{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T12:21:18Z","timestamp":1777551678809,"version":"3.51.4"},"reference-count":58,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T00:00:00Z","timestamp":1590710400000},"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":[[2021,9]]},"abstract":"<jats:p>Aortic surgery is a complex procedure posing high risks in comparison to other adult cardiac surgeries. Novel surgical approaches including minimally invasive procedures, sutureless aortic valve replacement, and transcatheter aortic valve implantation have been found to be acceptable alternatives to conventional surgeries. In addition, novel endovascular repair techniques and hybrid procedures have been introduced for the management of patients with thoracoabdominal aortic pathologies. However, these modalities are not readily available in every center, and such novel procedures impose a learning curve for surgeons and high costs for affected patients. In this review, we discuss the challenges of setting up an aortic service, having regard to the Iranian experience.<\/jats:p>","DOI":"10.1177\/0218492320930841","type":"journal-article","created":{"date-parts":[[2020,5,29]],"date-time":"2020-05-29T14:26:02Z","timestamp":1590762362000},"page":"669-676","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Challenges and experience of setting up an aortic service"],"prefix":"10.1177","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5597-7770","authenticated-orcid":false,"given":"Saeid","family":"Hosseini","sequence":"first","affiliation":[{"name":"Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yousef","family":"Rezaei","sequence":"additional","affiliation":[{"name":"Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alireza","family":"Alizadeh Ghavidel","sequence":"additional","affiliation":[{"name":"Heart Valve Disease Research Center, Rajaie Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,5,29]]},"reference":[{"key":"bibr1-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(18)32279-7"},{"key":"bibr2-0218492320930841","unstructured":"The World Bank. Life expectancy at birth, total (years). Available from: http:\/\/data.worldbank.org\/indicator\/SP.DYN.LE00.IN?page=6."},{"key":"bibr3-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1177\/021849230601400604"},{"key":"bibr4-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.06.066"},{"key":"bibr5-0218492320930841","first-page":"e8681","volume":"1","author":"Ghavidel AA.","year":"2007","journal-title":"Multidiscip Cardiovasc Ann"},{"key":"bibr6-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1177\/021849230601400506"},{"key":"bibr7-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1177\/0218492314528923"},{"key":"bibr8-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jsha.2018.06.004"},{"key":"bibr9-0218492320930841","first-page":"e68611","volume":"10","author":"Ghavidel AA","year":"2019","journal-title":"Multidiscip Cardiovasc Ann"},{"key":"bibr10-0218492320930841","doi-asserted-by":"publisher","DOI":"10.21037\/jtd.2018.12.27"},{"key":"bibr11-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2013.12.010"},{"key":"bibr12-0218492320930841","first-page":"1","volume":"3","author":"Cosford PA","year":"2007","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr13-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(02)11522-4"},{"key":"bibr14-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800820821"},{"key":"bibr15-0218492320930841","unstructured":"Medicare. Abdominal aortic aneurysm screenings. Available at: https:\/\/www.medicare.gov\/coverage\/abdominal-aortic-aneurysm-screenings. Accessed November, 2019."},{"key":"bibr16-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-199404000-00015"},{"key":"bibr17-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2017.02.015"},{"key":"bibr18-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.06.157"},{"key":"bibr19-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1177\/1538574419864769"},{"key":"bibr20-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcmg.2013.10.015"},{"key":"bibr21-0218492320930841","doi-asserted-by":"publisher","DOI":"10.12945\/j.aorta.2014.14-054"},{"key":"bibr22-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.09.039"},{"key":"bibr23-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1590\/1677-5449.011417"},{"key":"bibr24-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(16)31135-7"},{"key":"bibr25-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.07.030"},{"key":"bibr26-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2010.10.135"},{"key":"bibr27-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2019.08.233"},{"key":"bibr28-0218492320930841","first-page":"756","volume":"20","author":"Firouzi A","year":"2017","journal-title":"Arch Iran Med"},{"key":"bibr29-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1715955"},{"key":"bibr30-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.07.117"},{"key":"bibr31-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1093\/eurheartj\/ehu281"},{"key":"bibr32-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(03)00085-5"},{"key":"bibr33-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1053\/j.semvascsurg.2007.11.009"},{"key":"bibr34-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/aew218"},{"key":"bibr35-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2002.127966"},{"key":"bibr36-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.04.024"},{"key":"bibr37-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2003.10.018"},{"key":"bibr38-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1067\/mva.2000.109990"},{"key":"bibr39-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3181fcb44a"},{"key":"bibr40-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.arcmed.2019.10.001"},{"key":"bibr41-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1177\/1179546817709787"},{"key":"bibr42-0218492320930841","doi-asserted-by":"crossref","unstructured":"Oikonomou K, Kopp R, Katsargyris A, Pfister K, Verhoeven EL,  and Kasprzak P. Outcomes of fenestrated\/branched endografting in post-dissection thoracoabdominal aortic aneurysms. 2014;  48: 641\u2013648.","DOI":"10.1016\/j.ejvs.2014.07.005"},{"key":"bibr43-0218492320930841","doi-asserted-by":"crossref","unstructured":"Debing E, Aerden D, Gallala S, Vandenbroucke F,  and Van den Brande P . Stenting complex aorta aneurysms with the Cardiatis multilayer flow modulator: first impressions. 2014;  47: 604\u2013608.","DOI":"10.1016\/j.ejvs.2014.02.020"},{"key":"bibr44-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.12.060"},{"key":"bibr45-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2010.02.037"},{"key":"bibr46-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2017.03.420"},{"key":"bibr47-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2012.06.013"},{"key":"bibr48-0218492320930841","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2069.74038"},{"key":"bibr49-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1177\/1708538118773611"},{"key":"bibr50-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1007\/s11701-019-00944-z"},{"key":"bibr51-0218492320930841","first-page":"Cd012302","volume":"5","author":"Robertson L","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"bibr52-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.9714"},{"key":"bibr53-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2016.02.016"},{"key":"bibr54-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.2011.149"},{"key":"bibr55-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(01)03402-6"},{"key":"bibr56-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2018.11.020"},{"key":"bibr57-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1007\/s00384-016-2631-5"},{"key":"bibr58-0218492320930841","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2018.08.002"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492320930841","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/0218492320930841","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0218492320930841","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T17:55:31Z","timestamp":1777398931000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0218492320930841"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,5,29]]},"references-count":58,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2021,9]]}},"alternative-id":["10.1177\/0218492320930841"],"URL":"https:\/\/doi.org\/10.1177\/0218492320930841","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,5,29]]}}}