{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T12:52:05Z","timestamp":1787748725190,"version":"build-2784847793"},"reference-count":33,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2023,10,1]],"date-time":"2023-10-01T00:00:00Z","timestamp":1696118400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"vor","delay-in-days":731,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"funder":[{"DOI":"10.13039\/501100012166","name":"National Key Research and Development Program of China","doi-asserted-by":"publisher","award":["2016YFC1301001"],"award-info":[{"award-number":["2016YFC1301001"]}],"id":[{"id":"10.13039\/501100012166","id-type":"DOI","asserted-by":"publisher"}]}],"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":[[2023,10]]},"DOI":"10.1016\/j.jtcvs.2021.12.049","type":"journal-article","created":{"date-parts":[[2022,1,14]],"date-time":"2022-01-14T02:08:29Z","timestamp":1642126109000},"page":"1023-1031.e15","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":16,"title":["Femoral artery cannulation increases the risk of postoperative stroke in patients with acute DeBakey I aortic dissection"],"prefix":"10.1016","volume":"166","author":[{"given":"Xiaomeng","family":"Wang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hong","family":"Wang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yongmin","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lizhong","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Junming","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaotong","family":"Hou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jtcvs.2021.12.049_bib1","doi-asserted-by":"crossref","first-page":"739","DOI":"10.1093\/eurheartj\/ehx319","article-title":"Acute aortic syndromes: diagnosis and management, an update","volume":"39","author":"Bossone","year":"2018","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib2","doi-asserted-by":"crossref","first-page":"18","DOI":"10.1016\/j.jtcvs.2019.02.045","article-title":"Cerebral protection strategies in aortic arch surgery: a network meta-analysis","volume":"159","author":"Hameed","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib3","doi-asserted-by":"crossref","first-page":"434","DOI":"10.1161\/CIRCULATIONAHA.110.009282","article-title":"Cerebral protection during surgery for acute aortic dissection type A: results of the German Registry for Acute Aortic Dissection type A (GERAADA)","volume":"124","author":"Kruger","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib4","doi-asserted-by":"crossref","first-page":"90","DOI":"10.1016\/j.athoracsur.2012.03.055","article-title":"Aortic arch repair with antegrade selective cerebral perfusion using mild to moderate hypothermia of more than 28 degrees C","volume":"94","author":"Numata","year":"2012","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib5","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","volume":"35","author":"Erbel","year":"2014","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib6","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1093\/ejcts\/ezv035","article-title":"Axillary versus femoral arterial cannulation in type A acute aortic dissection: evidence from a meta-analysis of comparative studies and adjusted risk estimates","volume":"48","author":"Benedetto","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib7","doi-asserted-by":"crossref","first-page":"S282","DOI":"10.1161\/CIRCULATIONAHA.108.844480","article-title":"Comparison of ascending aorta versus femoral artery cannulation for acute aortic dissection type A","volume":"120","author":"Kamiya","year":"2009","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib8","doi-asserted-by":"crossref","first-page":"310","DOI":"10.21037\/acs.2016.07.09","article-title":"Is the outcome in acute aortic dissection type A influenced by of femoral versus central cannulation?","volume":"5","author":"Klotz","year":"2016","journal-title":"Ann Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib9","doi-asserted-by":"crossref","first-page":"917","DOI":"10.1093\/ejcts\/ezu284","article-title":"Current trends in cannulation and neuroprotection during surgery of the aortic arch in Europe","volume":"47","author":"De Paulis","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib10","doi-asserted-by":"crossref","first-page":"772","DOI":"10.1016\/j.jtcvs.2019.02.112","article-title":"Axillary artery cannulation reduces early embolic stroke and mortality after open arch repair with circulatory arrest","volume":"159","author":"Kim","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib11","doi-asserted-by":"crossref","first-page":"971","DOI":"10.1161\/CIRCULATIONAHA.110.015081","article-title":"Total arch replacement combined with stented elephant trunk implantation: a new \"standard\" therapy for type a dissection involving repair of the aortic arch?","volume":"123","author":"Sun","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib12","doi-asserted-by":"crossref","first-page":"S175","DOI":"10.1161\/CIRCULATIONAHA.112.000327","article-title":"Stroke and outcomes in patients with acute type A aortic dissection","volume":"128","author":"Bossone","year":"2013","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib13","doi-asserted-by":"crossref","first-page":"1407","DOI":"10.1161\/CIRCULATIONAHA.110.010124","article-title":"Mortality and neurologic injury after surgical repair with hypothermic circulatory arrest in acute and chronic proximal thoracic aortic pathology","volume":"124","author":"Czerny","year":"2011","journal-title":"Circulation"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib14","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1016\/j.jtcvs.2016.02.063","article-title":"The effect of coronary angiography timing and use of cardiopulmonary bypass on acute kidney injury after coronary artery bypass graft surgery","volume":"152","author":"Kim","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib15","doi-asserted-by":"crossref","first-page":"2265","DOI":"10.1002\/(SICI)1097-0258(19981015)17:19<2265::AID-SIM918>3.0.CO;2-B","article-title":"Propensity score methods for bias reduction in the comparison of a treatment to a non-randomized control