{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T18:15:58Z","timestamp":1778868958884,"version":"3.51.4"},"reference-count":7,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T00:00:00Z","timestamp":1774915200000},"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":[[2026,5]]},"abstract":"\n Background<\/jats:title>\n Securing hemostasis at graft-to-aorta anastomoses represents a challenging feature of the surgical management of aortic pathologies, and can impact postoperative morbidity and mortality. A new refined suturing technique was developed to address this challenge.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n A Dacron tube graft of appropriate size is secured within the aortic lumen using a horizontal 4-0 Prolene U-stay suture, and its two arms are used to complete the anastomosis continuously. With every bite, the needle is driven horizontally across an outer circumferential felt strip and aorta (out-in), through the graft at a 2\u20133-mm distance from its edge (out-in), back through the graft at a 7\u20138-mm distance from its edge (in-out), and finally bridging over the aortic edge back to its outer aspect without piercing the aortic wall. The two running sutures are firmly tightened and knotted, and Bioglue is applied.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n The described technique was used in 175 patients who underwent ascending aortic replacement for aortic aneurysm or acute dissection. We have found its application to be associated with improved hemostasis and reduced intraoperative and postoperative blood loss. Additional sutures were rarely needed for hemostasis at suture lines, and there were no incidents of false aneurysm formation at anastomosis lines on long-term follow-up.<\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n The described technique is associated with improved hemostasis, reduced blood loss, and decreased operating time, ultimately bringing significant benefits to patients undergoing surgical management of aortic pathologies.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/02184923261439235","type":"journal-article","created":{"date-parts":[[2026,3,31]],"date-time":"2026-03-31T13:12:26Z","timestamp":1774962746000},"page":"400-403","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Refined suturing technique for graft-to-aorta anastomoses"],"prefix":"10.1177","volume":"34","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7138-7367","authenticated-orcid":false,"given":"Ahmad Walid","family":"Izzat","sequence":"first","affiliation":[{"name":"Damascus University Faculty of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6758-8716","authenticated-orcid":false,"given":"Mohammad Bashar","family":"Izzat","sequence":"additional","affiliation":[{"name":"Damascus University Faculty of Medicine"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2026,3,31]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2006.11.059"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.asjsur.2024.01.153"},{"key":"e_1_3_2_4_2","article-title":"Intermittent horizontal mattress suture in proximal anastomosis for acute type A aortic dissection: a retrospective study","volume":"13","author":"Li J","year":"2025","unstructured":"Li J, Zhou Y, Zhang Y, et al. Intermittent horizontal mattress suture in proximal anastomosis for acute type A aortic dissection: a retrospective study. PeerJ 2025; 13: e19159.","journal-title":"PeerJ"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/0003-4975(94)01018-8"},{"key":"e_1_3_2_6_2","first-page":"1","article-title":"Graft telescopic inversion anastomosis for acute type A aortic dissection repair","volume":"4","author":"Lee MK","year":"2019","unstructured":"Lee MK, Choi JB, Kim NY. Graft telescopic inversion anastomosis for acute type A aortic dissection repair. Clinics in Surgery 2019; 4: 1\u20132.","journal-title":"Clinics in Surgery"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.5761\/atcs.nm.11.01807"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.xjon.2024.05.003"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923261439235","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02184923261439235","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02184923261439235","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,15]],"date-time":"2026-05-15T17:48:02Z","timestamp":1778867282000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02184923261439235"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,31]]},"references-count":7,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1177\/02184923261439235"],"URL":"https:\/\/doi.org\/10.1177\/02184923261439235","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,31]]}}}