{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T10:41:39Z","timestamp":1787740899771,"version":"build-2784847793"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":3,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2025,8,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>Distal stent graft-induced new entry (d-SINE) is a significant complication of frozen elephant trunk (FET) for acute Stanford type A aortic dissection (ATAAD). This study aimed to identify the predictive factors for d-SINE occurrence.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>Patients who underwent FET procedures for ATAAD at our institution between January 2015 and December 2024 were retrospectively analysed. Patients were classified into d-SINE positive and d-SINE negative groups, and predictive factors were identified using Fine and Gray competing risk regression.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>A total of 84 consecutive patients were included. The overall incidence of distal stent graft-induced new entries was 11.9% (10\/84). Distal stent graft-induced new entry occurred at a mean of 102\u2009days (standard deviation 69) postoperatively. A preoperative descending aortic diameter \u226533\u2009mm was an independent predictive factor (subdistribution hazard ratio, 6.11; 95% confidence interval, 1.176-31.740; P\u2009=\u2009.031).<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusions<\/jats:title>\n                  <jats:p>A preoperative descending aortic diameter \u226533\u2009mm was identified as a key predictor of d-SINE following FET for ATAAD. This finding may help identify high-risk patients who require more intensive imaging surveillance after surgery.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Clinical Registration Number<\/jats:title>\n                  <jats:p>E250127-4.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezaf264","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T16:28:56Z","timestamp":1754324936000},"source":"Crossref","is-referenced-by-count":2,"title":["Predictors of Distal Stent Graft-Induced New Entry after Frozen Elephant Trunk in Acute Type A Aortic Dissection"],"prefix":"10.1093","volume":"67","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-0522-054X","authenticated-orcid":false,"given":"Junya","family":"Kitaura","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital , Hiroshima 730-0811,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tomokuni","family":"Furukawa","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital , Hiroshima 730-0811,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazuki","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital , Hiroshima 730-0811,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shingo","family":"Mochizuki","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital , Hiroshima 730-0811,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kazunori","family":"Yamada","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Akane-Foundation Tsuchiya General Hospital , Hiroshima 730-0811,","place":["Japan"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"2025082520071607600_ezaf264-B1","doi-asserted-by":"crossref","first-page":"254","DOI":"10.1007\/s11748-024-02106-x","article-title":"Thoracic and cardiovascular surgeries in Japan during 2022: annual report by the Japanese Association for Thoracic Surgery","volume":"73","author":"Yoshimura","year":"2025","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"2025082520071607600_ezaf264-B2","doi-asserted-by":"crossref","first-page":"531","DOI":"10.1067\/mtc.2002.124388","article-title":"The results of total arch graft implantation with open stent-graft placement for type A aortic dissection","volume":"124","author":"Kato","year":"2002","journal-title":"J Thorac Cardiovasc 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