ventilation, or acute kidney injury. Bleeding-related reoperation rates and hospital mortality significantly differed between groups. After pseudo-randomization between the non-hemiarch and hemiarch groups, there were no significant differences in the incidence of neurological events, myocardial infarction, prolonged ventilation, reoperations for bleeding, acute renal injury, and hospital mortality. Median-term survival and freedom from aortic reoperations also did not show significant intergroup differences.Conclusion. Hemiarch replacement for AAA does not lead to an increase in the incidence of postoperative complications, as well as the risk of shortand mediumterm mortality compared with non-hemiarch. |
| format | Article |
| id | doaj-art-95c4640787c94db5baf18017bb2efc53 |
| institution | DOAJ |
| issn | 1560-4071 2618-7620 |
| language | Russian |
| publishDate | 2020-11-01 |
| publisher | «FIRMA «SILICEA» LLC |
| record_format | Article |
| series | Российский кардиологический журнал |
| spelling | doaj-art-95c4640787c94db5baf18017bb2efc532025-08-20T02:59:07Zrus«FIRMA «SILICEA» LLCРоссийский кардиологический журнал1560-40712618-76202020-11-01251010.15829/1560-4071-2020-38873058Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacementB. N. Kozlov0D. S. Panfilov1E. L. Sonduev2V. L. Lukinov3Cardiology Research Institute, Tomsk National Research Medical CenterCardiology Research Institute, Tomsk National Research Medical CenterCardiology Research Institute, Tomsk National Research Medical CenterInstitute of Computational Mathematics and Mathematical GeophysicsAim. To compare the shortand medium-term outcomes of hemiarch and nonhemiarch replacement for ascending aortic aneurysm (AAA).Material and methods. The study included 151 patients with non-syndromic AAA who underwent an elective replacement. Patients were divided into two groups: group 1 (non-hemiarch, n=40) — standard ascending aortic replacement; group 2 (hemiarch, n=111) — ascending aortic replacement with the hemiarch anastomosis in conditions of moderate hypothermia and circulatory arrest with unilateral antegrade cerebral perfusion. To eliminate systematic differences between the compared groups, the propensity score matching (PSM) method was used.Results. Before PSM, there were no significant intergroup differences in the incidence of neurological complications, myocardial infarction, prolonged ventilation, or acute kidney injury. Bleeding-related reoperation rates and hospital mortality significantly differed between groups. After pseudo-randomization between the non-hemiarch and hemiarch groups, there were no significant differences in the incidence of neurological events, myocardial infarction, prolonged ventilation, reoperations for bleeding, acute renal injury, and hospital mortality. Median-term survival and freedom from aortic reoperations also did not show significant intergroup differences.Conclusion. Hemiarch replacement for AAA does not lead to an increase in the incidence of postoperative complications, as well as the risk of shortand mediumterm mortality compared with non-hemiarch.https://russjcardiol.elpub.ru/jour/article/view/3887aortic aneurysmprostheticspostoperative complicationshospital mortalityreoperation |
| spellingShingle | B. N. Kozlov D. S. Panfilov E. L. Sonduev V. L. Lukinov Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacement Российский кардиологический журнал aortic aneurysm prosthetics postoperative complications hospital mortality reoperation |
| title | Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacement |
| title_full | Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacement |
| title_fullStr | Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacement |
| title_full_unstemmed | Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacement |
| title_short | Ascending aortic aneurysm: propensity score matching analysis of hemiarch and non-hemiarch replacement |
| title_sort | ascending aortic aneurysm propensity score matching analysis of hemiarch and non hemiarch replacement |
| topic | aortic aneurysm prosthetics postoperative complications hospital mortality reoperation |
| url | https://russjcardiol.elpub.ru/jour/article/view/3887 |
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