{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T23:06:47Z","timestamp":1777417607138,"version":"3.51.4"},"reference-count":34,"publisher":"Springer Science and Business Media LLC","issue":"9","license":[{"start":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T00:00:00Z","timestamp":1711497600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T00:00:00Z","timestamp":1711497600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"funder":[{"DOI":"10.13039\/501100009337","name":"Saitama Medical University","doi-asserted-by":"crossref","id":[{"id":"10.13039\/501100009337","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Heart Vessels"],"published-print":{"date-parts":[[2024,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Medical management is the standard treatment of chronic type B aortic dissection (CTBAD). However, the roles of open surgical repair (OSR) and thoracic endovascular repair (TEVAR) in patients with CTBAD remain controversial. Thus, this study aimed to assess and compare the mid- and long-term clinical outcomes of OSR via left thoracotomy with that of TEVAR for CTBAD. The data of 85 consecutive patients who underwent surgery for CTBAD from April 2007 to May 2021 were retrospectively reviewed. The patients were divided into two groups: Group G, which included patients who underwent OSR, and Group E, which included patients who underwent TEVAR. Groups G and E comprised 33 and 52 patients, respectively. Preoperative and postoperative computed tomography (CT) studies were retrospectively analyzed for the maximum diameter. The mean duration of the follow-up period was 5.8\u00a0years. Operative mortality did not occur. There was no difference in complications, such as stroke (G: 2 vs. E: 0, <jats:italic>p<\/jats:italic>\u2009=\u20090.30), paraplegia (G: 1 vs. E: 1, <jats:italic>p<\/jats:italic>\u2009=\u20090.66), and respiratory failure (G: 2, vs. E: 0, <jats:italic>p<\/jats:italic>\u2009=\u20090.30). The difference in preoperative factors was observed, including the intervals between onset and operation (G; 4.9\u00a0years vs. E; 1.9\u00a0years, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01), maximum diameter in preoperative CT (G; 59.0\u00a0mm vs. E; 50.5\u00a0mm, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001), and maximum false lumen diameter (G; 35.5\u00a0mm vs. E; 29.0\u00a0mm, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). There was no significant difference in the mid- and long-term survival rates (<jats:italic>p<\/jats:italic>\u2009=\u20090.49), aorta-related deaths (<jats:italic>p<\/jats:italic>\u2009=\u20090.33), and thoracic re-intervention rates (<jats:italic>p<\/jats:italic>\u2009=\u20090.34). Postoperative adverse events occurred in Group E: four cases of retrospective type A aortic dissection, two cases of aorto-bronchial fistula, and one case of aorto-esophagus fistula. Aorta-related death and re-intervention rates crossed over in both groups after seven years postoperatively. Although endovascular repair of CTBAD is less invasive, the rate of freedom from re-intervention was unsatisfactory. Some fatal complications were observed in the endovascular group, and the mid- and long-term outcomes were reversed compared with those in the OSR group. Although OSR is an invasive procedure, it could be performed safely without perioperative complications. OSR has more feasible mid- and long-term outcomes.