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- Academic Editors
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Background: There has been an increased interest in using antegrade
cannulation techniques during surgery for type A aortic dissection. While the
utilization of central artery cannulation has been on the rise in recent times,
its effectiveness and safety still require thorough examination. This study aimed
to explore both the efficiency and safety of central arterial cannulation.
Methods: A meta-analysis was conducted on studies that evaluated
surgical outcomes when using central artery cannulation (CAC) in comparison to
axillary artery cannulation (AXC) or femoral artery cannulation (FAC).
Results: 10 retrospective observational studies were included, enrolling
3022 patients (CAC = 1208 vs. FAC = 606; CAC = 1051 vs. AXC = 1119). Among these,
4 articles involved axillary artery cannulation, femoral artery cannulation, and
central artery cannulation. Central cannulation was linked to decreased
short-term mortality [odds ratio, 0.66, 95% confidence interval (CI) (0.48,
0.89),