Arterial Cannulation in Type-A Dissection in the Era of Antegrade Cerebral Perfusion: Should We Avoid the Femoral Access?

Objectives: The definition of the optimal arterial cannulation site in the setting of aortic dissection type A (AAD) is still controversial and well-established consensus is lacking. Current literature on impact of arterial cannulation and outcome in AAD is clearly biased by the variety of cerebral perfusion strategies. Aim of this study was to evaluation impact of arterial cannulation site on functional outcome and survival in patients undergoing surgical repair for AAD under hypothermic circulatory arrest with antegrade cerebral perfusion (ACP).