<\/jats:p>","DOI":"10.1007\/s00380-024-02399-1","type":"journal-article","created":{"date-parts":[[2024,3,27]],"date-time":"2024-03-27T07:03:46Z","timestamp":1711523026000},"page":"818-825","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Mid- and long-term results of open repair for chronic type B aortic dissection in endovascular era"],"prefix":"10.1007","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5726-2082","authenticated-orcid":false,"given":"Akitoshi","family":"Takazawa","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshihisa","family":"Asakura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osamu","family":"Kinoshita","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroyuki","family":"Nakajima","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akihiro","family":"Yoshitake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2024,3,27]]},"reference":[{"key":"2399_CR1","doi-asserted-by":"publisher","first-page":"II256","DOI":"10.1161\/01.CIR.0000138386.48852.b6","volume":"110","author":"E Sueyoshi","year":"2004","unstructured":"Sueyoshi E, Sakamoto I, Hayashi K, Yamaguchi T, Imada T (2004) Growth rate of aortic diameter in patients with type B aortic dissection during the chronic phase. Circulation 110:II256-11261","journal-title":"Circulation"},{"key":"2399_CR2","doi-asserted-by":"publisher","first-page":"1642","DOI":"10.1053\/euhj.2001.2782","volume":"22","author":"R Erbel","year":"2001","unstructured":"Erbel R, Alfonso F, Boileau C, Dirsch O, Eber B, Haverich A, Rakowski H, Struyven J, Radegran K, Sechtem U, Taylor J, Zollikofer C, Klein WW, Mulder B, Task Force on Aortic Dissection, European Society of Cardiology (2001) Diagnosis and management of aortic dissection. Eur Heart J 22:1642\u20131681","journal-title":"Eur Heart J"},{"key":"2399_CR3","doi-asserted-by":"publisher","first-page":"897","DOI":"10.1001\/jama.283.7.897","volume":"283","author":"PG Hagan","year":"2000","unstructured":"Hagan PG, Nienaber CA, Isselbacher EM, Bruckman D, Karavite DJ, Russman PL, Evangelista A, Fattori R, Suzuki T, Oh JK, Moore AG, Malouf JF, Pape LA, Gaca C, Sechtem U, Lenferink S, Deutsch HJ, Diedrichs H, Marcos y Robles J, Llovet A, Gilon D, Das SK, Armstrong WF, Deeb GM, Eagle KA, (2000) The International Registry of Acute Aortic Dissection (IRAD): new insights into an old disease. JAMA 283:897\u2013903","journal-title":"JAMA"},{"key":"2399_CR4","doi-asserted-by":"publisher","first-page":"S1","DOI":"10.1016\/j.athoracsur.2007.10.099","volume":"85","author":"LG Svensson","year":"2008","unstructured":"Svensson LG, Kouchoukos NT, Miller DC, Bavaria JE, Coselli JS, Curi MA, Eggebrecht H, Elefteriades JA, Erbel R, Gleason TG, Lytle BW, Mitchell RS, Nienaber CA, Roselli EE, Safi HJ, Shemin RJ, Sicard GA, Sundt TM 3rd, Szeto WY, Wheatley GH 3rd, Society of Thoracic Surgeons Endovascular Surgery Task Force (2008) Expert consensus document on the treatment of descending thoracic aortic disease using endovascular stent-grafts. Ann Thorac Surg 85:S1\u2013S41","journal-title":"Ann Thorac Surg"},{"key":"2399_CR5","doi-asserted-by":"publisher","first-page":"730.e19","DOI":"10.1016\/j.amjmed.2013.01.020","volume":"126","author":"AM Booher","year":"2013","unstructured":"Booher AM, Isselbacher EM, Nienaber CA, Trimarchi S, Evangelista A, Montgomery DG, Froehlich JB, Ehrlich MP, Oh JK, Januzzi JL, O\u2019Gara P, Sundt TM, Harris KM, Bossone E, Pyeritz RE, Eagle KA, Investigators IRAD (2013) The IRAD classification system for characterizing survival after aortic dissection. Am J Med 126:730.e19-e24","journal-title":"Am J Med"},{"key":"2399_CR6","doi-asserted-by":"publisher","first-page":"748","DOI":"10.1161\/CIRCULATIONAHA.115.015302","volume":"132","author":"RO Afifi","year":"2015","unstructured":"Afifi RO, Sandhu HK, Leake SS, Boutrous ML, Kumar V 3rd, Azizzadeh A, Charlton-Ouw KM, Saqib NU, Nguyen TC, Miller CC 3rd, Safi HJ, Estrera AL (2015) Outcomes of patients with