European registry of type A aortic dissection (ERTAAD) - rationale, design and definition criteria
| العنوان: | European registry of type A aortic dissection (ERTAAD) - rationale, design and definition criteria |
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| المؤلفون: | Tatu Juvonen, Sidney Chocron, Stefano Mastrobuoni, Christian Detter, Suvitesh Luthra, Mauro Rinaldi, Francesco Onorati, Zein El Dean, Angelo M. Dell’Aquila, Giovanni Mariscalco, Matteo Pettinari, Alessandra Francica, Antonio Fiore, Luisa Ferrante, Antti Vento, Andrea Perrotti, Marek Pol, Laurent de Kerchove, Hakeem Yusuff, Steven Laga, Thierry Folliguet, Cecilia Rossetti, Amer Harky, Fausto Biancari, Thilo Noack, Ugolino Livi, Filip Schlosser, Stefano Forlani, Geoffrey Tsang, Lenard Conradi, Govind Chetty, Mikko Jormalainen, Manoj Kuduvalli, Till Demal, Peter Ivak, Peter Raivio, Mark Field, Igor Vendramin, Christian D. Etz, Marc A.A.M. Schepens, Bart Meuris, Michael A. Borger |
| المساهمون: | UCL - SSS/IREC/CARD - Pôle de recherche cardiovasculaire, UCL - (SLuc) Service de chirurgie cardiovasculaire et thoracique, HUS Heart and Lung Center, University of Helsinki, Department of Surgery, III kirurgian klinikka, Clinicum |
| المصدر: | Journal of Cardiothoracic Surgery, Vol 16, Iss 1, Pp 1-9 (2021) Journal of Cardiothoracic Surgery Journal of cardiothoracic surgery, Vol. 16, no.1, p. 171 [1-9] (2021) Journal of cardiothoracic surgery |
| بيانات النشر: | BMC, 2021. |
| سنة النشر: | 2021 |
| مصطلحات موضوعية: | Male, Cardiac & Cardiovascular Systems, Aortic dissection, Comorbidity, 030204 cardiovascular system & hematology, law.invention, Study Protocol, 0302 clinical medicine, Postoperative Complications, Clinical Protocols, Aortic arch, law, Risk Factors, Anesthesiology, EQUATION, RD78.3-87.3, Hospital Mortality, Registries, Stroke, Aged, 80 and over, HEMIARCH, Acute kidney injury, General Medicine, Middle Aged, Prognosis, Intensive care unit, 3. Good health, Cardiac surgery, Aortic Aneurysm, Europe, REPLACEMENT, Cardiothoracic surgery, Research Design, Female, Cardiology and Cardiovascular Medicine, Life Sciences & Biomedicine, Pulmonary and Respiratory Medicine, Adult, Reoperation, medicine.medical_specialty, Stanford type A, RD1-811, 03 medical and health sciences, Aneurysm, Dissecting, medicine, Humans, Adverse effect, Aged, Retrospective Studies, Ascending aorta, Emergency, Science & Technology, INTERNATIONAL REGISTRY, business.industry, Correction, Perioperative, medicine.disease, 3126 Surgery, anesthesiology, intensive care, radiology, 030228 respiratory system, Emergency medicine, Cardiovascular System & Cardiology, Vascular Grafting, Surgery, Human medicine, business |
| الوصف: | Background Acute Stanford type A aortic dissection (TAAD) is a life-threatening condition. Surgery is usually performed as a salvage procedure and is associated with significant postoperative early mortality and morbidity. Understanding the patient’s conditions and treatment strategies which are associated with these adverse events is essential for an appropriate management of acute TAAD. Methods Nineteen centers of cardiac surgery from seven European countries have collaborated to create a multicentre observational registry (ERTAAD), which will enroll consecutive patients who underwent surgery for acute TAAD from January 2005 to March 2021. Analysis of the impact of patient’s comorbidities, conditions at referral, surgical strategies and perioperative treatment on the early and late adverse events will be performed. The investigators have developed a classification of the urgency of the procedure based on the severity of preoperative hemodynamic conditions and malperfusion secondary to acute TAAD. The primary clinical outcomes will be in-hospital mortality, late mortality and reoperations on the aorta. Secondary outcomes will be stroke, acute kidney injury, surgical site infection, reoperation for bleeding, blood transfusion and length of stay in the intensive care unit. Discussion The analysis of this multicentre registry will allow conclusive results on the prognostic importance of critical preoperative conditions and the value of different treatment strategies to reduce the risk of early adverse events after surgery for acute TAAD. This registry is expected to provide insights into the long-term durability of different strategies of surgical repair for TAAD. Trial registration ClinicalTrials.gov Identifier: NCT04831073. |
| وصف الملف: | Electronic |
| اللغة: | English |
| تدمد: | 1749-8090 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::f465e886371c476eebec6bb595892a30 https://doaj.org/article/9c01ea761fb54a90b7244e0a0628e42d |
| حقوق: | OPEN |
| رقم الأكسشن: | edsair.doi.dedup.....f465e886371c476eebec6bb595892a30 |
| قاعدة البيانات: | OpenAIRE |
Find this article in full text from Springer Verlag. | تدمد: | 17498090 |
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