{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,24]],"date-time":"2026-07-24T09:03:09Z","timestamp":1784883789967,"version":"3.55.0"},"reference-count":31,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2025,12,1]],"date-time":"2025-12-01T00:00:00Z","timestamp":1764547200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"}],"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":[[2025,12]]},"DOI":"10.1016\/j.jvs.2025.07.023","type":"journal-article","created":{"date-parts":[[2025,7,19]],"date-time":"2025-07-19T15:04:44Z","timestamp":1752937484000},"page":"1972-1981.e2","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":4,"title":["Impact of new classification from the Society for Vascular Surgery and Society of Thoracic Surgeons on acute Stanford type A aortic dissection"],"prefix":"10.1016","volume":"82","author":[{"given":"Yuki","family":"Ikeno","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Akiko","family":"Tanaka","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Michael J.","family":"Troncone","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ezra Y.","family":"Koh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Adrian","family":"Ramirez","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5710-7701","authenticated-orcid":false,"given":"Muhammad Arbaz","family":"Khan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Harleen","family":"Sandhu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"suffix":"3rd","given":"Charles C.","family":"Miller","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hazim J.","family":"Safi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony L.","family":"Estrera","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jvs.2025.07.023_bib1","doi-asserted-by":"crossref","first-page":"959","DOI":"10.1016\/j.athoracsur.2019.10.005","article-title":"Society for Vascular Surgery (SVS) and Society of Thoracic Surgeons (STS) reporting standards for type B aortic dissections","volume":"109","author":"Lombardi","year":"2020","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib2","doi-asserted-by":"crossref","first-page":"e334","DOI":"10.1161\/CIR.0000000000001106","article-title":"2022 ACC\/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association\/American College of Cardiology Joint Committee on clinical practice guidelines","volume":"146","author":"Isselbacher","year":"2022","journal-title":"Circulation"},{"key":"10.1016\/j.jvs.2025.07.023_bib3","doi-asserted-by":"crossref","first-page":"1009","DOI":"10.1001\/jamacardio.2022.2718","article-title":"Early mortality in type A acute aortic dissection: insights from the international registry of acute aortic dissection","volume":"7","author":"Harris","year":"2022","journal-title":"JAMA Cardiol"},{"key":"10.1016\/j.jvs.2025.07.023_bib4","doi-asserted-by":"crossref","first-page":"1846","DOI":"10.1161\/CIRCULATIONAHA.117.031264","article-title":"Insights from the international registry of acute aortic dissection: a 20-year experience of collaborative clinical research","volume":"137","author":"Evangelista","year":"2018","journal-title":"Circulation"},{"key":"10.1016\/j.jvs.2025.07.023_bib5","doi-asserted-by":"crossref","first-page":"2873","DOI":"10.1093\/eurheartj\/ehu281","article-title":"2014 ESC guidelines on the diagnosis and treatment of aortic diseases","volume":"35","author":"Erbel","year":"2014","journal-title":"Eur Heart J"},{"key":"10.1016\/j.jvs.2025.07.023_bib6","doi-asserted-by":"crossref","first-page":"1410","DOI":"10.1253\/circj.CJ-22-0794","article-title":"JCS\/JSCVS\/JATS\/JSVS 2020 guideline on diagnosis and treatment of aortic aneurysm and aortic dissection","volume":"87","author":"Ogino","year":"2023","journal-title":"Circ J"},{"key":"10.1016\/j.jvs.2025.07.023_bib7","doi-asserted-by":"crossref","first-page":"237","DOI":"10.1016\/S0003-4975(10)65594-4","article-title":"Management of acute aortic dissections","volume":"10","author":"Daily","year":"1970","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib8","doi-asserted-by":"crossref","first-page":"689","DOI":"10.1016\/j.amjcard.2018.04.042","article-title":"Comparison of outcomes in DeBakey type AI versus AII aortic dissection","volume":"122","author":"Kohl","year":"2018","journal-title":"Am J Cardiol"},{"key":"10.1016\/j.jvs.2025.07.023_bib9","doi-asserted-by":"crossref","first-page":"6769","DOI":"10.21037\/jtd-21-809","article-title":"Comparison of outcomes in DeBakey type I versus DeBakey type II aortic dissection: a 17-year single center experience","volume":"13","author":"Salehi Ravesh","year":"2021","journal-title":"J Thorac Dis"},{"key":"10.1016\/j.jvs.2025.07.023_bib10","first-page":"1078","article-title":"The DeBakey classification exactly reflects late outcome and re-intervention probability in acute aortic dissection with a slightly modified type II definition","volume":"40","author":"Tsagakis","year":"2011","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib11","doi-asserted-by":"crossref","first-page":"341","DOI":"10.1016\/j.jtcvs.2015.03.068","article-title":"Early and late outcomes of repaired acute DeBakey type I aortic dissection after graft replacement","volume":"151","author":"Omura","year":"2016","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib12","doi-asserted-by":"crossref","first-page":"896","DOI":"10.1016\/j.athoracsur.2022.09.023","article-title":"Effects of residual arch tears on late outcomes after Hemiarch replacement for DeBakey I dissection","volume":"115","author":"Kim","year":"2023","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib13","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jvs.2024.09.018","article-title":"Morphology of true lumen and surgical outcomes of acute type A aortic dissection repair with superior mesenteric artery malperfusion","volume":"81","author":"Ikeno","year":"2025","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib14","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.2025.07.023_bib15","doi-asserted-by":"crossref","first-page":"23","DOI":"10.1053\/j.optechstcvs.2020.11.007","article-title":"Repair of DeBakey type I acute aortic dissection","volume":"26","author":"Tanaka","year":"2021","journal-title":"Oper Tech Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib16","doi-asserted-by":"crossref","first-page":"910","DOI":"10.1016\/j.jvs.2013.03.042","article-title":"Management