acute type B (DeBakey III) aortic dissection: a 13-year, single-center experience. Circulation 132:748\u2013754","journal-title":"Circulation"},{"key":"2399_CR7","doi-asserted-by":"publisher","first-page":"285","DOI":"10.1016\/j.ejvs.2014.05.012","volume":"48","author":"J Brunkwall","year":"2014","unstructured":"Brunkwall J, Kasprzak P, Verhoeven E, Heijmen R, Taylor P, Trialists ADSORB, Alric P, Canaud L, Janotta M, Raithel D, Malina W, Resch T, Eckstein HH, Ockert S, Larzon T, Carlsson F, Schumacher H, Classen S, Schaub P, Lammer J, L\u00f6nn L, Clough RE, Rampoldi V, Trimarchi S, Fabiani JN, B\u00f6ckler D, Kotelis D, B\u00f6ckler D, Kotelis D, von Tenng-Kobligk H, Mangialardi N, Ronchey S, Dialetto G, Matoussevitch V (2014) Endovascular repair of acute uncomplicated aortic type B dissection promotes aortic remodelling: 1 year results of the ADSORB trial. Eur J Vasc Endovasc Surg 48:285\u2013291","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2399_CR8","doi-asserted-by":"publisher","first-page":"876","DOI":"10.1016\/j.jcin.2013.05.003","volume":"6","author":"R Fattori","year":"2013","unstructured":"Fattori R, Montgomery D, Lovato L, Kische S, Di Eusanio M, Ince H, Eagle KA, Isselbacher EM, Nienaber CA (2013) Survival after endovascular therapy in patients with type B aortic dissection: a report from the International Registry of Acute Aortic Dissection (IRAD). JACC Cardiovasc Interv 6:876\u2013882","journal-title":"JACC Cardiovasc Interv"},{"key":"2399_CR9","doi-asserted-by":"publisher","first-page":"265","DOI":"10.12945\/j.aorta.2014.14-040","volume":"2","author":"T Luebke","year":"2014","unstructured":"Luebke T, Brunkwall J (2014) Type B aortic dissection: a review of prognostic factors and meta-analysis of treatment options. Aorta (Stamford) 2:265\u2013278","journal-title":"Aorta (Stamford)"},{"key":"2399_CR10","doi-asserted-by":"publisher","first-page":"407","DOI":"10.1161\/CIRCINTERVENTIONS.113.000463","volume":"6","author":"CA Nienaber","year":"2013","unstructured":"Nienaber CA, Kische S, Rousseau H, Eggebrecht H, Rehders TC, Kundt G, Glass A, Scheinert D, Czerny M, Kleinfeldt T, Zipfel B, Labrousse L, Fattori R, Ince H, INSTEAD-XL trial, (2013) Endovascular repair of type B aortic dissection: long-term results of the randomized investigation of stent grafts in aortic dissection trial. Circ Cardiovasc Interv 6:407\u2013416","journal-title":"Circ Cardiovasc Interv"},{"key":"2399_CR11","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000003919","volume":"95","author":"C Song","year":"2016","unstructured":"Song C, Lu Q, Zhou J, Yu G, Feng X, Zhao Z, Bao J, Feng R, Jing Z (2016) The new indication of TEVAR for uncomplicated type B aortic dissection. Medicine (Baltimore) 95:e3919","journal-title":"Medicine (Baltimore)"},{"key":"2399_CR12","doi-asserted-by":"publisher","first-page":"2519","DOI":"10.1161\/CIRCULATIONAHA.109.886408","volume":"120","author":"CA Nienaber","year":"2009","unstructured":"Nienaber CA, Rousseau H, Eggebrecht H, Kische S, Fattori R, Rehders TC, Kundt G, Scheinert D, Czerny M, Kleinfeldt T, Zipfel B, Labrousse L, Ince H, Trial INSTEAD (2009) Randomized comparison of strategies for type B aortic dissection: the INvestigation of STEnt Grafts in Aortic Dissection (INSTEAD) trial. Circulation 120:2519\u20132528","journal-title":"Circulation"},{"key":"2399_CR13","doi-asserted-by":"publisher","first-page":"592","DOI":"10.1016\/j.ahj.2004.05.060","volume":"149","author":"CA Nienaber","year":"2005","unstructured":"Nienaber CA, Zannetti S, Barbieri B, Kische S, Schareck W, Rehders TC, INSTEAD study collaborators (2005) INvestigation of STEnt grafts in patients with type B Aortic Dissection: