{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,16]],"date-time":"2026-05-16T20:59:43Z","timestamp":1778965183995,"version":"3.51.4"},"reference-count":39,"publisher":"Elsevier BV","issue":"4","license":[{"start":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T00:00:00Z","timestamp":1364774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2013,4,1]],"date-time":"2013-04-01T00:00:00Z","timestamp":1364774400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2015,4,1]],"date-time":"2015-04-01T00:00:00Z","timestamp":1427846400000},"content-version":"vor","delay-in-days":730,"URL":"http:\/\/www.elsevier.com\/open-access\/userlicense\/1.0\/"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","jvascsurg.org","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Vascular Surgery"],"published-print":{"date-parts":[[2013,4]]},"DOI":"10.1016\/j.jvs.2012.10.079","type":"journal-article","created":{"date-parts":[[2013,1,18]],"date-time":"2013-01-18T12:46:22Z","timestamp":1358513182000},"page":"1023-1029","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":43,"title":["Management of limb ischemia in acute proximal aortic dissection"],"prefix":"10.1016","volume":"57","author":[{"given":"Kristofer M.","family":"Charlton-Ouw","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaji","family":"Sritharan","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Samuel S.","family":"Leake","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Harleen K.","family":"Sandhu","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"suffix":"III","given":"Charles C.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ali","family":"Azizzadeh","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hazim J.","family":"Safi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anthony L.","family":"Estrera","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvs.2012.10.079_bib1","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1378\/chest.117.5.1271","article-title":"Epidemiology and clinicopathology of aortic dissection","volume":"117","author":"Meszaros","year":"2000","journal-title":"Chest"},{"key":"10.1016\/j.jvs.2012.10.079_bib2","series-title":"Dissecting aneurysms","author":"Sheenan","year":"1934"},{"key":"10.1016\/j.jvs.2012.10.079_bib3","doi-asserted-by":"crossref","first-page":"217","DOI":"10.1097\/00005792-195809000-00003","article-title":"Dissecting aneurysm of the aorta: a review of 505 cases","volume":"37","author":"Hirst","year":"1958","journal-title":"Medicine (Baltimore)"},{"key":"10.1016\/j.jvs.2012.10.079_bib4","doi-asserted-by":"crossref","first-page":"112","DOI":"10.1016\/j.jtcvs.2004.09.005","article-title":"Contemporary results of surgery in acute type A aortic dissection: the International Registry of Acute Aortic Dissection experience","volume":"129","author":"Trimarchi","year":"2005","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib5","doi-asserted-by":"crossref","first-page":"255","DOI":"10.1016\/j.ejcts.2007.04.012","article-title":"Significance of malperfusion syndromes prior to contemporary surgical repair for acute type A dissection: outcomes and need for additional revascularizations","volume":"32","author":"Geirsson","year":"2007","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib6","article-title":"Dissecting aneurysm of the aorta: diagnosis and operative relief of acute arterial obstruction due to this cause","volume":"35","author":"Gurin","year":"1935","journal-title":"NY State J Med"},{"key":"10.1016\/j.jvs.2012.10.079_bib7","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1016\/j.ijcard.2006.03.013","article-title":"Clinical presentation is the main predictor of in-hospital death for patients with acute type A aortic dissection admitted for surgical treatment: a 25 years experience","volume":"115","author":"Santini","year":"2007","journal-title":"Int J Cardiol"},{"key":"10.1016\/j.jvs.2012.10.079_bib8","doi-asserted-by":"crossref","first-page":"140","DOI":"10.1038\/ncpcardio1417","article-title":"Observational study of mortality risk stratification by ischemic presentation in patients with acute type A aortic dissection: the Penn classification","volume":"6","author":"Augoustides","year":"2009","journal-title":"Nat Clin Pract Cardiovasc Med"},{"key":"10.1016\/j.jvs.2012.10.079_bib9","doi-asserted-by":"crossref","first-page":"705","DOI":"10.1097\/00000658-199012000-00009","article-title":"Treatment of patients with aortic dissection presenting with peripheral vascular complications","volume":"212","author":"Fann","year":"1990","journal-title":"Ann Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib10","doi-asserted-by":"crossref","first-page":"748","DOI":"10.1111\/j.1540-8191.1994.tb00910.x","article-title":"Malperfusion of the thoracoabdominal vasculature in aortic dissection","volume":"9","author":"Heinemann","year":"1994","journal-title":"J\u00a0Card Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib11","doi-asserted-by":"crossref","first-page":"2099","DOI":"10.1016\/j.athoracsur.2007.07.011","article-title":"Ileofemoral