Year: 2013
Type: article
Abstract: OBJECTIVE: A number of factors limit the effectiveness of current aortic arch studies in assessing optimal neuroprotection strategies, including insufficient patient numbers, heterogenous definitions of clinical variables, multiple technical strategies, inadequate reporting of surgical outcomes and a lack of collaborative effort. We have formed an international coalition of centres to provide more robust investigations into this topic. METHODS: High-volume aortic arch centres were identified from the literature and contacted for recruitment. A Research Steering Committee of expert arch surgeons was convened to oversee the direction of the research. RESULTS: The International Aortic Arch Surgery Study Group has been formed by 41 arch surgeons from 10 countries to better evaluate patient outcomes after aortic arch surgery. Several projects, including the establishment of a multi-institutional retrospective database, randomized controlled trials and a prospectively collected database, are currently underway. CONCLUSIONS: Such a collaborative effort will herald a turning point in the surgical management of aortic arch pathologies and will provide better powered analyses to assess the impact of varying surgical techniques on mortality and morbidity, identify predictors for neurological and operative risk, formulate and validate risk predictor models and review long-term survival outcomes and quality-of-life after arch surgery.
DOI: 10.1093/ejcts/ezt520
Authors: T. D. Yan, D. H. Tian, S. A. LeMaire, M. Misfeld, J. A. Elefteriades, E. P. Chen, G. Chad Hughes, T. Kazui, R. B. Griepp, N. T. Kouchoukos, P. G. Bannon, M. J. Underwood, F.-W. Mohr, A. Oo, T. M. Sundt, J. E. Bavaria, R. Di Bartolomeo, M. Di Eusanio, E. E. Roselli, F. Beyersdorf, T. P. Carrel, J. S. Corvera, A. Della Corte, M. Ehrlich, A. Hoffman, H. Jakob, G. Matalanis, S. Numata, H. J. Patel, A. Pochettino, H. J. Safi, A. Estrera, K. G. Perreas, R. Sinatra, S. Trimarchi, L.-Z. Sun, M. Tabata, C. Wang, A. Haverich, M. Shrestha, Y. Okita, J. Coselli
Institutions: The University of Sydney, Royal Prince Alfred Hospital, Collaborative Research Group, Macquarie University, Baylor St. Luke's Medical Center, Baylor College of Medicine, Leipzig University, Yale University, Emory University, Duke University, Duke Medical Center, Cardiovascular Center Hokkaido Ohno Hospital, Icahn School of Medicine at Mount Sinai, Missouri Baptist Medical Center, Chinese University of Hong Kong, Liverpool Heart and Chest Hospital, Massachusetts General Hospital, Hospital of the University of Pennsylvania, IRCCS Azienda Ospedliero-Universitaria di Bologna Policlinico di Sant'Orsola, University of Bologna, Cleveland Clinic, University of Freiburg, University Medical Center Freiburg, Universitäts-Herzzentrum Freiburg-Bad Krozingen, University Hospital of Bern, Indiana University Health, Methodist Hospital, University of Campania "Luigi Vanvitelli", Ospedale Monaldi, University of Vienna, Medical University of Vienna, Universitätsklinikum Aachen, RWTH Aachen University, Essen University Hospital, West German Heart and Vascular Center Essen, Austin Hospital, Austin Health, Fukui CardioVascular Center, University of Michigan, Michigan Medicine, Mayo Clinic, Memorial Hermann, Onassis Cardiac Surgery Center, Azienda Ospedaliera Sant'Andrea, Sapienza University of Rome, IRCCS Policlinico San Donato, Beijing Anzhen Hospital, Shanghai Medical College of Fudan University, Fudan University, Zhongshan Hospital, Medizinische Hochschule Hannover, Kobe University
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: bronze
OpenAlex ID: W2161963494