{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,4]],"date-time":"2026-04-04T01:10:37Z","timestamp":1775265037321,"version":"3.50.1"},"reference-count":21,"publisher":"Wiley","issue":"9","license":[{"start":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T00:00:00Z","timestamp":1656547200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Cardiac Surgery"],"published-print":{"date-parts":[[2022,9]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background and Aims<\/jats:title>\n                    <jats:p>The optimal procedure for reconstructing the dissected aortic stump for acute type A dissection remains controversial. We routinely used the intimal\u2010protected adventitial inversion technique (iPAIT), a modified adventitial inversion technique, to protect the fragile intima by inserting a graft and assessed the safety and efficacy of this technique.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Between August 2008 and April 2020, 146 consecutive patients with acute type A dissections underwent thoracic aortic surgery in our hospital. Extended total aortic arch replacement was performed in 119 patients (81.5%). Sixty\u2010nine patients underwent treatment for distal aortic anastomosis with the iPAIT. To compare the iPAIT to a historical control, we assessed 69 iPAIT patients and 25 patients who underwent total arch replacement using gelatin\u2010resorcinol\u2010formaldehyde (GRF) glue.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Hospital mortality was 2.9% in the iPAIT group and 8.0% in the GRF group. Perioperative characteristics were similar between the two groups. However, postoperative computed tomography\u00a0revealed that the obliteration rate was significantly higher in the iPAIT group (60\/66, 90.9%) than in the GRF group (15\/23, 65.2%) (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u2009.01), not including the patients who had died or developed severe renal dysfunction. The 8\u2010year aortic event\u2010free survival rate in the iPAIT group (81.3%) was significantly higher than that in the GRF group (47.4%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The use of this technique for acute type A dissections resulted in a low mortality rate and demonstrated promising midterm survival and may accelerate the obliteration of a patent false lumen and prevent late aortic events.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jocs.16720","type":"journal-article","created":{"date-parts":[[2022,6,30]],"date-time":"2022-06-30T11:08:16Z","timestamp":1656587296000},"page":"2600-2606","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Intimal\u2010protected adventitial inversion technique accelerates the obliteration of a patent false lumen"],"prefix":"10.1155","volume":"37","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5465-5948","authenticated-orcid":false,"given":"Ryo","family":"Suzuki","sequence":"first","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4009-7391","authenticated-orcid":false,"given":"Hiroshi","family":"Kurazumi","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ryosuke","family":"Nawata","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Toshiki","family":"Yokoyama","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sarii","family":"Tsubone","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yutaro","family":"Matsuno","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bungo","family":"Shirasawa","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3630-7429","authenticated-orcid":false,"given":"Akihito","family":"Mikamo","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kimikazu","family":"Hamano","sequence":"additional","affiliation":[{"name":"Department of Surgery and Clinical Science, Division of Cardiac Surgery Yamaguchi University Graduate School of Medicine Ube Yamaguchi Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2022,6,30]]},"reference":[{"key":"e_1_2_8_2_1","doi-asserted-by":"publisher","DOI":"10.1161\/hc0202.102246"},{"key":"e_1_2_8_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2005.08.029"},{"key":"e_1_2_8_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx231"},{"key":"e_1_2_8_5_1","article-title":"Thoracic and cardiovascular surgery in Japan during 2014: annual report by the Japanese Association for Thoracic Surgery","volume":"64","author":"Committee for Scientific Affairs","year":"2016","journal-title":"Gen Thorac Cardiovasc Surg"},{"key":"e_1_2_8_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)01018-8"},{"key":"e_1_2_8_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2019.10.005"},{"key":"e_1_2_8_8_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(19)39296-7"},{"issue":"5","key":"e_1_2_8_9_1","first-page":"IV24","article-title":"Dissection of the aorta and dissecting aortic aneurysms. 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