{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,3]],"date-time":"2026-03-03T10:46:39Z","timestamp":1772534799092,"version":"3.50.1"},"reference-count":0,"publisher":"IMR Press","issue":"5","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["HSF"],"abstract":"<jats:p>Background: Stroke and paraplegia are serious complications of total aortic arch replacement (TAR). Hypothermic circulatory arrest and cerebral perfusion reduce the risk of neurologic complications, but longer circulatory arrest time remains a risk factor for such complications. We utilized a frozen elephant trunk (FET) with endo-balloon occlusion under mild systemic hypothermia, which allowed us to shorten circulatory arrest time. \nMethods: Between April 2007 and May 2020, 72 patients underwent elective TAR using antegrade cerebral perfusion (ACP). They were divided into 2 groups. 64 patients received conventional TAR with moderate systemic hypothermic (bladder temperature, 25\u201328\u00b0C) circulatory arrest (group C). We used a FET with endo-balloon occlusion and retrograde perfusion through the femoral artery for the newest 8 patients who had mild hypothermic (bladder temperature of 30\u00b0C) circulatory arrest (group B). \nResults: The mean operation time (257.5 \u00b1 42.1 versus 327.8 \u00b1 84.9 min, P = .023), CPB time (144.4 \u00b1 28.1 versus 178.2 \u00b1 26.4 min, P = .003), cardiac arrest time (75.5 \u00b1 21.2 versus 95.7 \u00b1 56.4 min, P &lt; .001), SCP time (100.8 \u00b1 25.5 versus 124 \u00b1 23.2 min, P &lt; .001), lower body circulation arrest time (17.2 \u00b1 4.2 versus 62.5 \u00b1 19.3 min, P &lt; .001) were significantly shorter in the endo-balloon occlusion group. There were no perioperative neurological and renal complications or mortality in FET group. The new technique enabled a decrease in mechanical ventilation time (8.6 \u00b1 1.4 versus 13.9 \u00b1 5.7 min, P = .015) and hospital length of stay (9.7 \u00b1 1.8 versus 18.3 \u00b1 4.6 min, P = .005).\nConclusion: FET using an endo-balloon occlusion with mild hypothermia is a safe and an effective approach in TAR.<\/jats:p>","DOI":"10.1532\/hsf.3135","type":"journal-article","created":{"date-parts":[[2020,9,24]],"date-time":"2020-09-24T19:24:32Z","timestamp":1600975472000},"page":"E673-E676","source":"Crossref","is-referenced-by-count":6,"title":["Mild Systemic Hypothermic Circulatory Arrest Using a Frozen Elephant Trunk Graft with Endo-Balloon Occlusion for Total Arch Replacement"],"prefix":"10.31083","volume":"23","author":[{"given":"Yoshihiro","family":"Goto","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Soh","family":"Hosoba","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yuichiro","family":"Fukumoto","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sho","family":"Takagi","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Junji","family":"Yanagisawa","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"16242","published-online":{"date-parts":[[2020,9,23]]},"container-title":["The Heart Surgery Forum"],"original-title":[],"link":[{"URL":"https:\/\/journal.hsforum.com\/index.php\/HSF\/article\/download\/3135\/5709","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journal.hsforum.com\/index.php\/HSF\/article\/download\/3135\/5709","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,12,22]],"date-time":"2025-12-22T10:15:13Z","timestamp":1766398513000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.imrpress.com\/journal\/HSF\/23\/5\/10.1532\/hsf.3135"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,9,23]]},"references-count":0,"journal-issue":{"issue":"5","published-online":{"date-parts":[[2020,8,3]]}},"URL":"https:\/\/doi.org\/10.1532\/hsf.3135","relation":{},"ISSN":["1522-6662","1098-3511"],"issn-type":[{"value":"1522-6662","type":"electronic"},{"value":"1098-3511","type":"print"}],"subject":[],"published":{"date-parts":[[2020,9,23]]}}}