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.