PDF(Pubmed)
Abstract：
A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was: \'Can a \"branch-first\" approach to aortic arch replacement be safely utilized in Stanford type A acute aortic syndromes?\' Altogether 64 papers were found using the reported searches, of which 10represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers are tabulated. All papers included in this BET reported acceptable mortality and/or neurological outcomes in comparison to currently published standards for traditional repair. We conclude that while there is a need for larger series, direct comparison and long-term follow-up, the \'branch-first\' approach to aortic arch replacement has been safely performed in several centres in the setting of acute aortic syndromes with results demonstrating acceptable mortality, neurological outcomes and mid-term survival.
摘要：
根据结构化协议编写了心脏手术中的最佳证据主题。解决的问题是：“在斯坦福A型急性主动脉综合征中可以安全地使用“分支优先”的主动脉弓置换方法吗？”使用报告的搜索共发现了64篇论文，其中10个是回答临床问题的最佳证据。作者,journal,发布日期和国家/地区，患者组研究，研究类型,这些论文的相关结果和结果被列出。与目前发表的传统修复标准相比，本BET中包含的所有论文均报告了可接受的死亡率和/或神经学结果。我们得出的结论是，虽然需要更大的系列，直接比较和长期随访，在急性主动脉综合征的背景下，多个中心安全地进行了主动脉弓置换的“分支优先”方法，结果证明死亡率可接受。神经系统的结果，和中期生存。
