{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T08:07:55Z","timestamp":1784966875701,"version":"3.55.0"},"reference-count":21,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2011,12,1]],"date-time":"2011-12-01T00:00:00Z","timestamp":1322697600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2016,7,6]],"date-time":"2016-07-06T00:00:00Z","timestamp":1467763200000},"content-version":"vor","delay-in-days":1679,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jtcvsonline.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"published-print":{"date-parts":[[2011,12]]},"DOI":"10.1016\/j.jtcvs.2011.05.004","type":"journal-article","created":{"date-parts":[[2011,6,25]],"date-time":"2011-06-25T00:15:39Z","timestamp":1308960939000},"page":"1540-1544","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":60,"title":["Lack of neurologic improvement after aortic repair for acute type A aortic dissection complicated by cerebral malperfusion: Predictors and association with survival"],"prefix":"10.1016","volume":"142","author":[{"given":"Naoto","family":"Morimoto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kenji","family":"Okada","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yutaka","family":"Okita","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtcvs.2011.05.004_bib1","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1016\/j.jtcvs.2009.04.059","article-title":"Surgical risk of preoperative malperfusion in acute type A dissection","volume":"138","author":"Girdaukas","year":"2009","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib2","doi-asserted-by":"crossref","first-page":"1404","DOI":"10.1016\/j.jtcvs.2006.07.026","article-title":"Acute type A aortic dissection complicated by stroke: can immediate repair be performed safely?","volume":"132","author":"Estrera","year":"2006","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib3","doi-asserted-by":"crossref","first-page":"486","DOI":"10.1161\/01.STR.0000110219.67054.BF","article-title":"Differential pattern of tissue plasminogen activator\u2013induced proximal middle cerebral artery recanalization among stroke subtypes","volume":"35","author":"Molina","year":"2004","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib4","doi-asserted-by":"crossref","first-page":"e27","DOI":"10.1016\/j.athoracsur.2008.11.041","article-title":"Controlled earlier reperfusion for brain ischemia caused by acute aortic dissection","volume":"87","author":"Munakata","year":"2009","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib5","doi-asserted-by":"crossref","first-page":"46","DOI":"10.1016\/S0022-5223(19)34835-4","article-title":"Surgery for acute dissection of ascending aorta. Should the arch be included?","volume":"104","author":"Crawford","year":"1992","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib6","doi-asserted-by":"crossref","first-page":"864","DOI":"10.1161\/01.STR.20.7.864","article-title":"Measurements of acute cerebral infarction: a clinical examination scale","volume":"20","author":"Brott","year":"1989","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib7","doi-asserted-by":"crossref","first-page":"2119","DOI":"10.1161\/01.STR.28.11.2119","article-title":"Generalized efficacy of t-PA for acute stroke: subgroup analysis of the NINDS t-PA stroke trial","volume":"28","year":"1997","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib8","doi-asserted-by":"crossref","first-page":"362","DOI":"10.1161\/01.STR.25.2.362","article-title":"Serial assessment of acute stroke of acute stroke using the NIH stroke scale","volume":"25","author":"Wityk","year":"1994","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib9","doi-asserted-by":"crossref","first-page":"871","DOI":"10.1161\/01.STR.20.7.871","article-title":"Measurements of acute cerebral infarction: lesion size by computed tomography","volume":"20","author":"Brott","year":"1989","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib10","first-page":"I257","article-title":"Surgical management of acute aortic dissection complicated by stroke","volume":"80","author":"Fann","year":"1989","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib11","doi-asserted-by":"crossref","first-page":"807","DOI":"10.1016\/S0022-5223(95)70366-7","article-title":"Intentional delayed repair of acute dissection of the ascending aorta complicated by stroke","volume":"109","author":"Piccione","year":"1995","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib12","doi-asserted-by":"crossref","first-page":"321","DOI":"10.1055\/s-2005-865759","article-title":"Delayed repair of Stanford type-A dissection following fulminant cerebral infarction","volume":"53","author":"Eren","year":"2005","journal-title":"Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib13","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/S0022-5223(03)00358-1","article-title":"Intentional delay of surgery for acute type A dissection with stroke","volume":"126","author":"Fukuda","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib14","doi-asserted-by":"crossref","first-page":"45","DOI":"10.1016\/0741-5214(90)90327-7","article-title":"Timing of carotid endarterectomy after acute stroke","volume":"11","author":"Piotrowski","year":"1990","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib15","doi-asserted-by":"crossref","first-page":"225","DOI":"10.1159\/000057847","article-title":"Early detection of cerebral arterial occlusion on magnetic resonance angiography: predictive value of the baseline NIHSS score and impact on neurological outcome","volume":"13","author":"Derex","year":"2002","journal-title":"Cerebrovasc Dis"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib16","doi-asserted-by":"crossref","first-page":"2598","DOI":"10.1161\/01.STR.30.12.2598","article-title":"Combined intravenous and intra-arterial r-TPA versus intra-arterial therapy of acute ischemic stroke: Emergency Management of Stroke (EMS) Bridging Trial","volume":"30","author":"Lewandowski","year":"1999","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib17","first-page":"238","article-title":"Relationships between angiographic findings and National Institute of Health Stroke Scale score in cases of hyperacute carotid ischemic stroke","volume":"25","author":"Nakajima","year":"2004","journal-title":"AJNR Am J Neuroradiol"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib18","doi-asserted-by":"crossref","first-page":"2121","DOI":"10.1161\/01.STR.0000182099.04994.fc","article-title":"NIHSS score and arteriographic findings in acute ischemic stroke","volume":"36","author":"Fischer","year":"2005","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib19","series-title":"Clinical Trials.gov registry [Internet]","year":"1993"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib20","doi-asserted-by":"crossref","first-page":"2988","DOI":"10.1161\/STROKEAHA.109.555664","article-title":"National Institutes of Health Stroke Scale score is poorly predictive of proximal occlusion in acute cerebral ischemia","volume":"40","author":"Maas","year":"2009","journal-title":"Stroke"},{"key":"10.1016\/j.jtcvs.2011.05.004_bib21","doi-asserted-by":"crossref","first-page":"1348","DOI":"10.1016\/j.athoracsur.2005.09.076","article-title":"Coma might not preclude emergency operation in acute aortic dissection","volume":"81","author":"Pocar","year":"2006","journal-title":"Ann Thorac Surg"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522311004831?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522311004831?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,9,20]],"date-time":"2025-09-20T16:49:04Z","timestamp":1758386944000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522311004831"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,12]]},"references-count":21,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["S0022522311004831"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2011.05.004","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2011,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Lack of neurologic improvement after aortic repair for acute type A aortic dissection complicated by cerebral malperfusion: Predictors and association with survival","name":"articletitle","label":"Article Title"},{"value":"The Journal of Thoracic and Cardiovascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jtcvs.2011.05.004","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2011 The American Association for Thoracic Surgery. Published by Mosby, Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}