{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T06:39:39Z","timestamp":1765435179275,"version":"3.46.0"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T00:00:00Z","timestamp":1765411200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Med."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Acute type A aortic dissection (ATAAD) necessitates emergent surgery with optimal cerebral protection. Traditional axillary artery cannulation carries risks of brachial plexus injury and inadequate perfusion. This study evaluates a modified technique using a 10-mm vascular graft anastomosed to the innominate artery to improve cerebral and systemic perfusion.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We retrospectively analyzed data from 94 consecutive ATAAD surgical patients between May 2024 and May 2025. All patients underwent hypothermic circulatory arrest (HCA) combined with antegrade cerebral perfusion (ACP). Perfusion was established via end-to-side anastomosis of a 10-mm straight artificial vascular graft to the innominate artery, through which both systemic arterial perfusion and ACP were conducted.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In-hospital mortality was 14.89%. Mean operative times included cardiopulmonary bypass (171.27 \u00b1 43.65 min) and circulatory arrest (25 min). Complications included stroke (10.64%), tracheostomy (17.02%), and acute kidney injury (23.40%). No upper limb ischemia or vascular injuries occurred.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The modified perfusion strategy utilizing innominate artery anastomosis with an artificial vascular graft is a safe, effective, and technically reliable method. It provides excellent cerebral perfusion, unobstructed surgical visibility, and avoids upper limb ischemic complications, making it worthy of clinical promotion.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fmed.2025.1703615","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T06:35:47Z","timestamp":1765434947000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Application of a modified perfusion strategy via anastomosis of the innominate artery with a 10-mm artificial vascular graft in acute type A aortic dissection"],"prefix":"10.3389","volume":"12","author":[{"given":"Yun","family":"Lu","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zhongxin","family":"Zhou","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yang","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jun","family":"Wei","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hao","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,11]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"e334","DOI":"10.1161\/CIR.0000000000001097","article-title":"2022 ACC\/AHA guideline for the diagnosis and management of aortic disease: a report of the American Heart Association\/American College of Cardiology joint committee on clinical practice guidelines","volume":"146","author":"Isselbacher","year":"2022","journal-title":"Circulation"},{"key":"B2","doi-asserted-by":"publisher","first-page":"971","DOI":"10.1111\/jocs.15312","article-title":"Clinical impact of the repair technique for posterior mitral leaflet prolapse: resect or respect?","volume":"36","author":"Sakaguchi","year":"2021","journal-title":"J Card Surg."},{"key":"B3","doi-asserted-by":"publisher","first-page":"66","DOI":"10.1016\/j.jtcvs.2017.09.071","article-title":"Transcatheter aortic valve replacement after mitral valve surgery: synergistic or incompatible?","volume":"155","author":"Rogers","year":"2018","journal-title":"J Thorac Cardiovasc Surg."},{"key":"B4","doi-asserted-by":"publisher","first-page":"597","DOI":"10.1016\/j.athoracsur.2022.07.005","article-title":"Cardiac transplantation; 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