{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,11]],"date-time":"2025-11-11T13:35:59Z","timestamp":1762868159216,"version":"3.37.3"},"reference-count":9,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2020,6,30]],"date-time":"2020-06-30T00:00:00Z","timestamp":1593475200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2020,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>The surgical management for type A acute aortic dissection complicated with carotid artery occlusion remains controversial. Between December 2012 and June 2017, 127 patients who presented with type A acute aortic dissection were operated on in our hospital. Of this group, nine (7.08%) patients had cerebral malperfusion due to carotid artery occlusion. The site of occlusion was innominate artery (n\u2009=\u20095) or right carotid artery (n\u2009=\u20094). Preoperative neurological symptoms were left hemiplegia (n\u2009=\u20091), left hemiparesis (n\u2009=\u20093) and seizure (n\u2009=\u20092). Preoperative consciousness level was Japan Coma Scale 2 (n\u2009=\u20096), 20 (n\u2009=\u20092), or 200 (n\u2009=\u20091). The procedure consisted of hemiarch replacement (n\u2009=\u20094) or total arch replacement (n\u2009=\u20095). Aorto-carotid bypass was performed in all patients under hypothermic circulatory arrest. The time from onset of symptoms to operating room was 7.2\u2009\u00b1\u20092.4\u2009h. Hospital mortality was 0%. Left hemiplegia and left hemiparesis improved significantly. Japan Coma Scale was 0 in all patients at discharge. Overall survival at 24\u2009months after operation was 100%. Aorto-carotid artery bypass for type A acute aortic dissection with carotid artery occlusion is the treatment of choice in these high-risk patients. Our strategy of \u2018no touch until circulatory arrest\u2019 may contribute to neurological improvement.<\/jats:p>","DOI":"10.1093\/icvts\/ivaa092","type":"journal-article","created":{"date-parts":[[2020,5,5]],"date-time":"2020-05-05T19:17:39Z","timestamp":1588706259000},"page":"263-265","source":"Crossref","is-referenced-by-count":9,"title":["Aorto-carotid bypass for type A acute aortic dissection complicated with carotid artery occlusion: no touch until circulatory arrest"],"prefix":"10.1093","volume":"31","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0563-4518","authenticated-orcid":false,"given":"Hideki","family":"Sasaki","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, Matsuyama, Ehime, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Takashi","family":"Harada","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, Matsuyama, Ehime, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Ishitoya","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Ehime Prefectural Central Hospital, Matsuyama, Ehime, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Osamu","family":"Sasaki","sequence":"additional","affiliation":[{"name":"Division of Internal Medicine, Tokyo-Shinagawa Hospital, Shinagawa, Tokyo, Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2020,6,30]]},"reference":[{"key":"2020072405370351600_ivaa092-B1","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 Thorac Cardiovasc 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