{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,18]],"date-time":"2026-08-18T02:05:48Z","timestamp":1787018748029,"version":"build-2736575974"},"reference-count":34,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2024,3,12]],"date-time":"2024-03-12T00:00:00Z","timestamp":1710201600000},"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":["Perfusion"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute type A aortic dissection necessitates rapid and effective arterial cannulation techniques for optimal outcomes. This meta-analysis compares the safety and effectiveness of direct aortic cannulation (AoC) with peripheral cannulation (PC) via the femoral or axillary arteries in aortic surgery for acute type A aortic dissection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A systematic review following PRISMA guidelines identified 10 retrospective studies encompassing 2518 patients (961 AoC, 1557 PC). Pooled odds ratios (OR) with 95% confidence intervals (CI) were calculated to analyze perioperative characteristics, short-term mortality rates, and postoperative complications including stroke and acute kidney injury.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Short-term mortality did not significantly differ between AoC and PC (OR [95% CI] = 0.78 [0.61-1.01], p = .06). Likewise, postoperative stroke (OR [95% CI] = 0.86 [0.63-1.17], p = .33) nor acute kidney injury (OR [95% CI] = 1.11 [0.89-1.37], p = .35) showed no significant differences. AoC exhibited shorter operation time whereas there were no significant differences in aortic cross clamp time and cardiopulmonary bypass time between both groups. Our meta-regression analysis, considering the distal extent of aortic replacement, indicated that variations in aortic replacement rates did not significantly impact the observed outcomes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>AoC is a viable alternative to PC for acute type A aortic dissection. While both approaches offer comparable outcomes, AoC\u2019s advantage in shorter operation time warrants thoughtful consideration in clinical practice.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/02676591241238865","type":"journal-article","created":{"date-parts":[[2024,3,13]],"date-time":"2024-03-13T00:12:35Z","timestamp":1710288755000},"page":"417-430","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":2,"title":["Meta-analysis of central and peripheral cannulation for type A aortic dissection"],"prefix":"10.1177","volume":"40","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1789-5993","authenticated-orcid":false,"given":"Noritsugu","family":"Naito","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hisato","family":"Takagi","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Shizuoka Medical Center, Shizuoka, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2024,3,12]]},"reference":[{"key":"bibr1-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)65594-4"},{"key":"bibr2-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2020.07.061"},{"key":"bibr3-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2015.05.029"},{"key":"bibr4-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1177\/1538574420983652"},{"key":"bibr5-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2013.07.034"},{"key":"bibr6-02676591241238865","doi-asserted-by":"publisher","DOI":"10.21037\/acs.2016.05.05"},{"key":"bibr7-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2009.07.045"},{"key":"bibr8-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejcts.2007.01.048"},{"key":"bibr9-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.09.059"},{"key":"bibr10-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.n71"},{"key":"bibr11-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclinepi.2012.09.016"},{"key":"bibr12-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezac207"},{"key":"bibr13-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2020.02.010"},{"key":"bibr14-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.11.100"},{"key":"bibr15-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1186\/s13019-018-0779-5"},{"key":"bibr16-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1532\/hsf.1956"},{"key":"bibr17-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2016.03.009"},{"key":"bibr18-02676591241238865","doi-asserted-by":"publisher","DOI":"10.12659\/MSM.890813"},{"key":"bibr19-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1510\/icvts.2009.231852"},{"issue":"11","key":"bibr20-02676591241238865","first-page":"S282","volume":"120","author":"Kamiya H","year":"2009","journal-title":"Circulation"},{"key":"bibr21-02676591241238865","doi-asserted-by":"crossref","unstructured":"Kitamura T, Fukuzumi M, Fujioka S, et al. Samurai cannulation for acute standford type a aortic dissection.\n                      Oper Tech Thorac Cardiovasc Surg\n                      2023; 8(4): 240\u2013248.","DOI":"10.1053\/j.optechstcvs.2023.05.003"},{"key":"bibr22-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2006.04.016"},{"key":"bibr23-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2022.04.050"},{"key":"bibr24-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.13511"},{"issue":"1","key":"bibr25-02676591241238865","first-page":"36","volume":"26","author":"Robicsek F","year":"1985","journal-title":"J Cardiovasc Surg"},{"key":"bibr26-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.8840"},{"issue":"19","key":"bibr27-02676591241238865","first-page":"II299","volume":"98","author":"Van Arsdell GS","year":"1998","journal-title":"Circulation"},{"key":"bibr28-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezv035"},{"key":"bibr29-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2018.11.137"},{"key":"bibr30-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2021.04.053"},{"key":"bibr31-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2016.12.029"},{"key":"bibr32-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.athoracsur.2012.10.086"},{"key":"bibr33-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1007\/s11748-013-0355-9"},{"key":"bibr34-02676591241238865","doi-asserted-by":"publisher","DOI":"10.1016\/j.jtcvs.2019.02.097"}],"container-title":["Perfusion"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591241238865","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/02676591241238865","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/02676591241238865","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T17:34:22Z","timestamp":1777656862000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/02676591241238865"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,3,12]]},"references-count":34,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2025,3]]}},"alternative-id":["10.1177\/02676591241238865"],"URL":"https:\/\/doi.org\/10.1177\/02676591241238865","relation":{},"ISSN":["0267-6591","1477-111X"],"issn-type":[{"value":"0267-6591","type":"print"},{"value":"1477-111X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,3,12]]}}}