Proximalized Total Arch Replacement Can Be Safely Performed by Trainee. (Record no. 5253)

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
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection Home library Current library Date acquired Total Checkouts Full call number Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 08/26/2020   32634833 32634833 08/26/2020 08/26/2020 Journal Article

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