Proximalized Total Arch Replacement Can Be Safely Performed by Trainee. (Record no. 8723)

000 -LEADER
fixed length control field 02824nam a22004097a 4500
008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION
fixed length control field 200826s20202020 xxu||||| |||| 00| 0 eng d
040 ## - CATALOGING SOURCE
Original cataloging agency Ovid MEDLINE(R)
099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC)
Classification number 32634833
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]
190 ## -
-- Nakanishi S
190 ## -
-- Wakabayashi N
190 ## -
-- Ise H
190 ## -
-- Kitahara H
190 ## -
-- Hirofuji A
190 ## -
-- Ishikawa N
190 ## -
-- Kamiya H
100 ## - MAIN ENTRY--PERSONAL NAME
Personal name Kitahara, Hiro
245 ## - TITLE STATEMENT
Title Proximalized Total Arch Replacement Can Be Safely Performed by Trainee.
251 ## -
-- Thoracic & Cardiovascular Surgeon. 2020 Jul 07
252 ## -
-- Thorac Cardiovasc Surg. 2020 Jul 07
253 ## -
-- The Thoracic and cardiovascular surgeon
260 ## - PUBLICATION, DISTRIBUTION, ETC.
-- aheadofprint
260 ## - PUBLICATION, DISTRIBUTION, ETC.
Date of publication, distribution, etc. 2020
269 ## -
-- FY2021
520 ## - SUMMARY, ETC.
Summary, etc. 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.
Summary, etc. 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.
Summary, etc. 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.
520 ## - SUMMARY, ETC.
Summary, etc. 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.
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
Geographic name MedStar Heart & Vascular Institute
657 ## - INDEX TERM--FUNCTION
Function Journal Article
857 ## -
-- https://dx.doi.org/10.1055/s-0040-1713354
856 ## - ELECTRONIC LOCATION AND ACCESS
Uniform Resource Identifier https://dx.doi.org/10.1055/s-0040-1713354
942 ## - ADDED ENTRY ELEMENTS (KOHA)
Koha item type Journal Article
Holdings
Withdrawn status Lost status Damaged status Not for loan Collection code Permanent Location Current Location Date acquired Barcode Date last seen Price effective from Koha item type
          MedStar Authors Catalog MedStar Authors Catalog 2020-08-26 32634833 2020-08-26 2020-08-26 Journal Article

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