{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,10]],"date-time":"2026-03-10T04:09:06Z","timestamp":1773115746135,"version":"3.50.1"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"5","license":[{"start":{"date-parts":[[2024,10,28]],"date-time":"2024-10-28T00:00:00Z","timestamp":1730073600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"DOI":"10.13039\/100015639","name":"Japan Cardiovascular Research Foundation","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100015639","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>We aimed to evaluate early and late outcomes by comparing open total arch repair and endovascular arch repair using proximal landing zone analysis in a multicentre cohort.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>From 2008 to 2019, patients treated surgically for aortic arch disease at 6 centres were included, excluding cases with type A aortic dissection, additional aortic root replacement and extensive aortic aneurysm. In all patients and populations with proximal landing zones 0\/1 (N\u2009=\u2009144) and 2 (N\u2009=\u2009187), early and late outcomes were compared using propensity score matching.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>A total of 1052 patients, including 331 (31%) and 721 (69%) patients undergoing endovascular arch repair and open total arch repair, respectively, were enrolled. After propensity score match (endovascular arch repair, 295; open total arch repair, 566), no significant difference was observed in in-hospital mortality rate (endovascular arch repair, 6.8%; open total arch repair, 6.2%; P\u2009=\u20090.716). Open total arch repair was associated with a lower risk of all-cause death [log-rank test; P\u2009=\u20090.010, hazard ratio (HR) 1.41 (95% confidence interval 1.17\u20131.71)]. The incidence of aorta-related death was higher in endovascular arch repair [Gray\u2019s test; P\u2009=\u20090.030, HR; 1.44 (95% confidence interval 1.20\u20131.73)]. When compared to endovascular arch repair with proximal landing zone 0\/1, open total arch repair was associated with lower risks of all-cause death [log-rank test; P\u2009&amp;lt;\u20090.001, HR 2.04 (95% confidence interval 1.43\u20132.90)] and aorta-related death [Gray\u2019s test; P\u2009=\u20090.002, HR 1.67 (95% confidence interval; 1.25\u20132.24)]. There was no difference in the risk of all-cause death [log-rank test; P\u2009=\u20090.961, HR 0.99 (95% confidence interval 0.67\u20131.46)] and aorta-related death [Gray\u2019s test; P\u2009=\u20090.55, HR 1.31 (95% confidence interval 1.03\u20131.67)] between endovascular arch repair with proximal landing zone 2 and open total arch repair.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Open total arch repair was considered the 1st choice based on early and late results; however, endovascular arch repair may be a useful option if the proximal landing zone is limited to zone 2.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae377","type":"journal-article","created":{"date-parts":[[2024,10,29]],"date-time":"2024-10-29T05:57:48Z","timestamp":1730181468000},"source":"Crossref","is-referenced-by-count":5,"title":["Comparison of open and hybrid endovascular repair for aortic arch: a multi-centre study of 1052 adult patients"],"prefix":"10.1093","volume":"66","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-4756-9395","authenticated-orcid":false,"given":"Kazuhisa","family":"Sakamoto","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Kokura Memorial Hospital , Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takeshi","family":"Shimamoto","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Hamamatsu Rosai Hospital , Shizuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiro","family":"Esaki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kobe City Medical Centre General Hospital , Kobe,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3807-6724","authenticated-orcid":false,"given":"Tatsuhiko","family":"Komiya","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kurashiki Central Hospital , Okayama,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nobuhisa","family":"Ohno","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kokura Memorial Hospital , Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shogo","family":"Nakayama","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Japanese Red Cross Takamatsu Hospital , Kagawa,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masaki","family":"Paku","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Koseikai Tekeda Hospital , Kyoto,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yu","family":"Hidaka","sequence":"additional","affiliation":[{"name":"Department of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine , Kyoto,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Satoshi","family":"Morita","sequence":"additional","affiliation":[{"name":"Department of Biomedical Statistics and Bioinformatics, Kyoto University Graduate School of Medicine , Kyoto,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akira","family":"Marui","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kokura Memorial Hospital , Fukuoka,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7828-9762","authenticated-orcid":false,"given":"Kenji","family":"Minatoya","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Kyoto University , Kyoto,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"Advance-Kyoto