{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T17:32:23Z","timestamp":1777915943597,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2023,10,26]],"date-time":"2023-10-26T00:00:00Z","timestamp":1698278400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Jiangsu Province Capability Improvement Project through Science, Technology and Education","award":["ZDXK202229"],"award-info":[{"award-number":["ZDXK202229"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Perfusion"],"abstract":"<jats:sec>\n                    <jats:title>Overview<\/jats:title>\n                    <jats:p>Acute type A aortic dissection (ATAAD) with persistent coma is a life-threatening condition associated with high mortality and poor neurological outcomes. The optimal timing for surgical intervention in these patients remains uncertain, and many patients are not eligible for surgery due to their poor prognosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Description<\/jats:title>\n                    <jats:p>In this case, a 53-year-old man with hypertension presented to the emergency department in a coma that had lasted for 9\u00a0hours. The patient was diagnosed with ATAAD and underwent the \u201cDrum Tower Hospital\u201d strategy, which involved preoperative assessments, including computed tomography angiography (CTA) and quantitative electroencephalogram (qEEG) monitoring. Surgical interventions, such as emergency stenting and aortic replacement, were performed to restore blood flow and repair the aorta. Postoperative monitoring, including qEEG, showed improvements in brain function. Despite the patient experiencing hemiplegia and a neurological deficit, the \u201cDrum Tower Hospital\u201d strategy, guided by comprehensive brain assessments, showed promise in managing ATAAD with coma. However, further research is needed to establish effective treatment strategies for these patients. Overall, ATAAD with persistent coma is a critical condition with limited treatment options. The \u201cDrum Tower Hospital\u201d strategy, supported by multimodal brain assessment, offers a potential approach to improve outcomes in these patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591231210459","type":"journal-article","created":{"date-parts":[[2023,10,27]],"date-time":"2023-10-27T00:16:38Z","timestamp":1698365798000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["\u201cDrum Tower Hospital\u201d strategy for acute type A aortic dissection with coma"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8594-7425","authenticated-orcid":false,"given":"Ya-peng","family":"Wang","sequence":"first","affiliation":[{"name":"Department of Cardio-Thoracic Surgery, Nanjing Drum Tower Hospital, Peking Union Medical College Graduate School, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li-chong","family":"Lu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Nanjing, China"},{"name":"Institute of Cardiothoracic Vascular Disease, Nanjing University, Nanjing, China"},{"name":"Department of Cardio- Thoracic Surgery, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu, China"},{"name":"Nanjing Drum Tower Hospital, Xuzhou Medical University, Xuzhou, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shu-chun","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Nanjing, China"},{"name":"Institute of Cardiothoracic Vascular Disease, Nanjing University, Nanjing, China"},{"name":"Department of Cardio- Thoracic Surgery, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu, China"},{"name":"Nanjing Drum Tower Hospital, Xuzhou Medical University, Xuzhou, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Li","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Nanjing, China"},{"name":"Institute of Cardiothoracic Vascular Disease, Nanjing University, Nanjing, China"},{"name":"Department of Cardio- Thoracic Surgery, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu, China"},{"name":"Nanjing Drum Tower Hospital, Xuzhou Medical University, Xuzhou, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yi","family":"Jiang","sequence":"additional","affiliation":[{"name":"Department of Cardio-Thoracic Surgery, Nanjing Drum Tower Hospital, Peking Union Medical College Graduate School, Chinese Academy of Medical Sciences & Peking Union Medical College, Nanjing, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yong-qing","family":"Cheng","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Nanjing, China"},{"name":"Institute of Cardiothoracic Vascular Disease, Nanjing University, Nanjing, China"},{"name":"Department of Cardio- Thoracic Surgery, Nanjing Drum Tower Hospital, Nanjing Medical University, Nanjing, Jiangsu, China"},{"name":"Nanjing Drum Tower Hospital, Xuzhou Medical University, Xuzhou, Jiangsu, China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Min","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Affiliated Hospital of Nanjing University Medical School, Nanjing Drum Tower Hospital, Nanjing, 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