AI Article Synopsis
- This study investigates risk factors for spinal cord injury (SCI) in patients undergoing surgery for type A acute aortic dissection (TA-AAD).
- The research was conducted on 481 patients who received a specific surgical treatment at Fuwai Hospital between September 2016 and April 2020.
- The results showed that lower preoperative platelet counts and higher D-dimer levels are significant independent predictors of postoperative SCI in these patients, highlighting important clinical considerations for treatment.
Article Abstract
Background: This study aims to identify the risk factors contributing to spinal cord injury (SCI) following a type A acute aortic dissection (TA-AAD).
Methods: This retrospective study was conducted at a single center and involved 481 patients who received frozen elephant trunk stent implantation for TA-AAD. Additionally, these patients underwent total arch replacement with deep hypothermic circulatory arrest. This study was performed at Fuwai Hospital between September 2016 and April 2020.
Results: The resulting data of the multivariate logistic regression analysis demonstrated that preoperative platelet count (odds ratio [OR] = 0.774) and D-dimer levels (OR = 2.247) could serve as independent predictors for postoperative SCI in patients with TA-AAD.
Conclusion: The findings indicate that preoperative platelet count and D-dimer levels are independent risk factors for postoperative SCI in patients with TA-AAD. This study holds significant clinical implications regarding the prognosis and therapeutic responses for patients with TA-AAD.
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|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10936092 | PMC |
| http://dx.doi.org/10.1186/s13019-024-02597-y | DOI Listing |
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