Clinical Safety and Effectiveness of Endoaortic as Compared to Transthoracic Clamp for Small Thoracotomy Mitral Valve Surgery: Meta-Analysis of Observational Studies.

Kowalewski, Mariusz; Malvindi, Pietro Giorgio; Suwalski, Piotr; Raffa, Giuseppe Maria; Pawliszak, Wojciech; Perlinski, Damian; Kowalkowska, Magdalena Ewa; Kowalewski, Janusz; Carrel, Thierry; Anisimowicz, Lech (2016). Clinical Safety and Effectiveness of Endoaortic as Compared to Transthoracic Clamp for Small Thoracotomy Mitral Valve Surgery: Meta-Analysis of Observational Studies. The Annals of Thoracic Surgery, 103(2), pp. 676-686. Elsevier 10.1016/j.athoracsur.2016.08.072

[img] Text
1-s2.0-S0003497516311407-main.pdf - Published Version
Restricted to registered users only
Available under License Publisher holds Copyright.

Download (2MB) | Request a copy

Controversies remain on the increased rate of neurological events after small thoracotomy mitral valve surgery attributed to endoaortic balloon occlusion (EABO). Systematic literature search of databases identified 17 studies enrolling 6,643 patients comparing safety and effectiveness of EABO versus transthoracic clamp. In a meta-analysis, there was no difference in occurrence of cerebrovascular events, all-cause mortality, and kidney injury. EABO was associated with a significantly higher risk of iatrogenic aortic dissection (0.93% versus 0.13%; risk ratio, 4.67; 95% confidence interval, 1.62 to 13.49; p = 0.004) and a trend toward longer operative times. The data is limited to observational studies.

Item Type:

Journal Article (Original Article)

Division/Institute:

04 Faculty of Medicine > Department of Cardiovascular Disorders (DHGE) > Clinic of Cardiovascular Surgery

UniBE Contributor:

Carrel, Thierry

Subjects:

600 Technology > 610 Medicine & health

ISSN:

1552-6259

Publisher:

Elsevier

Language:

English

Submitter:

Daniela Huber

Date Deposited:

07 Dec 2016 09:43

Last Modified:

24 Sep 2017 11:36

Publisher DOI:

10.1016/j.athoracsur.2016.08.072

PubMed ID:

27765173

BORIS DOI:

10.7892/boris.90545

URI:

https://boris.unibe.ch/id/eprint/90545

Actions (login required)

Edit item Edit item
Provide Feedback