{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,30]],"date-time":"2026-04-30T19:17:54Z","timestamp":1777576674387,"version":"3.51.4"},"reference-count":19,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T00:00:00Z","timestamp":1772150400000},"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":[[2026,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We investigated the difference in the extracted surfaces between extractions carried out using forceps and a needle holder, focusing on needle extraction manipulation for smaller needle-hole defects.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      In this prospective observational study, we included patients who underwent aortic surgery at our Hospital between December 2023 and January 2025. Aortic wall samples were collected from the patients with acute type A aortic dissection (\n                      <jats:italic toggle=\"yes\">n\u2009=\u2009<\/jats:italic>\n                      20) and thoracic aortic aneurysm (\n                      <jats:italic toggle=\"yes\">n\u2009=\u2009<\/jats:italic>\n                      20). Two hundred needle holes were created in the samples from each disease type and randomized into two groups: the forceps (\n                      <jats:italic toggle=\"yes\">n\u2009=\u2009<\/jats:italic>\n                      100) and needle holder (\n                      <jats:italic toggle=\"yes\">n\u2009=\u2009<\/jats:italic>\n                      100) groups. The long axis, short axis, and area of needle-hole defects were measured and compared between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Overall, the long axis in the needle holder group was significantly shorter than that in the forceps group (forceps: 0.52\u2009\u00b1\u20090.18 vs. needle holder: 0.48\u2009\u00b1\u20090.12\u2005mm,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.036). The short axis was not significantly different between the groups (forceps: 0.26\u2009\u00b1\u20090.07 vs. needle holder: 0.25\u2009\u00b1\u20090.06\u2005mm,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.223). The defect area in the needle holder group was significantly smaller than that in the forceps group (forceps: 0.11\u2009\u00b1\u20090.06 vs. needle holder: 0.09\u2009\u00b1\u20090.03\u2005mm2,\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      \u2009=\u20090.022). Acute aortic dissection showed a similar tendency, whereas thoracic aortic aneurysm showed no significant differences.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The defect area formed when using a needle holder tended to be smaller than that when using forceps, especially in acute aortic dissection. When performing anastomotic pullouts in fragile aortic walls, using a needle holder may help reduce bleeding and prevent distal anastomotic new entry tears.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02184923261425704","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T08:54:59Z","timestamp":1772182499000},"page":"242-249","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Aortic wall needle extraction: Difference between forceps and needle holder use"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8856-6716","authenticated-orcid":false,"given":"Masato","family":"Furui","sequence":"first","affiliation":[{"name":"Fukuoka University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0616-0190","authenticated-orcid":false,"given":"Ryo","family":"Ozuru","sequence":"additional","affiliation":[{"name":"Fukuoka University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mikiko","family":"Aoki","sequence":"additional","affiliation":[{"name":"Fukuoka University"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0008-4168-8215","authenticated-orcid":false,"given":"Go","family":"Kuwahara","sequence":"additional","affiliation":[{"name":"Fukuoka University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0004-5794-7569","authenticated-orcid":false,"given":"Yuta","family":"Sukehiro","sequence":"additional","affiliation":[{"name":"Fukuoka University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8711-4929","authenticated-orcid":false,"given":"Hideichi","family":"Wada","sequence":"additional","affiliation":[{"name":"Fukuoka University Hospital"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1177\/02184923231203753"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000005840"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1177\/02184923221074409"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjtc.2021.05.002"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.5090\/jcs.24.098"},{"key":"e_1_3_3_7_2","first-page":"206","volume-title":"Illustrated atlas of vascular surgery: diagnosis and surgical techniques","author":"Iguchi K","year":"1985","unstructured":"Iguchi K, Kusaba A. Procedures of revascularization. In: Iguchi K, Kusaba A (eds) Illustrated atlas of vascular surgery: diagnosis and surgical techniques. (Japanese). Tokyo: Nanzando, 1985, pp.206\u2013231."},{"key":"e_1_3_3_8_2","first-page":"162","article-title":"Employment of the needle-holder whenever in surgical operations suturing is required","volume":"29","author":"Allis OH","year":"1899","unstructured":"Allis OHIV. Employment of the needle-holder whenever in surgical operations suturing is required. Ann Surg 1899; 29: 162\u2013166.","journal-title":"Ann Surg"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/978-3-319-75656-1_3"},{"key":"e_1_3_3_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjsurg.2021.03.064"},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10143-024-02437-6"},{"key":"e_1_3_3_12_2","first-page":"208","article-title":"An analysis of needle handling motion in a surgical operation\u2014modeling of needle handling motion using a robot","volume":"58","author":"Iwamoto H","year":"2007","unstructured":"Iwamoto H, Kajihara Y, Taki S, et al. An analysis of needle handling motion in a surgical operation\u2014modeling of needle handling motion using a robot. J Jpn Ind Manag Assoc 2007; 58: 208\u2013217.","journal-title":"J Jpn Ind Manag Assoc"},{"key":"e_1_3_3_13_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0094919"},{"key":"e_1_3_3_14_2","doi-asserted-by":"publisher","DOI":"10.1037\/h0033117"},{"key":"e_1_3_3_15_2","first-page":"29","article-title":"The effect of head tilt on vernier detection accuracy","volume":"10","author":"Hisae I","year":"2020","unstructured":"Hisae I, Yuka K. The effect of head tilt on vernier detection accuracy. J Health Med Sci (Japanese) 2020; 10: 29\u201340.","journal-title":"J Health Med Sci (Japanese)"},{"key":"e_1_3_3_16_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivw150"},{"key":"e_1_3_3_17_2","doi-asserted-by":"publisher","DOI":"10.3390\/polym14061189"},{"key":"e_1_3_3_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivw042"},{"key":"e_1_3_3_19_2","first-page":"15","article-title":"The Gibbon Lecture \u2013 competence and compassion: two qualities of surgical excellence","volume":"64","author":"Spencer FC","year":"1979","unstructured":"Spencer FC. The Gibbon Lecture \u2013 competence and compassion: two qualities of surgical excellence. Bull Am Coll Surg 1979; 64: 15\u201322.","journal-title":"Bull Am Coll Surg"},{"key":"e_1_3_3_20_2","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0000000000006267"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923261425704","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02184923261425704","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923261425704","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T19:29:06Z","timestamp":1777404546000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02184923261425704"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,27]]},"references-count":19,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,3]]}},"alternative-id":["10.1177\/02184923261425704"],"URL":"https:\/\/doi.org\/10.1177\/02184923261425704","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,27]]}}}