Single-Stage Total Arch Replacement Using Clamshell Incision
Author Information
Author(s): Iwasaki Hiroto, Satoh Hisashi, Ishizaka Toru, Matsuda Hikaru
Primary Institution: Higashi Takarazuka Satoh Hospital
Hypothesis
The arch-first technique combined with clamshell incision is a safe and effective procedure for total arch replacement.
Conclusion
The arch-first technique, combined with clamshell incision, provides effective replacement of the thoracic aorta with acceptable risks.
Supporting Evidence
- The overall 30-day mortality was 13%.
- The mean operating time was approximately 8 hours.
- Postoperative hospital stay averaged 35 days.
Takeaway
Doctors used a special method to fix a part of the heart's main artery in one go, which helped many patients recover well.
Methodology
The study involved 38 patients undergoing total arch replacement using the arch-first technique with clamshell incision.
Potential Biases
The study had a limited number of patients, which may affect the generalizability of the results.
Limitations
The study was retrospective and not controlled, limiting comparisons with other methods.
Participant Demographics
20 males and 18 females with an average age of 71 years.
Statistical Information
P-Value
0.05
Statistical Significance
p<0.05
Digital Object Identifier (DOI)
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