Results
A total of 41 patients underwent aortic arch surgery were analyzed:15
(37%) and 26 (63 %) in RPT and FET group, respectively. The use of RPT
showed a significant shorter circulatory arrest times than FET: 9 min vs
58 min (P < 0.001), respectively. The median lactates peak in
the first 24h post intervention was 2.6 for RPT group and 5.4 mmol/L for
FET group, (P <0.0001). When compared with the FET, RPT is
associated with significant reduction in the use of packed red blood
cells (P <0.0001), fresh frozen plasma (P <0.0001),
platelet concentrate (P <0.0001), and fibrinogen (P
<0.004). The median ICU stay was 3 and 9 days (P = 0.011),
whereas the median hospital stay was 12 and 18.5 days (P=0.004) in the
RPT and FET groups, respectively. Thirty-day mortality and postoperative
outcomes were comparable between the two groups.