design of the INSTEAD trial\u2013a prospective, multicenter, European randomized trial. Am Heart J 149:592\u2013599","journal-title":"Am Heart J"},{"key":"2399_CR14","doi-asserted-by":"publisher","first-page":"587","DOI":"10.1016\/j.jtcvs.2011.02.050","volume":"142","author":"ND Desai","year":"2011","unstructured":"Desai ND, Pochettino A, Szeto WY, Moser GW, Moeller PJ, Sodhi N, Jackson B, Woo E, Fairman RM, Bavaria J (2011) Thoracic endovascular aortic repair: evolution of therapy, patterns of use, and results in a 10-year experience. J Thorac Cardiovasc Surg 142:587\u2013594","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2399_CR15","doi-asserted-by":"publisher","first-page":"1223","DOI":"10.1016\/j.athoracsur.2012.05.040","volume":"94","author":"FH Jonker","year":"2012","unstructured":"Jonker FH, Trimarchi S, Rampoldi V, Patel HJ, O\u2019Gara P, Peterson MD, Fattori R, Moll FL, Voehringer M, Pyeritz RE, Hutchison S, Montgomery D, Isselbacher EM, Nienaber CA, Eagle KA, International Registry of Acute Aortic Dissection (IRAD) Investigators (2012) Aortic expansion after acute type B aortic dissection. Ann Thorac Surg 94:1223\u20131229","journal-title":"Ann Thorac Surg"},{"key":"2399_CR16","doi-asserted-by":"publisher","first-page":"1661","DOI":"10.1016\/j.jacc.2012.11.072","volume":"61","author":"R Fattori","year":"2013","unstructured":"Fattori R, Cao P, De Rango P, Czerny M, Evangelista A, Nienaber C, Rousseau H, Schepens M (2013) Interdisciplinary expert consensus document on management of type B aortic dissection. J Am Coll Cardiol 61:1661\u20131678","journal-title":"J Am Coll Cardiol"},{"key":"2399_CR17","first-page":"340","volume":"3","author":"DH Tian","year":"2014","unstructured":"Tian DH, De Silva RP, Wang T, Yan TD (2014) Open surgical repair for chronic type B aortic dissection: a systematic review. Ann Cardiothorac Surg 3:340\u2013350","journal-title":"Ann Cardiothorac Surg"},{"key":"2399_CR18","doi-asserted-by":"publisher","first-page":"S163","DOI":"10.1016\/j.jtcvs.2014.11.028","volume":"149","author":"EE Roselli","year":"2015","unstructured":"Roselli EE (2015) Thoracic endovascular aortic repair versus open surgery for type-B chronic dissection. J Thorac Cardiovasc Surg 149:S163\u2013S167","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2399_CR19","doi-asserted-by":"publisher","first-page":"422","DOI":"10.1016\/j.ejvs.2009.04.015","volume":"38","author":"C Guangqi","year":"2009","unstructured":"Guangqi C, Xiaoxi L, Wei C, Songqi L, Chen Y, Zilun L, Shenming W (2009) Endovascular repair of Stanford type B aortic dissection: early and mid-term outcomes of 121 cases. Eur J Vasc Endovasc Surg 38:422\u2013426","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2399_CR20","doi-asserted-by":"publisher","DOI":"10.1161\/JAHA.116.004649","volume":"6","author":"Y Chen","year":"2017","unstructured":"Chen Y, Zhang S, Liu L, Lu Q, Zhang T, Jing Z (2017) Retrograde type A aortic dissection after thoracic endovascular aortic repair: a systematic review and meta-analysis. J Am Heart Assoc 6:e004649","journal-title":"J Am Heart Assoc"},{"key":"2399_CR21","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.jvs.2018.04.047","volume":"69","author":"H Yammine","year":"2019","unstructured":"Yammine H, Briggs CS, Stanley GA, Ballast JK, Anderson WE, Nussbaum T, Madjarov J, Frederick JR, Arko FR 3rd (2019) Retrograde type A dissection after thoracic endovascular aortic repair for type B aortic dissection. J Vasc Surg 69:24\u201333","journal-title":"J Vasc Surg"},{"key":"2399_CR22","doi-asserted-by":"publisher","first-page":"S882","DOI":"10.1016\/j.athoracsur.2006.10.090","volume":"83","author":"A