Our preferred Approach:
In our recent retrospective review of Type-A dissection patients, femoral artery was the commonest cannulation site (51.5%), followed by central/aortic (27.5%), axillary artery (19.7%), and innominate artery (1.3%). A non-femoral approach has increased over time with more central/aortic cannulation in the last 5 years20. Our present approach is reflective of a flexible outlook tailored to patient characteristics and to the individual surgeon’s preference and experience.