{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T16:05:30Z","timestamp":1777737930188,"version":"3.51.4"},"reference-count":11,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,3,18]],"date-time":"2019-03-18T00:00:00Z","timestamp":1552867200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Innovations\ufffd(Phila)"],"published-print":{"date-parts":[[2019,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>We compared early and late outcomes of patients who underwent femoral versus axillary artery cannulation for repair of acute type A aortic dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between 2004 and 2017, we retrospectively evaluated the clinical outcomes of 135 consecutive patients who underwent emergency surgery for acute type A aortic dissection repair. Patients were divided into 2 groups: those who underwent femoral ( n = 84) and those who underwent right axillary ( n = 51) artery cannulation. Mean patient age was 63 \u00b1 13 years and 88 (65%) were male.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Overall operative mortality was 12.6% (axillary 15.7%, femoral 10.7%; P = 0.564). Patients who underwent axillary compared to femoral artery cannulation had a statistically nonsignificant higher operative mortality rate among both stable and unstable patients (13% vs. 6.5%, P = 0.405 and 40% vs. 22.7%, P = 0.818, respectively). While there was no difference in major complication rates, such as stroke, low cardiac output, and surgical revision for bleeding\/tamponade, there was a higher incidence of renal failure that required dialysis in patients who underwent axillary cannulation (12% vs. 1%, P = 0.022). Multivariate analysis demonstrated that predictors for the composite endpoint of operative mortality or severe organ malperfusion, such as renal failure or cerebrovascular accident, were hemodynamic instability on admission (OR 3.87; 95% CI, 1.23 to 12.63; P = 0.021), lower preoperative creatinine clearance (OR 0.94; 95% CI, 0.90 to 0.97; P &lt; 0.001); and the use of axillary artery cannulation (OR 4.1; 95% CI, 1.43 to 12.78; P = 0.011). Among those discharged from hospital, the 3-year survival rate was 91% in the axillary group and 87% in the femoral group ( P = 0.772).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Based on our experience, emergent surgery for both stable and unstable patients with acute type A aortic dissection demonstrated similar survival rates and significantly less renal impairment when using the femoral cannulation approach.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1556984519836879","type":"journal-article","created":{"date-parts":[[2019,3,19]],"date-time":"2019-03-19T01:18:04Z","timestamp":1552958284000},"page":"124-133","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":11,"title":["Is Axillary Better Than Femoral Artery Cannulation in Repair of Acute Type A Aortic Dissection?"],"prefix":"10.1177","volume":"14","author":[{"given":"Eilon","family":"Ram","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Tel Aviv University, Israel"},{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoav","family":"Krupik","sequence":"additional","affiliation":[{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Lipey","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tel Aviv University, Israel"},{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ami","family":"Shinfeld","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tel Aviv University, Israel"},{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yael","family":"Peled","sequence":"additional","affiliation":[{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"},{"name":"Department of Cardiology, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexander","family":"Kogan","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tel Aviv University, Israel"},{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ehud","family":"Raanani","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tel Aviv University, Israel"},{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Leonid","family":"Sternik","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Tel Aviv University, Israel"},{"name":"Leviev Cardiothoracic and Vascular Center, Sheba Medical Center, affiliated to the Sackler Faculty of Medicine, Tel Aviv University, Israel"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,3,18]]},"reference":[{"key":"bibr1-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2015.07.736"},{"key":"bibr2-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1001\/jama.283.7.897"},{"key":"bibr3-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.13511"},{"key":"bibr4-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.05.029"},{"key":"bibr5-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1253\/circj.CJ-14-0565"},{"key":"bibr6-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2004.04.072"},{"key":"bibr7-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2006.10.068"},{"key":"bibr8-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv035"},{"key":"bibr9-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezu268"},{"key":"bibr10-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv356"},{"key":"bibr11-1556984519836879","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivv181"}],"container-title":["Innovations: Technology and Techniques in Cardiothoracic and Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1556984519836879","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1556984519836879","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1556984519836879","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T11:20:46Z","timestamp":1777461646000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1556984519836879"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2019,3,18]]},"references-count":11,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2019,4]]}},"alternative-id":["10.1177\/1556984519836879"],"URL":"https:\/\/doi.org\/10.1177\/1556984519836879","relation":{},"ISSN":["1556-9845","1559-0879"],"issn-type":[{"value":"1556-9845","type":"print"},{"value":"1559-0879","type":"electronic"}],"subject":[],"published":{"date-parts":[[2019,3,18]]}}}