group","volume":"17","author":"D'Agostino","year":"1998","journal-title":"Stat Med"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib16","doi-asserted-by":"crossref","first-page":"496","DOI":"10.1080\/01621459.1999.10474144","article-title":"A proportional hazards model for the subdistribution of a competing risk","volume":"94","author":"Fine","year":"1999","journal-title":"J Am Stat Assoc"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib17","first-page":"706","article-title":"Use of median sternotomy with femoral artery cannulation in open cardiac surgery","volume":"108","author":"Lillehei","year":"1959","journal-title":"Surg Gynecol Obstet"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib18","doi-asserted-by":"crossref","first-page":"1619","DOI":"10.1016\/j.athoracsur.2008.01.048","article-title":"Management of intraoperative malperfusion syndrome using femoral artery cannulation for repair of acute type A aortic dissection","volume":"85","author":"Shimokawa","year":"2008","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib19","doi-asserted-by":"crossref","first-page":"2143","DOI":"10.1016\/j.jtcvs.2019.06.016","article-title":"Factors associated with acute stroke after type A aortic dissection repair: an analysis of the Society of Thoracic Surgeons national adult cardiac surgery database","volume":"159","author":"Ghoreishi","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib20","doi-asserted-by":"crossref","first-page":"1285","DOI":"10.1016\/j.athoracsur.2004.04.072","article-title":"Femoral cannulation is safe for type A dissection repair","volume":"78","author":"Fusco","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib21","doi-asserted-by":"crossref","first-page":"1219","DOI":"10.1016\/j.athoracsur.2006.10.068","article-title":"Axillary versus femoral cannulation for aortic surgery: enough evidence for a general recommendation?","volume":"83","author":"Gulbins","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib22","doi-asserted-by":"crossref","first-page":"408","DOI":"10.1093\/ejcts\/ezu268","article-title":"Which cannulation (axillary cannulation or femoral cannulation) is better for acute type A aortic dissection repair? A meta-analysis of nine clinical studies","volume":"47","author":"Ren","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib23","doi-asserted-by":"crossref","first-page":"937","DOI":"10.1093\/ejcts\/ezu534","article-title":"Innominate artery cannulation for proximal aortic surgery: outcomes and neurological events in 263 patients","volume":"48","author":"Preventza","year":"2015","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib24","doi-asserted-by":"crossref","first-page":"605","DOI":"10.1016\/j.ejcts.2008.04.045","article-title":"Staged repair of thoracic and thoracoabdominal aortic aneurysms using the elephant trunk technique: a consecutive series of 215 first stage and 120 complete repairs","volume":"34","author":"Etz","year":"2008","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib25","doi-asserted-by":"crossref","first-page":"1274","DOI":"10.1016\/j.athoracsur.2004.04.063","article-title":"Does the arterial cannulation site for circulatory arrest influence stroke risk?","volume":"78","author":"Svensson","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib26","first-page":"100","article-title":"State-of-the-art surgical management of acute type A aortic dissection","volume":"32","author":"El-Hamamsy","year":"2016","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib27","doi-asserted-by":"crossref","first-page":"784","DOI":"10.1016\/j.jtcvs.2019.02.097","article-title":"Echocardiography-guided aortic cannulation by the Seldinger technique for type A dissection with cerebral malperfusion","volume":"159","author":"Shimura","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib28","first-page":"117","article-title":"Innominate and axillary cannulation in aortic arch surgery provide similar neuroprotection","volume":"32","author":"Chu","year":"2016","journal-title":"Can J Cardiol"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib29","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1186\/s13019-020-01371-0","article-title":"Combined femoral and axillary perfusion strategy for Stanford type a aortic dissection repair","volume":"15","author":"Huang","year":"2020","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib30","doi-asserted-by":"crossref","first-page":"1068","DOI":"10.1093\/ejcts\/ezaa007","article-title":"Utility of double arterial cannulation for surgical repair of acute type A dissection","volume":"57","author":"Kusadokoro","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib31","doi-asserted-by":"crossref","first-page":"e0211900","DOI":"10.1371\/journal.pone.0211900","article-title":"Double arterial cannulation strategy for acute type A aortic dissection repair: a 10-year single-institution experience","volume":"14","author":"Lin","year":"2019","journal-title":"PLoS One"},{"key":"10.1016\/j.jtcvs.2021.12.049_bib32","doi-asserted-by":"crossref","first-page":"1609","DOI":"10.1056\/NEJMoa1514616","article-title":"Transcatheter or surgical aortic-valve replacement in intermediate-risk patients","volume":"374","author":"Leon","year":"2016","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jtcvs.2021.12.049_bibE1","author":"Breiman"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522322000290?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522322000290?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T15:18:19Z","timestamp":1759331899000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522322000290"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,10]]},"references-count":33,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2023,10]]}},"alternative-id":["S0022522322000290"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2021.12.049","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2023,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Femoral artery cannulation increases the risk of postoperative stroke in patients with acute DeBakey I aortic dissection","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.2021.12.049","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}