{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,2]],"date-time":"2026-09-02T03:27:09Z","timestamp":1788319629440,"version":"build-2803163510"},"reference-count":17,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T00:00:00Z","timestamp":1714435200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100006306","name":"Sigrid Jus\u00e9liuksen S\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100006306","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100005633","name":"Syd\u00e4ntutkimuss\u00e4\u00e4ti\u00f6","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100005633","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["World j. surg."],"published-print":{"date-parts":[[2024,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The benefits and harms associated with femoral artery cannulation over other sites of arterial cannulation for surgical repair of acute Stanford type A aortic dissection (TAAD) are not conclusively established.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>We evaluated the outcomes after surgery for TAAD using femoral artery cannulation, supra\u2010aortic arterial cannulation (i.e., innominate\/subclavian\/axillary artery cannulation), and direct aortic cannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>3751 (96.1%) patients were eligible for this analysis. In\u2010hospital mortality using supra\u2010aortic arterial cannulation was comparable to femoral artery cannulation (17.8% vs. 18.4%; adjusted OR 0.846, 95% CI 0.799\u20131.202). This finding was confirmed in 1028 propensity score\u2010matched pairs of patients with supra\u2010aortic arterial cannulation or femoral artery cannulation (17.5% vs. 17.0%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.770). In\u2010hospital mortality after direct aortic cannulation was lower compared to femoral artery cannulation (14.0% vs. 18.4%, adjusted OR 0.703, 95% CI 0.529\u20130.934). Among 583 propensity score\u2010matched pairs of patients, direct aortic cannulation was associated with lower rates of in\u2010hospital mortality (13.4% vs. 19.6%, <jats:italic>p<\/jats:italic>\u00a0=\u00a00.004) compared to femoral artery cannulation. Switching of the primary site of arterial cannulation was associated with increased rate of in\u2010hospital mortality (36.5% vs. 17.0%; adjusted OR 2.730, 95% CI 1.564\u20134.765). Ten\u2010year mortality was similar in the study cohorts.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In this study, the outcomes of surgery for TAAD using femoral arterial cannulation were comparable to those using supra\u2010aortic arterial cannulation. However, femoral arterial cannulation was associated with higher in\u2010hospital mortality than direct aortic cannulation.<\/jats:p><\/jats:sec><jats:sec><jats:title>Trial registration<\/jats:title><jats:p>ClinicalTrials.gov registration code: NCT04831073.<\/jats:p><\/jats:sec>","DOI":"10.1002\/wjs.12203","type":"journal-article","created":{"date-parts":[[2024,4,30]],"date-time":"2024-04-30T12:24:18Z","timestamp":1714479858000},"page":"1771-1782","source":"Crossref","is-referenced-by-count":1,"title":["Femoral arterial cannulation for surgical repair of stanford type A aortic dissection"],"prefix":"10.1002","volume":"48","author":[{"given":"Tatu","family":"Juvonen","sequence":"first","affiliation":[{"name":"Heart and Lung Center Helsinki University Hospital University of Helsinki  Helsinki Finland"},{"name":"Faculty of Medicine University of Oulu  Oulu 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France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Am\u00e9lie","family":"Herv\u00e9","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery University of Franche\u2010Comte  Besancon France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Enzo","family":"Mazzaro","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery Cardio\u2010thoracic and Vascular Department Azienda Sanitaria Universitaria Giuliano Isontina  Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Gatti","sequence":"additional","affiliation":[{"name":"Division of Cardiac Surgery Cardio\u2010thoracic and Vascular Department Azienda Sanitaria Universitaria Giuliano Isontina  Trieste Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matteo","family":"Pettinari","sequence":"additional","affiliation":[{"name":"Chirurgie Cardio\u2010thoraco Vasculaire 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