{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,15]],"date-time":"2026-07-15T17:29:47Z","timestamp":1784136587141,"version":"3.55.0"},"reference-count":20,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2020,8,4]],"date-time":"2020-08-04T00:00:00Z","timestamp":1596499200000},"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":[[2020,9,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>Our goal was to investigate the surgical strategy for type Ia endoleak after thoracic endovascular aortic repair (TEVAR) by reporting our experiences.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>From November 2012 to September 2019, a total of 23 patients received surgical management for type Ia endoleak after TEVAR.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The operations included total arch replacement with the frozen elephant trunk technique in 15 patients, direct closure of the endoleak in 2 patients, hybrid aortic arch repair in 4 patients, arch debranching with TEVAR in 1 patient and left common carotid artery to left subclavian artery bypass with TEVAR in 1 patient. Among 21 patients with cardiopulmonary bypass (CPB), the mean CPB and aortic cross-clamp times were 146.7\u2009\u00b1\u200942.2 and 81.0\u2009\u00b1\u200943.3\u2009min, respectively. The selective cerebral perfusion time was 18.8\u2009\u00b1\u20098.2\u2009min in 17 patients with hypothermic circulatory arrest. The in-hospital mortality was 8.7% (2\/23). Type Ia endoleak was sealed successfully after surgery in 95.5% (21\/22) of patients. The follow-up data were available for all 21 survivors. The median follow-up period was 18\u2009months (range 1\u201384\u2009months). During the follow-up period, a total of 8 patients died or had aortic events, including 5 deaths and 6 aortic events.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>Different surgical strategies could be selected to treat patients with type Ia endoleak after TEVAR, with acceptable early and late outcomes.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/icvts\/ivaa124","type":"journal-article","created":{"date-parts":[[2020,7,1]],"date-time":"2020-07-01T19:09:44Z","timestamp":1593630584000},"page":"346-353","source":"Crossref","is-referenced-by-count":5,"title":["The surgical management of type IA endoleak after thoracic endovascular aortic repair"],"prefix":"10.1093","volume":"31","author":[{"given":"Yaojun","family":"Dun","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Fuwai Hospital, National Center for Cardiovascular Diseases, Chinese 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