Investigators","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadashi","family":"Ikeda","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazuhiro","family":"Yamazaki","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hidetoshi","family":"Masumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yujiro","family":"Ide","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Masahide","family":"Kawatou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Motoyuki","family":"Kumagai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiro","family":"Sakai","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2024,10,28]]},"reference":[{"key":"2024110804555338100_ezae377-B1","doi-asserted-by":"crossref","first-page":"S796","DOI":"10.1016\/j.athoracsur.2006.10.082","article-title":"Aortic arch replacement using selective cerebral perfusion","volume":"83","author":"Kazui","year":"2007","journal-title":"Ann Thorac Surg"},{"key":"2024110804555338100_ezae377-B2","doi-asserted-by":"crossref","first-page":"S65","DOI":"10.1016\/j.jtcvs.2014.08.070","article-title":"A study of brain protection during total arch replacement comparing antegrade cerebral perfusion versus hypothermic circulatory arrest, with or without retrograde cerebral perfusion: analysis based on the Japan Adult Cardiovascular Surgery Database","volume":"149","author":"Okita","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024110804555338100_ezae377-B3","doi-asserted-by":"crossref","first-page":"537","DOI":"10.1016\/j.jvs.2015.10.061","article-title":"Outcome of open total arch replacement in the modern era","volume":"63","author":"Settepani","year":"2016","journal-title":"J Vasc Surg"},{"key":"2024110804555338100_ezae377-B4","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"},{"key":"2024110804555338100_ezae377-B5","doi-asserted-by":"crossref","first-page":"322","DOI":"10.1177\/1089253216659143","article-title":"Elephant trunk: argument for all arches","volume":"20","author":"Tanaka","year":"2016","journal-title":"Semin Cardiothorac Vasc Anesth"},{"key":"2024110804555338100_ezae377-B6","doi-asserted-by":"crossref","first-page":"298","DOI":"10.1093\/ejcts\/ezt391","article-title":"The efficacy and short-term results of hybrid thoracic endovascular repair into the ascending aorta for aortic arch pathologies","volume":"45","author":"Shirakawa","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024110804555338100_ezae377-B7","doi-asserted-by":"crossref","first-page":"722","DOI":"10.1093\/ejcts\/ezaa165","article-title":"The midterm results of thoracic endovascular aortic repair with a precurved fenestrated endograft in zone 0-1","volume":"58","author":"Furuta","year":"2020","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024110804555338100_ezae377-B8","doi-asserted-by":"crossref","first-page":"1340","DOI":"10.1016\/j.jvs.2017.03.432","article-title":"Thoracic endovascular aortic repair with branched Inoue Stent Graft for arch aortic aneurysms","volume":"66","author":"Tazaki","year":"2017","journal-title":"J Vasc Surg"},{"key":"2024110804555338100_ezae377-B9","doi-asserted-by":"crossref","first-page":"1709","DOI":"10.1016\/j.jtcvs.2014.02.072","article-title":"Global experience with an inner branched arch endograft","volume":"148","author":"Haulon","year":"2014","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024110804555338100_ezae377-B10","doi-asserted-by":"crossref","first-page":"1055","DOI":"10.1016\/j.jvs.2021.03.029","article-title":"Multicenter global early feasibility study to evaluate total endovascular arch repair using three-vessel inner branch stent-grafts for aneurysms and dissections","volume":"74","author":"Tenorio","year":"2021","journal-title":"J Vasc Surg"},{"key":"2024110804555338100_ezae377-B11","doi-asserted-by":"crossref","first-page":"2366","DOI":"10.1016\/S0140-6736(16)31135-7","article-title":"Endovascular versus open repair of abdominal aortic aneurysm in 15-years \u2019 follow-up of the UK endovascular aneurysm repair trial 1 (EVAR trial 1): a randomised controlled trial","volume":"388","author":"Patel","year":"2016","journal-title":"Lancet"},{"key":"2024110804555338100_ezae377-B12","doi-asserted-by":"crossref","first-page":"II-62","DOI":"10.1177\/15266028040110S609","article-title":"Endografting of the aortic arch","volume":"11","author":"Ishimaru","year":"2004","journal-title":"J Endovasc Ther"},{"key":"2024110804555338100_ezae377-B13","doi-asserted-by":"crossref","first-page":"3083","DOI":"10.1002\/sim.3697","article-title":"Balance diagnostics for comparing the distribution of baseline covariates between treatment groups in propensity-score matched samples","volume":"28","author":"Peter","year":"2009","journal-title":"Stat Med"},{"key":"2024110804555338100_ezae377-B14","doi-asserted-by":"crossref","first-page":"32","DOI":"10.1093\/ejcts\/ezt615","article-title":"How should aortic arch aneurysms be treated in the endovascular aortic repair era? A risk-adjusted comparison between open and hybrid arch repair using propensity score-matching analysis","volume":"46","author":"Iba","year":"2014","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024110804555338100_ezae377-B15","doi-asserted-by":"crossref","first-page":"1142","DOI":"10.1093\/ejcts\/ezx028","article-title":"Comparison of aortic arch repair using the endovascular technique, total arch replacement and staged surgery","volume":"51","author":"Yoshitake","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024110804555338100_ezae377-B16","doi-asserted-by":"crossref","first-page":"100","DOI":"10.1016\/j.jtcvs.2016.12.060","article-title":"Objective analysis of midterm outcomes of conventional and hybrid aortic arch repair by propensity-score