malperfusion complicating type a dissection: revascularization prevents renal failure","volume":"84","author":"Long","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib12","doi-asserted-by":"crossref","first-page":"2097","DOI":"10.1016\/j.athoracsur.2007.06.077","article-title":"Delayed repair of acute type A aortic dissection in a patient with gastrointestinal bleeding and pulse deficit","volume":"84","author":"Di Luozzo","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib13","doi-asserted-by":"crossref","first-page":"85","DOI":"10.1007\/s11748-006-0080-8","article-title":"Management of vital organ malperfusion in acute aortic dissection: proposal of a mechanism-specific approach","volume":"55","author":"Shiiya","year":"2007","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib14","doi-asserted-by":"crossref","first-page":"190","DOI":"10.1177\/1531003508320227","article-title":"Aortic dissection with aortic side branch compromise: impact of malperfusion on patient outcome","volume":"20","author":"Oderich","year":"2008","journal-title":"Perspect Vasc Surg Endovasc Ther"},{"key":"10.1016\/j.jvs.2012.10.079_bib15","doi-asserted-by":"crossref","first-page":"1288","DOI":"10.1016\/j.jtcvs.2008.01.026","article-title":"Operative delay for peripheral malperfusion syndrome in acute type A aortic dissection: a long-term analysis","volume":"135","author":"Patel","year":"2008","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib16","doi-asserted-by":"crossref","first-page":"1363","DOI":"10.1016\/j.jtcvs.2009.04.059","article-title":"Surgical risk of\u00a0preoperative malperfusion in acute type A aortic dissection","volume":"138","author":"Girdauskas","year":"2009","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib17","doi-asserted-by":"crossref","first-page":"4","DOI":"10.1186\/1749-8090-5-4","article-title":"Acute complex type A dissection associated with peripheral malperfusion syndrome treated with a staged approach guided by lactate levels","volume":"5","author":"Suliman","year":"2010","journal-title":"J\u00a0Cardiothorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib18","doi-asserted-by":"crossref","first-page":"220","DOI":"10.1111\/j.1540-8191.2009.00991.x","article-title":"Novel approach to the treatment of distal malperfusion secondary to ascending aortic dissection","volume":"25","author":"Parsa","year":"2010","journal-title":"J\u00a0Card Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib19","doi-asserted-by":"crossref","first-page":"1118","DOI":"10.1016\/S0022-5223(99)70248-5","article-title":"Percutaneous balloon fenestration and stenting for life-threatening ischemic complications in patients with acute aortic dissection","volume":"117","author":"Slonim","year":"1999","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib20","doi-asserted-by":"crossref","first-page":"542","DOI":"10.1016\/j.athoracsur.2005.07.047","article-title":"Acute renal failure after cardiac surgery: evaluation of the rifle classification","volume":"81","author":"Kuitunen","year":"2006","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib21","doi-asserted-by":"crossref","first-page":"R16","DOI":"10.1186\/cc9960","article-title":"Clinical accuracy of rifle and acute kidney injury network (akin) criteria for acute kidney injury in patients undergoing cardiac surgery","volume":"15","author":"Englberger","year":"2011","journal-title":"Crit Care"},{"key":"10.1016\/j.jvs.2012.10.079_bib22","doi-asserted-by":"crossref","first-page":"S160","DOI":"10.1161\/CIRCULATIONAHA.107.757419","article-title":"Ascending and transverse aortic arch repair: the impact of retrograde cerebral perfusion","volume":"118","author":"Estrera","year":"2008","journal-title":"Circulation"},{"key":"10.1016\/j.jvs.2012.10.079_bib23","doi-asserted-by":"crossref","first-page":"277","DOI":"10.1016\/j.jtcvs.2004.08.052","article-title":"Cerebral monitoring with transcranial doppler ultrasonography improves neurologic outcome during repairs of acute type A aortic dissection","volume":"129","author":"Estrera","year":"2005","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib24","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\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib25","doi-asserted-by":"crossref","first-page":"353","DOI":"10.1002\/clc.4960220511","article-title":"ILEAD\u2014Ischemia of the lower extremities due to aortic dissection: the isolated presentation","volume":"22","author":"Pacifico","year":"1999","journal-title":"Clin Cardiol"},{"key":"10.1016\/j.jvs.2012.10.079_bib26","doi-asserted-by":"crossref","first-page":"406","DOI":"10.1016\/j.jemermed.2009.02.018","article-title":"Aortic dissection presenting as isolated lower leg ischemia","volume":"42","author":"Marcantonio","year":"2012","journal-title":"J\u00a0Emerg Med"},{"key":"10.1016\/j.jvs.2012.10.079_bib27","doi-asserted-by":"crossref","first-page":"1063.e7","DOI":"10.1016\/j.ajem.2010.01.034","article-title":"Aortic dissection presenting as left leg