of common carotid artery dissection due to extension from acute type A (DeBakey I) aortic dissection","volume":"58","author":"Charlton-Ouw","year":"2013","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib17","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/j.jtcvs.2011.07.066","article-title":"Influence of operative strategy for the aortic arch in DeBakey type I aortic dissection: analysis of the German Registry for Acute Aortic Dissection Type A","volume":"144","author":"Easo","year":"2012","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib18","doi-asserted-by":"crossref","first-page":"785","DOI":"10.1016\/j.jtcvs.2020.09.147","article-title":"Current status of open surgery for acute type A aortic dissection in Japan","volume":"164","author":"Okita","year":"2020","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib19","doi-asserted-by":"crossref","first-page":"1416","DOI":"10.1016\/j.jtcvs.2023.08.037","article-title":"Volume-failure-to-rescue relationship in acute type A aortic dissections: an analysis of the Society of Thoracic Surgeons Database","volume":"168","author":"Diaz-Castrillon","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib20","doi-asserted-by":"crossref","first-page":"977","DOI":"10.1016\/j.jtcvs.2023.06.021","article-title":"Twenty-five years of observations from the International Registry of Acute Aortic Dissection (IRAD) and its impact on the cardiovascular scientific community","volume":"168","author":"Trimarchi","year":"2024","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib21","doi-asserted-by":"crossref","first-page":"208","DOI":"10.1186\/s13019-021-01594-9","article-title":"Surgical outcomes of DeBakey type I and type II acute aortic dissection: a propensity score-matched analysis in 599 patients","volume":"16","author":"Lin","year":"2021","journal-title":"J Cardiothorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib22","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1093\/icvts\/ivz011","article-title":"Survival and reinterventions after isolated proximal aortic repair in acute type A aortic dissection","volume":"28","author":"Dohle","year":"2019","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib23","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1016\/S0003-4975(01)03449-X","article-title":"Acute type A dissection: conservative methods provide consistently low mortality","volume":"73","author":"Westaby","year":"2002","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib24","doi-asserted-by":"crossref","first-page":"66","DOI":"10.1016\/j.jtcvs.2018.07.101","article-title":"Acute aortic dissections with entry tear in the arch: a report from the International Registry of Acute Aortic Dissection","volume":"157","author":"Trimarchi","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib25","doi-asserted-by":"crossref","first-page":"39","DOI":"10.1016\/j.jss.2017.02.034","article-title":"Acute retrograde type A aortic dissection: morphologic analysis and clinical implications","volume":"213","author":"DiMusto","year":"2017","journal-title":"J Surg Res"},{"key":"10.1016\/j.jvs.2025.07.023_bib26","doi-asserted-by":"crossref","DOI":"10.1093\/icvts\/ivac264","article-title":"Retrograde type A aortic dissection: a different evil","volume":"35","author":"Lopez-Marco","year":"2022","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib27","doi-asserted-by":"crossref","first-page":"980","DOI":"10.1016\/j.athoracsur.2025.01.002","article-title":"Malperfusion in patients with acute type A aortic dissection: a nationwide analysis","volume":"119","author":"Goel","year":"2025","journal-title":"Ann Thorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib28","doi-asserted-by":"crossref","first-page":"1698","DOI":"10.1016\/j.jtcvs.2020.12.113","article-title":"A tailored strategy for repair of acute type A aortic dissection","volume":"164","author":"Lau","year":"2022","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib29","doi-asserted-by":"crossref","first-page":"966","DOI":"10.1093\/ejcts\/ezy381","article-title":"The fate of the downstream aorta after open aortic repair for acute DeBakey type I aortic dissection: total arch replacement with elephant trunk technique versus non-total arch replacement","volume":"55","author":"Ikeno","year":"2019","journal-title":"Eur J Cardiothorac Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib30","doi-asserted-by":"crossref","first-page":"4256","DOI":"10.1111\/jocs.16852","article-title":"Long-term outcomes of total arch replacement versus proximal aortic replacement in acute type A aortic dissection: meta-analysis of Kaplan-Meier-derived individual patient data","volume":"37","author":"S\u00e1","year":"2022","journal-title":"J Card Surg"},{"key":"10.1016\/j.jvs.2025.07.023_bib31","doi-asserted-by":"crossref","first-page":"1685","DOI":"10.1016\/j.jvs.2018.08.193","article-title":"Thoracic endovascular aortic repair for retrograde type A aortic dissection","volume":"69","author":"Higashigawa","year":"2019","journal-title":"J Vasc Surg"}],"container-title":["Journal of Vascular Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521425015010?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S0741521425015010?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,11,21]],"date-time":"2025-11-21T13:30:27Z","timestamp":1763731827000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S0741521425015010"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12]]},"references-count":31,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2025,12]]}},"alternative-id":["S0741521425015010"],"URL":"https:\/\/doi.org\/10.1016\/j.jvs.2025.07.023","relation":{},"ISSN":["0741-5214"],"issn-type":[{"value":"0741-5214","type":"print"}],"subject":[],"published":{"date-parts":[[2025,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"Impact of new classification from the Society for Vascular Surgery and Society of Thoracic Surgeons on acute Stanford type A 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.2025.07.023","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2025 Society for Vascular Surgery. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.","name":"copyright","label":"Copyright"}]}}