matching","volume":"154","author":"Hiraoka","year":"2017","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024110804555338100_ezae377-B17","doi-asserted-by":"crossref","first-page":"1380","DOI":"10.1016\/j.athoracsur.2018.10.050","article-title":"Conventional open versus hybrid arch repair of aortic arch disease: early and long-term outcomes","volume":"107","author":"Joo","year":"2019","journal-title":"Ann Thorac Surg"},{"key":"2024110804555338100_ezae377-B18","doi-asserted-by":"crossref","first-page":"1370","DOI":"10.1016\/j.jtcvs.2018.09.112","article-title":"Total arch replacement using a 4-branched graft with antegrade cerebral perfusion","volume":"157","author":"Minatoya","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024110804555338100_ezae377-B19","doi-asserted-by":"crossref","first-page":"75","DOI":"10.1016\/j.jtcvs.2018.09.118","article-title":"Long-term outcomes of total arch replacement using a 4-branched graft","volume":"157","author":"Ikeno","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024110804555338100_ezae377-B20","doi-asserted-by":"crossref","first-page":"761","DOI":"10.1093\/ejcts\/ezw417","article-title":"Clinical significance of chronic obstructive pulmonary disease in patients undergoing elective total arch replacement: analysis based on the Japan Adult Cardiovascular Surgery Database","volume":"51","author":"Miyahara","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"key":"2024110804555338100_ezae377-B21","doi-asserted-by":"crossref","first-page":"1401","DOI":"10.1016\/S0003-4975(01)02922-8","article-title":"Isolation technique for stroke prevention in patients with a mobile atheroma","volume":"72","author":"Shiiya","year":"2001","journal-title":"Ann Thorac Surg"},{"key":"2024110804555338100_ezae377-B22","doi-asserted-by":"crossref","first-page":"556","DOI":"10.1016\/j.jvs.2020.12.091","article-title":"Effect of the urgency and landing zone on rates of in-hospital death, stroke, and paraplegia after thoracic endovascular aortic repair in Japan","volume":"74","author":"Hoshina","year":"2021","journal-title":"J Vasc Surg"},{"key":"2024110804555338100_ezae377-B23","doi-asserted-by":"crossref","first-page":"372","DOI":"10.21037\/acs.2018.04.03","article-title":"Zone zero hybrid arch exclusion versus open total arch replacement","volume":"7","author":"Preventza","year":"2018","journal-title":"Ann Cardiothorac Surg"},{"key":"2024110804555338100_ezae377-B24","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1016\/j.avsg.2020.10.010","article-title":"Zone 1 aortic arch hybrid endovascular repair with extra-anatomical bypass: a meta-analysis","volume":"72","author":"Bayfield","year":"2021","journal-title":"Ann Vasc Surg"},{"key":"2024110804555338100_ezae377-B25","doi-asserted-by":"crossref","first-page":"269","DOI":"10.1016\/j.ejvs.2011.12.009","article-title":"Analysis of stroke after TEVAR involving the aortic arch","volume":"43","author":"Melissano","year":"2012","journal-title":"Eur J Vasc Endovasc Surg"},{"key":"2024110804555338100_ezae377-B26","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.avsg.2016.02.039","article-title":"Postoperative stroke after debranching with thoracic endovascular aortic repair","volume":"36","author":"Yoshitake","year":"2016","journal-title":"Ann Vasc Surg"},{"key":"2024110804555338100_ezae377-B27","doi-asserted-by":"crossref","first-page":"1336","DOI":"10.1016\/j.jtcvs.2018.10.061","article-title":"Balloon protection of the left subclavian artery in debranching thoracic endovascular aortic repair","volume":"157","author":"Seike","year":"2019","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2024110804555338100_ezae377-B28","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1016\/j.jvs.2019.03.022","article-title":"Meta-analysis of the outcomes of revascularization after intentional coverage of the left subclavian artery for thoracic endovascular aortic repair","volume":"70","author":"Chen","year":"2019","journal-title":"J Vasc Surg"},{"key":"2024110804555338100_ezae377-B29","doi-asserted-by":"crossref","first-page":"764","DOI":"10.1093\/icvts\/ivaa342","article-title":"Narrative review on endovascular techniques for left subclavian artery revascularization during thoracic endovascular aortic repair and risk factors for postoperative stroke","volume":"32","author":"D\u2019Oria","year":"2021","journal-title":"Interact Cardiovasc Thorac Surg"},{"key":"2024110804555338100_ezae377-B30","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1093\/icvts\/ivz027","article-title":"Is debranching thoracic endovascular aortic repair acceptable as the first choice for arch aneurysm in the elderly?","volume":"29","author":"Seike","year":"2019","journal-title":"Interact Cardiovasc Thorac Surg"}],"container-title":["European Journal of Cardio-Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ejcts\/advance-article-pdf\/doi\/10.1093\/ejcts\/ezae377\/60183346\/ezae377.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/66\/5\/ezae377\/60525511\/ezae377.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ejcts\/article-pdf\/66\/5\/ezae377\/60525511\/ezae377.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,8]],"date-time":"2024-11-08T04:56:13Z","timestamp":1731041773000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ejcts\/article\/doi\/10.1093\/ejcts\/ezae377\/7848454"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,10,28]]},"references-count":30,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2024,11,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ejcts\/ezae377","relation":{},"ISSN":["1873-734X"],"issn-type":[{"value":"1873-734X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2024,11]]},"published":{"date-parts":[[2024,10,28]]},"article-number":"ezae377"}}