numbness and paralysis","volume":"28","author":"Barbic","year":"2010","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jvs.2012.10.079_bib28","doi-asserted-by":"crossref","first-page":"1061.e1","DOI":"10.1016\/j.ajem.2010.01.028","article-title":"Aortic dissection presenting as isolated lower extremity pain in a young man","volume":"28","author":"Huang","year":"2010","journal-title":"Am J Emerg Med"},{"key":"10.1016\/j.jvs.2012.10.079_bib29","first-page":"211","article-title":"Aortic dissection presenting as acute lower extremity ischemia: report of a case","volume":"75","author":"Liu","year":"2002","journal-title":"Yale J Biol Med"},{"key":"10.1016\/j.jvs.2012.10.079_bib30","doi-asserted-by":"crossref","first-page":"1246","DOI":"10.1016\/j.athoracsur.2010.05.069","article-title":"Risk analysis for hospital mortality in patients with acute type a aortic dissection","volume":"90","author":"Goda","year":"2010","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib31","first-page":"89","article-title":"Collateral circulation in occlusion of lower limbs arteries: an anatomical study and statistical research in 35 old subjects","volume":"101","author":"Macchi","year":"1996","journal-title":"It J Anat Embryol"},{"key":"10.1016\/j.jvs.2012.10.079_bib32","doi-asserted-by":"crossref","first-page":"W519","DOI":"10.2214\/AJR.10.5896","article-title":"Common and rare collateral pathways in aortoiliac occlusive disease: a pictorial essay","volume":"197","author":"Hardman","year":"2011","journal-title":"AJR Am J Roentgenol"},{"key":"10.1016\/j.jvs.2012.10.079_bib33","doi-asserted-by":"crossref","first-page":"1309","DOI":"10.1016\/j.athoracsur.2003.09.056","article-title":"Management strategies for type A dissection complicated by peripheral vascular malperfusion","volume":"77","author":"Girardi","year":"2004","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib34","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.1067\/mva.2001.115377","article-title":"Contemporary management of aortic branch compromise resulting from acute aortic dissection","volume":"33","author":"Lauterbach","year":"2001","journal-title":"J\u00a0Vasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib35","doi-asserted-by":"crossref","first-page":"S98","DOI":"10.1016\/j.jtcvs.2010.07.036","article-title":"Treatment for malperfusion syndrome in acute type A and B aortic dissection: a long-term analysis","volume":"140","author":"Deeb","year":"2010","journal-title":"J\u00a0Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib36","doi-asserted-by":"crossref","first-page":"1669","DOI":"10.1016\/S0003-4975(97)01100-4","article-title":"Surgical delay for acute type A dissection with malperfusion","volume":"64","author":"Deeb","year":"1997","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib37","doi-asserted-by":"crossref","first-page":"851","DOI":"10.1016\/S0002-9149(02)02198-7","article-title":"Usefulness of pulse deficit to predict in-hospital complications and mortality in patients with acute type A aortic dissection","volume":"89","author":"Bossone","year":"2002","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jvs.2012.10.079_bib38","doi-asserted-by":"crossref","first-page":"388","DOI":"10.1016\/j.ejvs.2008.12.020","article-title":"Serum myoglobin and renal morbidity and mortality following thoracic and thoraco-abdominal aortic repair: does rhabdomyolysis play a role?","volume":"37","author":"Miller","year":"2009","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"10.1016\/j.jvs.2012.10.079_bib39","doi-asserted-by":"crossref","first-page":"691","DOI":"10.1016\/j.ejcts.2008.01.006","article-title":"Intraoperative skeletal muscle ischemia contributes to risk of renal dysfunction following thoracoabdominal aortic repair","volume":"33","author":"Miller","year":"2008","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Journal of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521412022495?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521412022495?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,9]],"date-time":"2025-10-09T20:17:38Z","timestamp":1760041058000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0741521412022495"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,4]]},"references-count":39,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2013,4]]}},"alternative-id":["S0741521412022495"],"URL":"https:\/\/doi.org\/10.1016\/j.jvs.2012.10.079","relation":{},"ISSN":["0741-5214"],"issn-type":[{"value":"0741-5214","type":"print"}],"subject":[],"published":{"date-parts":[[2013,4]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Management of limb ischemia in acute proximal aortic dissection","name":"articletitle","label":"Article Title"},{"value":"Journal of Vascular Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jvs.2012.10.079","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"Copyright \u00a9 2013 Society for Vascular Surgery. Published by Elsevier Inc. All rights reserved.","name":"copyright","label":"Copyright"}]}}