“Head First” approach streamlines aortic arch replacement
Year: 2025
Type: article
Study design: Observational Study
Abstract: Objective: The "Head First" graft technique has emerged as a preferred approach for aortic replacement by many surgeons. This study evaluated its performance and safety, focusing on operative efficiency, cerebral protection, and its role in open arch repair outcomes. Methods: We reviewed 150 patients who underwent zone 2 or more extensive arch replacement using the "Head First" approach from August 2020 to March 2025. Perioperative variables were compared between patients with acute type A aortic dissection (n = 40) and elective repair (n = 84). Logistic regression identified risk factors for stroke. Results: 057) showed borderline associations. Conclusions: The "Head First" approach demonstrated acceptable outcomes in complex arch replacement. It prioritizes cerebral protection, facilitates timely reconstruction with shorter circulatory arrest, and may improve technical feasibility.
Source: JTCVS Techniques
Authors: Bo Chang Brian Wu, Drake S. Rosenberg, Meghan Skalicky, Nicolas Chanes, Annelise Bell, Michael T. Cain, Jordan R.H. Hoffman, Jessica Yu Rove, Muhammad Aftab, Thomas Brett Reece
Institution: University of Colorado Anschutz
Language: English
Subfield: Pulmonary and Respiratory Medicine
Field: Medicine
Domain: Health Sciences
Open Access status: gold
Estimated APC paid: $2,553
OpenAlex ID: W4415752550