Khoynezhad","year":"2007","unstructured":"Khoynezhad A, Donayre CE, Bui H, Kopchok GE, Walot I, White RA (2007) Risk factors of neurologic deficit after thoracic aortic endografting. Ann Thorac Surg 83:S882\u2013S889","journal-title":"Ann Thorac Surg"},{"key":"2399_CR23","doi-asserted-by":"publisher","first-page":"37","DOI":"10.1583\/11-3578.1","volume":"19","author":"M Czerny","year":"2012","unstructured":"Czerny M, Eggebrecht H, Sodeck G, Verzini F, Cao P, Maritati G, Riambau V, Beyersdorf F, Rylski B, Funovics M, Loewe C, Schmidli J, Tozzi P, Weigang E, Kuratani T, Livi U, Esposito G, Trimarchi S, van den Berg JC, Fu W, Chiesa R, Melissano G, Bertoglio L, Lonn L, Schuster I, Grimm M (2012) Mechanisms of symptomatic spinal cord ischemia after TEVAR: insights from the European Registry of Endovascular Aortic Repair Complications (EuREC). J Endovasc Ther 19:37\u201343","journal-title":"J Endovasc Ther"},{"key":"2399_CR24","doi-asserted-by":"publisher","first-page":"e165","DOI":"10.1093\/ejcts\/ezt291","volume":"44","author":"M Nozdrzykowski","year":"2013","unstructured":"Nozdrzykowski M, Etz CD, Luehr M, Garbade J, Misfeld M, Borger MA, Mohr FW (2013) Optimal treatment for patients with chronic Stanford type B aortic dissection: endovascularly, surgically or both? Eur J Cardiothorac Surg 44:e165\u2013e174","journal-title":"Eur J Cardiothorac Surg"},{"key":"2399_CR25","doi-asserted-by":"publisher","first-page":"965","DOI":"10.1016\/j.athoracsur.2007.11.013","volume":"85","author":"J Bozinovski","year":"2008","unstructured":"Bozinovski J, Coselli JS (2008) Outcomes and survival in surgical treatment of descending thoracic aorta with acute dissection. Ann Thorac Surg 85:965\u2013970","journal-title":"Ann Thorac Surg"},{"key":"2399_CR26","doi-asserted-by":"publisher","first-page":"1973","DOI":"10.1016\/j.jtcvs.2018.01.020","volume":"155","author":"BG Leshnower","year":"2018","unstructured":"Leshnower BG (2018) Better candy for the false lumen. J Thorac Cardiovasc Surg 155:1973","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2399_CR27","doi-asserted-by":"publisher","first-page":"1458","DOI":"10.1016\/j.athoracsur.2010.02.014","volume":"89","author":"S Zoli","year":"2010","unstructured":"Zoli S, Etz CD, Roder F, Mueller CS, Brenner RM, Bodian CA, Di Luozzo G, Griepp RB (2010) Long-term survival after open repair of chronic distal aortic dissection. Ann Thorac Surg 89:1458\u20131466","journal-title":"Ann Thorac Surg"},{"key":"2399_CR28","doi-asserted-by":"publisher","first-page":"849","DOI":"10.1007\/s00380-023-02234-z","volume":"38","author":"K Yamana","year":"2023","unstructured":"Yamana K, Takami Y, Niwa W, Matsuhashi K, Sakurai Y, Amano K, Akita K, Maekawa A, Takagi Y (2023) Mid-term results of distal anastomosis to the true lumen for chronic type B aortic dissection. Heart Vessels 38:849\u2013856","journal-title":"Heart Vessels"},{"key":"2399_CR29","doi-asserted-by":"publisher","first-page":"154","DOI":"10.1007\/s11748-017-0818-5","volume":"67","author":"J Fleerakkers","year":"2019","unstructured":"Fleerakkers J, Schepens M (2019) How should we manage type B aortic dissections? Gen Thorac Cardiovasc Surg 67:154\u2013160","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2399_CR30","doi-asserted-by":"publisher","first-page":"1559","DOI":"10.1016\/j.athoracsur.2018.10.045","volume":"107","author":"M Boufi","year":"2019","unstructured":"Boufi M, Patterson BO, Loundou AD, Boyer L, Grima MJ, Loftus IM, Holt PJ (2019) Endovascular versus open repair for chronic type b dissection treatment: a meta-analysis. Ann Thorac Surg 107:1559\u20131570","journal-title":"Ann Thorac