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Our findings underscore perioperative thrombus migration as a potentially under-recognized factor influencing inconsistent surgical outcomes. A comprehensive perioperative evaluation, including a detailed assessment of intracranial arteries, is imperative.<\/jats:p>","DOI":"10.1093\/icvts\/ivaf032","type":"journal-article","created":{"date-parts":[[2025,2,20]],"date-time":"2025-02-20T18:20:16Z","timestamp":1740075616000},"source":"Crossref","is-referenced-by-count":0,"title":["Intracranial thrombus migration and perioperative cerebral injury in acute type A aortic dissection"],"prefix":"10.1093","volume":"40","author":[{"given":"Hiroshi","family":"Nagamine","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Seirei Mikatahara Hospital , Hamamatsu,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hiroshi","family":"Nagano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Seirei Mikatahara Hospital , Hamamatsu,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mitsuru","family":"Asano","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Seirei Mikatahara Hospital , Hamamatsu,","place":["Japan"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2025,2,20]]},"reference":[{"key":"2025030500010198100_ivaf032-B1","doi-asserted-by":"crossref","first-page":"e182","DOI":"10.1016\/j.jtcvs.2023.04.023","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":"166","author":"Isselbacher","year":"2023","journal-title":"J Thorac Cardiovasc Surg"},{"key":"2025030500010198100_ivaf032-B2","doi-asserted-by":"crossref","first-page":"490","DOI":"10.1093\/ejcts\/ezaa322","article-title":"Common carotid artery true lumen flow impairment in patients with type A aortic dissection","volume":"59","author":"Kreibich","year":"2021","journal-title":"Eur J Cardiothorac Surg"},{"key":"2025030500010198100_ivaf032-B3","doi-asserted-by":"crossref","first-page":"116737","DOI":"10.1016\/j.jns.2020.116737","article-title":"Impact of thrombus migration on clinical outcomes in patients with internal carotid artery occlusions and patent middle cerebral artery","volume":"412","author":"Koge","year":"2020","journal-title":"J Neurol Sci"},{"key":"2025030500010198100_ivaf032-B4","doi-asserted-by":"crossref","first-page":"501","DOI":"10.1016\/j.athoracsur.2020.08.046","article-title":"Type A aortic dissection with cerebral malperfusion: new insights","volume":"112","author":"Fukuhara","year":"2021","journal-title":"Ann Thorac Surg"},{"key":"2025030500010198100_ivaf032-B5","doi-asserted-by":"crossref","first-page":"ivac046","DOI":"10.1093\/icvts\/ivac046","article-title":"Novel brain computed tomography perfusion for cerebral malperfusion secondary to acute type A aortic dissection","volume":"35","author":"Inoue","year":"2022","journal-title":"Interact Cardiovasc Thorac Surg"}],"container-title":["Interdisciplinary CardioVascular and Thoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/icvts\/advance-article-pdf\/doi\/10.1093\/icvts\/ivaf032\/62014724\/ivaf032.pdf","content-type":"application\/pdf","content-version":"am","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/2\/ivaf032\/62014724\/ivaf032.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/icvts\/article-pdf\/40\/2\/ivaf032\/62014724\/ivaf032.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,3,5]],"date-time":"2025-03-05T00:01:15Z","timestamp":1741132875000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/icvts\/article\/doi\/10.1093\/icvts\/ivaf032\/8026698"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,2]]},"references-count":5,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,2,5]]}},"URL":"https:\/\/doi.org\/10.1093\/icvts\/ivaf032","relation":{},"ISSN":["2753-670X"],"issn-type":[{"type":"electronic","value":"2753-670X"}],"subject":[],"published-other":{"date-parts":[[2025,2]]},"published":{"date-parts":[[2025,2]]},"article-number":"ivaf032"}}