Annals of vascular surgery · 2026
Clinical Outcomes of Cuff Anastomosis Combined with Single-Branched Frozen Elephant Trunk for Acute Type A Aortic Dissection.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Huang Yuexin, Nong Feng, Zeng Mengting, Liao Qiuying, Li Rizhu, Lu Hua, Zhang Xiaoshen
Аннотация
BACKGROUND: Total arch replacement combined with the frozen elephant trunk (FET) technique has become the predominant surgical strategy for acute type A aortic dissection (ATAAD); however, reconstruction of arch vessel perfusion remains technically demanding and often results in prolonged ischemia associated with branch vessel reconstruction.
METHODS: This retrospective single-center study included all patients who were diagnosed with ATAAD and underwent surgical treatment between January 2024 and June 2025. Patients were allocated to either the cuff anastomosis combined with a single-branched FET group or the control group, and baseline characteristics, intraoperative data, and short-term clinical outcomes were compared.
RESULTS: Among the 85 enrolled patients (mean ± standard deviation age 55.00 ± 10.36 years; 17.6% female), 40 (47%) underwent cuff anastomosis combined with a single-branched FET prosthesis. Compared with controls, these patients demonstrated significantly shorter duration of surgery, aortic cross-clamp time, and circulatory arrest time (P < 0.05). They also exhibited lower incidences of acute heart failure, systemic inflammatory response syndrome, and postoperative hepatic dysfunction (P = 0.009; P = 0.013; P = 0.034).
CONCLUSION: In this retrospective single-center cohort, the surgical technique of cuff anastomosis combined with a single-branched FET prosthesis was associated with shorter operative duration and fewer postoperative complications, and may be a new choice for clinically effective simplification of surgical methods.
METHODS: This retrospective single-center study included all patients who were diagnosed with ATAAD and underwent surgical treatment between January 2024 and June 2025. Patients were allocated to either the cuff anastomosis combined with a single-branched FET group or the control group, and baseline characteristics, intraoperative data, and short-term clinical outcomes were compared.
RESULTS: Among the 85 enrolled patients (mean ± standard deviation age 55.00 ± 10.36 years; 17.6% female), 40 (47%) underwent cuff anastomosis combined with a single-branched FET prosthesis. Compared with controls, these patients demonstrated significantly shorter duration of surgery, aortic cross-clamp time, and circulatory arrest time (P < 0.05). They also exhibited lower incidences of acute heart failure, systemic inflammatory response syndrome, and postoperative hepatic dysfunction (P = 0.009; P = 0.013; P = 0.034).
CONCLUSION: In this retrospective single-center cohort, the surgical technique of cuff anastomosis combined with a single-branched FET prosthesis was associated with shorter operative duration and fewer postoperative complications, and may be a new choice for clinically effective simplification of surgical methods.