Perioperative nursing management in hybrid procedures for complex stanford type B Aortic dissection: A descriptive...

To describe perioperative nursing management strategies and clinical outcomes in patients undergoing hybrid repair for complex Stanford type B aortic dissection.

This single-center retrospective descriptive observational study included 98 patients with acute Stanford type B aortic dissection who underwent hybrid supra-aortic branch bypass combined with thoracic endovascular aortic repair between January and December 2024. Standardized perioperative nursing protocols were implemented, focusing on hemodynamic stabilization, spinal cord ischemia prevention, contrast-induced acute kidney injury prevention, and postoperative monitoring. Clinical outcomes and perioperative complications were analyzed descriptively.

Hybrid procedures were technically successful in all patients. The mean hospital stay was 19.58 ± 6.29 days. Ninety-six patients (98.0%) were discharged in stable condition. Spinal cord ischemia occurred in one patient (1.0%) and resolved after cerebrospinal fluid drainage and medical management. Contrast-induced acute kidney injury occurred in two patients (2.0%) and resolved with hydration therapy. No patients experienced stroke, permanent neurological deficit, or graft-related complications. Wound complications were minimal and successfully managed.

Hybrid repair for complex Stanford type B aortic dissection is a safe and effective treatment strategy when supported by structured perioperative nursing management. Standardized nursing protocols play a critical role in maintaining hemodynamic stability, preventing major complications, and promoting postoperative recovery.