{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:08:00Z","timestamp":1777550880515,"version":"3.51.4"},"reference-count":20,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2016,7,11]],"date-time":"2016-07-11T00:00:00Z","timestamp":1468195200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Asian Cardiovasc Thorac Ann"],"published-print":{"date-parts":[[2016,9]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The single-crossclamp technique for coronary artery bypass grafting is recognized to reduce manipulation of the ascending aorta, and thereby improve neurological outcomes. However, there is a perceived disadvantage of long cardiopulmonary bypass and crossclamp times. Our objective was to evaluate outcomes with this technique and determine whether it is safe for training.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing coronary artery bypass between October 2005 and February 2014 with use of the single-crossclamp method were divided into 2 groups: a consultant group ( n\u2009=\u20091024), and a trainee group ( n\u2009=\u2009504), depending on the primary surgeon. Their outcomes were compared.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The consultants operated on more nonelective patients who had a higher risk profile (mean additive EuroSCORE I 4.05 vs. 3.80, p\u2009=\u20090.085; logistic EuroSCORE I 4.36 vs. 3.64, p\u2009=\u20090.002). There were 9 (0.9%) deaths in the consultant group and 5 (1%) in the trainee group. The mean number of grafts in the consultant group was greater, but the crossclamp time was similar and cardiopulmonary bypass time was shorter. There were 4 (0.4%) cerebrovascular events in the consultant group and 3 (0.6%) in the trainee group. Postoperative stay was shorter in the trainee group (7.19 vs. 7.97 days, p\u2009=\u20090.033). Other complication rates were similar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The technique has excellent outcomes, especially neurological, and is safe for training junior surgeons.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/0218492316657242","type":"journal-article","created":{"date-parts":[[2016,7,7]],"date-time":"2016-07-07T20:08:24Z","timestamp":1467922104000},"page":"633-637","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Single crossclamp: Safe training tool for coronary artery bypass grafting"],"prefix":"10.1177","volume":"24","author":[{"given":"Vivek","family":"Srivastava","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Manoj","family":"Purohit","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amal","family":"Bose","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohamed Nidal","family":"Bittar","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shaun","family":"Rogers","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Zacharias","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Victoria Hospital, Blackpool, UK"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2016,7,11]]},"reference":[{"key":"bibr1-0218492316657242","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(13)60141-5"},{"key":"bibr2-0218492316657242","first-page":"CD007224","volume":"3","author":"M\u00f8ller CH","year":"2012","journal-title":"Cochrane Database Syst 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