{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T23:38:47Z","timestamp":1780097927313,"version":"3.54.0"},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"6","license":[{"start":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T00:00:00Z","timestamp":1666051200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T00:00:00Z","timestamp":1666051200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["Gen Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2023,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>Total arch replacement is commonly used for acute aortic dissection type A at some facilities, especially since open stent grafting became commercially available in Japan. Left subclavian artery (LSCA) reconstruction involves deep view manipulation, is difficult to expose and anastomose, and involves the risk of complications and surrounding vascular injury.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>We evaluated 137 patients (mean age 73.8\u2009\u00b1\u200915.6\u00a0years) who underwent total arch replacement for acute aortic dissection type A, at our hospital between September 2014 and March 2022, and divided them into two groups: 70 patients for total arch replacement with fenestrated open stent technique (FeneOS), and 67 for conventional total arch replacement with the reconstruction of three-branch cerebral vessels. We performed FeneOS by deploying the graft from the entry of the left subclavian artery into the descending aorta and fenestrating the LSCA side of the stenting portion. The four-branched artificial vessel was then anastomosed between the left common carotid artery and LSCA.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>The surgical results of FeneOS were satisfactory and enabled significant reductions in operative time, selective cerebral perfusion time, cardiopulmonary bypass time, and lower body circulatory arrest time. Long-term observation (mean follow-up\u2009=\u20095.5\u00a0years) showed no left recurrent laryngeal nerve palsy or postoperative problems with left subclavian artery blood flow.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>FeneOS can minimize LSCA exposure because there is no need for LSCA reconstruction, reducing operation time and avoiding the risk of left recurrent laryngeal nerve injury and bleeding problems associated with LSCA exposure and anastomosis during left subclavian artery exposure.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s11748-022-01878-4","type":"journal-article","created":{"date-parts":[[2022,10,18]],"date-time":"2022-10-18T09:03:15Z","timestamp":1666083795000},"page":"331-338","update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Postoperative results of the in situ fenestrated open stent technique for acute aortic dissection type A"],"prefix":"10.1007","volume":"71","author":[{"given":"Shuhei","family":"Azuma","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ryo","family":"Shimada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yoshikazu","family":"Motohashi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yasuyoshi","family":"Yoshii","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,10,18]]},"reference":[{"key":"1878_CR1","doi-asserted-by":"publisher","first-page":"671","DOI":"10.1016\/S1010-7940(02)00019-2","volume":"21","author":"AL Hamdan","year":"2002","unstructured":"Hamdan AL, Moukarbel RV, Farhat F, Obeid M. Vocal cord paralysis after open-heart surgery. Eur J Cardiothorac Surg. 2002;21:671\u20134.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1878_CR2","doi-asserted-by":"publisher","first-page":"1270","DOI":"10.1093\/ejcts\/ezv310","volume":"49","author":"N Uchida","year":"2016","unstructured":"Uchida N, Katayama A, Higashiue S, Shiono M, Hata M, Minami K, et al. A new device as an open stent graft for extended aortic repair: a multicenter early experience in Japan. Eur J Cardiothorac Surg. 2016;49:1270\u20138.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1878_CR3","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1177\/0218492320951304","volume":"29","author":"Y Okita","year":"2021","unstructured":"Okita Y. Frozen elephant trunk usage in acute aortic dissection. Asian Cardiovasc Thorac Ann. 2021;29:612\u20138.","journal-title":"Asian Cardiovasc Thorac Ann"},{"key":"1878_CR4","doi-asserted-by":"publisher","first-page":"111","DOI":"10.1093\/ejcts\/ezv045","volume":"49","author":"DS Dohle","year":"2016","unstructured":"Dohle DS, Tsagakis K, Janosi RA, Benedik J, K\u00fchl H, Penkova L, et al. Aortic remodelling in aortic dissection after frozen elephant trunk. Eur J Cardiothorac Surg. 2016;49:111\u20137.","journal-title":"Eur J Cardiothorac Surg"},{"key":"1878_CR5","doi-asserted-by":"publisher","first-page":"875","DOI":"10.1093\/icvts\/ivx387","volume":"26","author":"A Morisaki","year":"2018","unstructured":"Morisaki A, Isomura T, Fukada Y, Yoshida M. Kinking of an open stent graft after total arch replacement with the frozen elephant technique for acute Type A aortic dissection. Interact Cardiovasc Thorac Surg. 2018;26:875\u20137.","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"1878_CR6","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1007\/s00380-018-1246-x","volume":"34","author":"M Tochii","year":"2019","unstructured":"Tochii M, Takami Y, Ishikawa H, Ishida M, Higuchi Y, Sakurai Y, et al. Aortic remodeling with frozen elephant trunk technique for Standard type A aortic dissection using Japanese J-graft open stent graft. Heart Vessels. 2019;34:307\u201315.","journal-title":"Heart Vessels"},{"key":"1878_CR7","doi-asserted-by":"publisher","first-page":"765","DOI":"10.1093\/ejcts\/ezaa411","volume":"59","author":"H Okamura","year":"2021","unstructured":"Okamura H, Kitada Y, Miyagawa A, Mamoru A, Adachi. Clinical outcomes of a fenestrated frozen elephant trunk technique for acute type A aortic dissection. Eur J Cardiothorac Surg. 2021;59:765\u201372.","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["General Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11748-022-01878-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1007\/s11748-022-01878-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1007\/s11748-022-01878-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,16]],"date-time":"2023-05-16T17:17:28Z","timestamp":1684257448000},"score":1,"resource":{"primary":{"URL":"https:\/\/link.springer.com\/10.1007\/s11748-022-01878-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,10,18]]},"references-count":7,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2023,6]]}},"alternative-id":["1878"],"URL":"https:\/\/doi.org\/10.1007\/s11748-022-01878-4","relation":{},"ISSN":["1863-6705","1863-6713"],"issn-type":[{"value":"1863-6705","type":"print"},{"value":"1863-6713","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,10,18]]},"assertion":[{"value":"6 August 2022","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 September 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"18 October 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}]}}