Cai Zhixiang, Yan Tao, Zhang Ben, Su Chenjie, Zhang Hongbin, Zhang Weida, Wang Xianyue
Inpatient Department, General Hospital of Southern Theater Command, PLA (People's Liberation Army), Guangzhou, China.
Hunan University of Medicine, School of Traditional Chinese Medicine, Huaihua, China.
J Thorac Dis. 2025 Aug 31;17(8):5454-5465. doi: 10.21037/jtd-2025-349. Epub 2025 Aug 19.
Hemostasis can be challenging after ascending aorta replacement and Sun's procedure. This study aims to assess the impact of employing the Preset Cabrol technique during these procedures.
A retrospective analysis was conducted on 258 consecutive patients diagnosed with type A aortic dissection (TAAD) who underwent ascending aortic replacement and Sun's procedure between January 2021 and January 2024. The patients were divided into two groups: the preset group (n=203) and the control group (n=55).
There were no significant differences between the groups in terms of 30-day mortality (preset: 6.9% control: 7.3%, P=0.92) and aortic cross-clamp time [preset: 64.9±12.3 minutes (range, 51-106 minutes) control: 63.5±13.1 minutes (range, 45-138 minutes), P=0.48]. However, the preset group demonstrated significantly shorter operation time [298.6±48.4 minutes (range, 251-410 minutes) control: 365.6±75.3 minutes (range, 248-605 minutes)] and cardiopulmonary bypass (CPB) time [119.8±15.3 minutes (range, 88-148 minutes) control: 148.5±41.8 minutes (range, 86-225 minutes)] (P<0.001). Additionally, the preset group required fewer blood product transfusions, had shorter mechanical ventilation durations (P=0.049), and incurred lower total hospitalization costs (P=0.02). No persistent shunts or complications related to thrombus accumulation were observed during postoperative follow-up.
The Preset Cabrol technique is proven to be a valuable tool during ascending aortic replacement and Sun's procedure. It effectively controls bleeding, leading to reduced CPB and operation times, decreased blood product transfusion, and lower hospitalization costs.
升主动脉置换术和孙氏手术术后的止血可能具有挑战性。本研究旨在评估在这些手术中采用预设卡布罗尔技术的影响。
对2021年1月至2024年1月期间连续258例诊断为A型主动脉夹层（TAAD）并接受升主动脉置换术和孙氏手术的患者进行回顾性分析。患者分为两组：预设组（n = 203）和对照组（n = 55）。
两组在30天死亡率（预设组：6.9%，对照组：7.3%，P = 0.92）和主动脉阻断时间方面[预设组：64.9±12.3分钟（范围51 - 106分钟），对照组：63.5±13.1分钟（范围45 - 138分钟），P = 0.48]无显著差异。然而，预设组的手术时间[298.6±48.4分钟（范围251 - 410分钟），对照组：365.6±75.3分钟（范围248 - 605分钟）]和体外循环（CPB）时间[119.8±15.3分钟（范围88 - 148分钟），对照组：148.5±41.8分钟（范围86 - 225分钟）]显著更短（P < 0.001）。此外，预设组需要的血制品输注更少，机械通气时间更短（P = 0.049），总住院费用更低（P = 0.02）。术后随访期间未观察到持续性分流或与血栓形成相关的并发症。
预设卡布罗尔技术被证明是升主动脉置换术和孙氏手术中的一种有价值的工具。它能有效控制出血，从而缩短CPB时间和手术时间，减少血制品输注，并降低住院费用。
