{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,14]],"date-time":"2025-05-14T01:24:11Z","timestamp":1747185851665,"version":"3.40.5"},"reference-count":21,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T00:00:00Z","timestamp":1705017600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003392","name":"Natural Science Foundation of Fujian Province","doi-asserted-by":"publisher","award":["2021J01769","2019J05082"],"award-info":[{"award-number":["2021J01769","2019J05082"]}],"id":[{"id":"10.13039\/501100003392","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Hypertension"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Total neointima implantation (patch neointima technique + triple\u2010branched stent graft placement) has been performed in proximal aortic repair for acute type A aortic dissection (ATAAD) for more than 10 years at a center. However, there is no report on the mid\u2010term outcomes with a control group of the surgical procedure. Consequently, the authors aimed to evaluate the safety and efficacy of this technique in this study. Patients who underwent the total neointima implantation were classified as Group A, and those who underwent the conventional aortic root reconstruction with the \u201csandwich\u201d technique and the total aortic arch replacement were classified as Group B. Furthermore, the authors described the preoperative characteristics, operative data, and patient outcomes. Group A patients experienced a shorter surgery duration, lower volumes of perioperative bleeding, and fewer red blood cell transfusions. The incidence of neurological complications was significantly reduced in Group A. All patients maintained a normal range of proximal aortic sizes after surgery. Kaplan\u2013Meier analysis revealed no significant differences between the patients in the two groups regarding cumulative mortality and the incidence of moderate\u2010to\u2010severe aortic insufficiency. In well\u2010selected patients, total neointima implantation is an alternative procedure for the surgical repair of ATAAD.<\/jats:p>","DOI":"10.1111\/jch.14762","type":"journal-article","created":{"date-parts":[[2024,1,12]],"date-time":"2024-01-12T09:59:52Z","timestamp":1705053592000},"page":"155-165","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Mid\u2010term outcomes of total neointima implantation in surgical repair of acute type A aortic dissection"],"prefix":"10.1111","volume":"26","author":[{"given":"Yong","family":"Lin","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery Fujian Medical University Union Hospital  Fuzhou Fujian PR China"},{"name":"Key Laboratory of Cardio\u2010Thoracic Surgery (Fujian Medical University) Fujian Province University  Fuzhou Fujian PR China"},{"name":"Fujian Provincial Center for Cardiovascular Medicine  Fuzhou Fujian PR 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