Surg"},{"key":"2399_CR31","doi-asserted-by":"publisher","first-page":"294","DOI":"10.1016\/j.avsg.2021.10.046","volume":"82","author":"M Ryomoto","year":"2022","unstructured":"Ryomoto M, Sakaguchi T, Tanaka H, Yamamura M, Sekiya N, Yajima S, Uemura H, Sato A (2022) Surgical strategy for chronic type B dissecting aortic aneurysm to prevent aorta-related events. Ann Vasc Surg 82:294\u2013302","journal-title":"Ann Vasc Surg"},{"key":"2399_CR32","doi-asserted-by":"publisher","first-page":"1260","DOI":"10.1016\/j.athoracsur.2014.11.037","volume":"99","author":"GH van Bogerijen","year":"2015","unstructured":"van Bogerijen GH, Patel HJ, Williams DM, Yang B, Dasika NL, Eliason JL, Deeb GM (2015) Propensity adjusted analysis of open and endovascular thoracic aortic repair for chronic type B dissection: a twenty-year evaluation. Ann Thorac Surg 99:1260\u20131266","journal-title":"Ann Thorac Surg"},{"key":"2399_CR33","doi-asserted-by":"publisher","first-page":"1220","DOI":"10.1016\/j.jvs.2013.05.031","volume":"58","author":"JL Tolenaar","year":"2013","unstructured":"Tolenaar JL, van Keulen JW, Jonker FH, van Herwaarden JA, Verhagen HJ, Moll FL, Muhs BE, Trimarchi S (2013) Morphologic predictors of aortic dilatation in type B aortic dissection. J Vasc Surg 58:1220\u20131225","journal-title":"J Vasc Surg"},{"key":"2399_CR34","doi-asserted-by":"publisher","first-page":"1134","DOI":"10.1016\/j.jvs.2014.01.042","volume":"59","author":"GH van Bogerijen","year":"2014","unstructured":"van Bogerijen GH, Tolenaar JL, Rampoldi V, Moll FL, van Herwaarden JA, Jonker FH, Eagle KA, Trimarchi S (2014) Predictors of aortic growth in uncomplicated type B aortic dissection. J Vasc Surg 59:1134\u20131143","journal-title":"J Vasc Surg"}],"container-title":["Heart and Vessels"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00380-024-02399-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s00380-024-02399-1\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s00380-024-02399-1.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T13:04:46Z","timestamp":1724504686000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s00380-024-02399-1"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,27]]},"references-count":34,"journal-issue":{"issue":"9","published-print":{"date-parts":[[2024,9]]}},"alternative-id":["2399"],"URL":"https:\/\/doi.org\/10.1007\/s00380-024-02399-1","relation":{},"ISSN":["0910-8327","1615-2573"],"issn-type":[{"value":"0910-8327","type":"print"},{"value":"1615-2573","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,27]]},"assertion":[{"value":"8 November 2023","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"13 March 2024","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 March 2024","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"The authors declare that they have no conflict of interest.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Conflict of interest"}},{"value":"All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and\/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study protocol was approved by the Saitama Medical University International Medical Center Ethics Committee (ID: 19\u2013164; September 4, 2019).","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethical approval"}},{"value":"Verbal informed consent was obtained and writen informed consent was waived by the Saitama Medical University International Medical Center Ethics Committee. This research was retrospective and consisted of surveys with reports presented no more than minimal risk of harm to subjects and involved no procedures for which written consent is\u00a0normally required outside the research context.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Informed consent"}}]}}