MARC details
000 -LEADER |
fixed length control field |
02755nam a22003377a 4500 |
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
fixed length control field |
200826s20202020 xxu||||| |||| 00| 0 eng d |
022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
International Standard Serial Number |
0171-6425 |
024 ## - OTHER STANDARD IDENTIFIER |
Standard number or code |
10.1055/s-0040-1713354 [doi] |
040 ## - CATALOGING SOURCE |
Original cataloging agency |
Ovid MEDLINE(R) |
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
PMID |
32634833 |
245 ## - TITLE STATEMENT |
Title |
Proximalized Total Arch Replacement Can Be Safely Performed by Trainee. |
251 ## - Source |
Source |
Thoracic & Cardiovascular Surgeon. 2020 Jul 07 |
252 ## - Abbreviated Source |
Abbreviated source |
Thorac Cardiovasc Surg. 2020 Jul 07 |
253 ## - Journal Name |
Journal name |
The Thoracic and cardiovascular surgeon |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Year |
2020 |
260 ## - PUBLICATION, DISTRIBUTION, ETC. |
Manufacturer |
FY2021 |
265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
Publication status |
aheadofprint |
266 ## - Date added to catalog |
Date added to catalog |
2020-08-26 |
520 ## - SUMMARY, ETC. |
Abstract |
BACKGROUND: The aim of the present study was to validate safety of total arch replacement (TAR) using a novel frozen elephant trunk device, operated by trainees as surgical education. |
520 ## - SUMMARY, ETC. |
Abstract |
CONCLUSIONS: The present study demonstrated that TAR can be safely performed by trainees, and suggests TAR as a possible and safe educational operation. Copyright Georg Thieme Verlag KG Stuttgart . New York. |
520 ## - SUMMARY, ETC. |
Abstract |
METHODS: Sixty-four patients including 19 patients (29.6%) with acute aortic dissection type A (AADA) underwent TAR in our institute between April 2014 and March 2019 were retrospectively analyzed. Twenty-nine patients were operated by trainees (group T) and 35 patients were operated by attending surgeons (group A). |
520 ## - SUMMARY, ETC. |
Abstract |
RESULTS: Patient characteristics did not differ between groups. Operative time (409.4 +/- 87.8 vs. 468.6 +/- 129.6 minutes, p = 0.034), cardiopulmonary bypass time (177.7 +/- 50.4 vs. 222.9 +/- 596.7 minutes, p = 0.019), and hypothermic circulatory arrest time (39.5 +/- 13.4 vs. 54.5 +/- 18.5 minutes, p = 0.001) were significantly shorter in group A than in group T, but aortic clamping time did not differ between groups (115.3 +/- 55.7 vs. 114.2 +/- 35.0 minutes, p = 0.924) because the rate of concomitant surgery was higher in group A (37.1 vs. 10.3%, p = 0.014). Thirty-day mortality was 3.1% in the entire cohort. Although operation time was longer in group T, there were no significant difference in postoperative results between the groups, and the experience levels of the main operator were not independent predictors for in-hospital mortality + major postoperative complications. There was no difference in late death and aortic events between groups. |
546 ## - LANGUAGE NOTE |
Language note |
English |
650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
Topical term or geographic name entry element |
IN PROCESS -- NOT YET INDEXED |
651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
Institution |
MedStar Heart & Vascular Institute |
657 ## - INDEX TERM--FUNCTION |
Medline publication type |
Journal Article |
700 ## - ADDED ENTRY--PERSONAL NAME |
Local Authors |
Kitahara, Hiro |
790 ## - Authors |
All authors |
Hirofuji A, Ise H, Ishikawa N, Kamiya H, Kitahara H, Nakanishi S, Wakabayashi N |
856 ## - ELECTRONIC LOCATION AND ACCESS |
DOI |
<a href="https://dx.doi.org/10.1055/s-0040-1713354">https://dx.doi.org/10.1055/s-0040-1713354</a> |
Public note |
https://dx.doi.org/10.1055/s-0040-1713354 |
942 ## - ADDED ENTRY ELEMENTS (KOHA) |
Koha item type |
Journal Article |
Item type description |
Article |