{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T14:57:00Z","timestamp":1778597820451,"version":"3.51.4"},"reference-count":27,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T00:00:00Z","timestamp":1759276800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"funder":[{"DOI":"10.13039\/501100004826","name":"Beijing Natural Science Foundation","doi-asserted-by":"publisher","award":["7232037"],"award-info":[{"award-number":["7232037"]}],"id":[{"id":"10.13039\/501100004826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004826","name":"Beijing Natural Science Foundation","doi-asserted-by":"publisher","award":["L232030"],"award-info":[{"award-number":["L232030"]}],"id":[{"id":"10.13039\/501100004826","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100009592","name":"Beijing Municipal Science and Technology Commission","doi-asserted-by":"publisher","award":["Z221100007422015"],"award-info":[{"award-number":["Z221100007422015"]}],"id":[{"id":"10.13039\/501100009592","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100016126","name":"Beijing Hospitals Authority","doi-asserted-by":"publisher","award":["ZLRL202317"],"award-info":[{"award-number":["ZLRL202317"]}],"id":[{"id":"10.13039\/100016126","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":[[2025,10]]},"DOI":"10.1016\/j.jtcvs.2024.11.034","type":"journal-article","created":{"date-parts":[[2024,12,4]],"date-time":"2024-12-04T11:49:27Z","timestamp":1733312967000},"page":"1006-1016.e9","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":3,"title":["Optimal circulatory arrest temperature for total aortic arch replacement: Outcomes of neurological complications"],"prefix":"10.1016","volume":"170","author":[{"given":"Yuan","family":"Xue","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yeting","family":"Lou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shipan","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yazhe","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xiaomeng","family":"Wang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Xuehuan","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yue","family":"Shi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Youjin","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiping","family":"Yang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongli","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gang","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Minjia","family":"Zhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jian","family":"Huang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Qingwu","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jihong","family":"Liu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haibo","family":"Wu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Duanduan","family":"Chen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wenjian","family":"Jiang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hongjia","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haiyang","family":"Li","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"issue":"5-6","key":"10.1016\/j.jtcvs.2024.11.034_bib1","doi-asserted-by":"crossref","first-page":"329","DOI":"10.1080\/14017431.2016.1240829","article-title":"The International Registry of Acute Aortic Dissections (IRAD) - experiences from the first 20 years","volume":"50","author":"Myrmel","year":"2016","journal-title":"Scand Cardiovasc J"},{"issue":"9","key":"10.1016\/j.jtcvs.2024.11.034_bib2","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.2024.11.034_bib3","doi-asserted-by":"crossref","DOI":"10.3389\/fcvm.2023.1109401","article-title":"Cardiopulmonary bypass for total aortic arch replacement surgery: a review of three techniques","volume":"10","author":"Cui","year":"2023","journal-title":"Front Cardiovasc Med"},{"issue":"1","key":"10.1016\/j.jtcvs.2024.11.034_bib4","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1016\/j.athoracsur.2024.01.021","article-title":"EACTS\/STS guidelines for diagnosing and treating acute and chronic syndromes of the aortic organ","volume":"118","author":"Czerny","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2024.11.034_bib5","doi-asserted-by":"crossref","first-page":"662","DOI":"10.1016\/j.jtcvs.2013.03.004","article-title":"Moderate hypothermia during aortic arch surgery is associated with reduced risk of early mortality","volume":"146","author":"Tsai","year":"2013","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2024.11.034_bib6","doi-asserted-by":"crossref","first-page":"E673","DOI":"10.1532\/hsf.3135","article-title":"Mild systemic hypothermic circulatory arrest using a frozen elephant trunk graft with endo-balloon occlusion for total arch replacement","volume":"23","author":"Goto","year":"2020","journal-title":"Heart Surg Forum"},{"issue":"6","key":"10.1016\/j.jtcvs.2024.11.034_bib7","doi-asserted-by":"crossref","first-page":"1893","DOI":"10.1016\/j.athoracsur.2021.01.027","article-title":"Moderate versus deep hypothermia in type A acute aortic dissection repair: insights from the International Registry of Acute Aortic Dissection","volume":"112","author":"Pupovac","year":"2021","journal-title":"Ann Thorac Surg"},{"issue":"3","key":"10.1016\/j.jtcvs.2024.11.034_bib8","doi-asserted-by":"crossref","first-page":"984","DOI":"10.1016\/j.jtcvs.2021.03.102","article-title":"Impact of time from symptom onset to operation on outcome of repair of acute type A aortic dissection with malperfusion","volume":"165","author":"Nakai","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"4","key":"10.1016\/j.jtcvs.2024.11.034_bib9","doi-asserted-by":"crossref","first-page":"1201","DOI":"10.1016\/j.jtcvs.2019.03.121","article-title":"Total aortic arch replacement with frozen elephant trunk technique: results from two European institutes","volume":"159","author":"Leone","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2024.11.034_bib10","doi-asserted-by":"crossref","first-page":"54","DOI":"10.1016\/j.athoracsur.2017.06.072","article-title":"Safety of moderate hypothermia with antegrade cerebral perfusion in total aortic arch replacement","volume":"105","author":"Keeling","year":"2018","journal-title":"Ann Thorac Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2024.11.034_bib11","doi-asserted-by":"crossref","first-page":"1011","DOI":"10.1016\/j.jtcvs.2016.09.044","article-title":"Moderate