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

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• 作者：Mariusz Kowalewski ; MD^a ; ^b ; ^{kowalewskimariusz@gazeta.pl} ; Pietro Giorgio Malvindi ; MD^c ; Piotr Suwalski ; MD ; PhD^d ; ^e ; Giuseppe Maria Raffa ; MD^f ; Wojciech Pawliszak ; MD^a ; Damian Perlinski ; MD^a ; Magdalena Ewa Kowalkowska ; MD^g ; Janusz Kowalewski ; MD ; PhD^h ; Thierry Carrel ; MD ; PhDⁱ ; Lech Anisimowicz ; MD ; PhD^a
• 刊名：The Annals of Thoracic Surgery
• 出版年：2017
• 出版时间：February 2017
• 年：2017
• 卷：103
• 期：2
• 页码：676-686
• 全文大小：2266 K
• 卷排序：103

文摘

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.