hypothermia at warmer temperatures is safe in elective proximal and total arch surgery: results in 665 patients","volume":"153","author":"Preventza","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2024.11.034_bib12","doi-asserted-by":"crossref","first-page":"1759","DOI":"10.1016\/j.jtcvs.2021.09.068","article-title":"Optimal circulatory arrest temperature for aortic hemiarch replacement with antegrade brain perfusion","volume":"165","author":"Seese","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2024.11.034_bib13","doi-asserted-by":"crossref","first-page":"266","DOI":"10.1177\/02676591221144169","article-title":"Clinical outcomes of mild versus moderate hypothermic circulatory arrest with antegrade cerebral perfusion in adult aortic arch surgery: a systematic review and meta-analysis","volume":"39","author":"Wang","year":"2024","journal-title":"Perfusion"},{"issue":"6","key":"10.1016\/j.jtcvs.2024.11.034_bib14","doi-asserted-by":"crossref","first-page":"1136","DOI":"10.1016\/j.athoracsur.2024.01.026","article-title":"Posterior false lumen and paraplegia after FET procedure in acute type A aortic dissection","volume":"117","author":"Wei","year":"2024","journal-title":"Ann Thorac Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2024.11.034_bib15","doi-asserted-by":"crossref","first-page":"323","DOI":"10.1186\/s13019-023-02448-2","article-title":"Early outcome of simplified total arch reconstruction under mild hypothermia (30-32 \u00b0C) with distal aortic perfusion","volume":"18","author":"Zheng","year":"2023","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.jtcvs.2024.11.034_bib16","article-title":"Optimal degree of hypothermia in total arch replacement for type A aortic dissection","volume":"8","author":"Wu","year":"2021","journal-title":"Front Cardiovasc Med"},{"issue":"6","key":"10.1016\/j.jtcvs.2024.11.034_bib17","doi-asserted-by":"crossref","first-page":"1559","DOI":"10.1016\/j.jtcvs.2016.08.014","article-title":"Does moderate hypothermia really carry less bleeding risk than deep hypothermia for circulatory arrest? A propensity-matched comparison in hemiarch replacement","volume":"152","author":"Keenan","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2024.11.034_bib18","doi-asserted-by":"crossref","first-page":"544","DOI":"10.1016\/j.jtcvs.2021.02.096","article-title":"The use of blood and blood products in aortic surgery is associated with adverse outcomes","volume":"165","author":"Sultan","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2024.11.034_bib19","first-page":"606","article-title":"Early- and medium-term results after aortic arch replacement with frozen elephant trunk techniques-a single center study","volume":"2","author":"Leontyev","year":"2013","journal-title":"Ann Cardiothorac Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2024.11.034_bib20","doi-asserted-by":"crossref","first-page":"106","DOI":"10.1007\/s00595-019-01853-2","article-title":"Spinal cord injury following aortic arch replacement","volume":"50","author":"Tokuda","year":"2020","journal-title":"Surg Today"},{"issue":"4","key":"10.1016\/j.jtcvs.2024.11.034_bib21","doi-asserted-by":"crossref","first-page":"1189","DOI":"10.1016\/j.jtcvs.2019.03.097","article-title":"Frozen elephant trunk does not increase incidence of paraplegia in patients with acute type A aortic dissection","volume":"159","author":"Poon","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"5","key":"10.1016\/j.jtcvs.2024.11.034_bib22","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1093\/icvts\/ivac013","article-title":"Risk factors for stroke after total aortic arch replacement using the frozen elephant trunk technique","volume":"34","author":"Berger","year":"2022","journal-title":"Interact Cardiovasc Thorac Surg"},{"issue":"6","key":"10.1016\/j.jtcvs.2024.11.034_bib23","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"},{"issue":"1","key":"10.1016\/j.jtcvs.2024.11.034_bib24","doi-asserted-by":"crossref","first-page":"456","DOI":"10.1016\/j.asjsur.2021.07.071","article-title":"Risk factors of cerebral complications after Stanford type A aortic dissection undergoing arch surgery","volume":"45","author":"Song","year":"2022","journal-title":"Asian J Surg"},{"issue":"2","key":"10.1016\/j.jtcvs.2024.11.034_bib25","doi-asserted-by":"crossref","first-page":"343","DOI":"10.1016\/j.jtcvs.2018.08.111","article-title":"Untreated distal intimal tears may be associated with paraplegia after total arch replacement and frozen elephant trunk treatment of acute Stanford type A aortic dissection","volume":"158","author":"Tan","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"1","key":"10.1016\/j.jtcvs.2024.11.034_bib26","doi-asserted-by":"crossref","first-page":"88","DOI":"10.1016\/j.athoracsur.2014.07.032","article-title":"Outcomes of surgery for chronic type A aortic dissection","volume":"99","author":"Rylski","year":"2015","journal-title":"Ann Thorac Surg"},{"issue":"10204","key":"10.1016\/j.jtcvs.2024.11.034_bib27","doi-asserted-by":"crossref","first-page":"1192","DOI":"10.1016\/S0140-6736(19)32136-1","article-title":"10 years of health-care reform in China: progress and gaps in Universal Health Coverage","volume":"394","author":"Yip","year":"2019","journal-title":"Lancet"}],"container-title":["The Journal of Thoracic and Cardiovascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522324011164?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0022522324011164?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,1]],"date-time":"2025-10-01T10:04:08Z","timestamp":1759313048000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0022522324011164"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,10]]},"references-count":27,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2025,10]]}},"alternative-id":["S0022522324011164"],"URL":"https:\/\/doi.org\/10.1016\/j.jtcvs.2024.11.034","relation":{},"ISSN":["0022-5223"],"issn-type":[{"value":"0022-5223","type":"print"}],"subject":[],"published":{"date-parts":[[2025,10]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Optimal circulatory arrest temperature for total aortic arch replacement: Outcomes of neurological complications","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.2024.11.034","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2024 by The American Association for Thoracic Surgery","name":"copyright","label":"Copyright"}]}}