Evidence map›Paper›PMID 38615049›Full record

ArticleJournal of cardiothoracic surgery2024

Open aortic arch repair without circulatory arrest by frozen elephant trunk in Ishimaru zone 0.

Ciro Bancone, Alessandro Della Corte, Federica Lo Presti, Rasul Ashurov, Giacomo Sica, Lucrezia Palmieri, Rita Di Fraia, Marisa De Feo

Open access · goldAbstract readCase Reports
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed, 2 citations in OpenAlex.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Ciro BanconeDepartment of Translational Medical Sciences, Unit of Cardiac Surgery, University of Campania "L. Vanvitelli", V. Monaldi Hospital, Via L. Bianchi, Naples, 80131, Italy.
Alessandro Della CorteDepartment of Translational Medical Sciences, Unit of Cardiac Surgery, University of Campania "L. Vanvitelli", V. Monaldi Hospital, Via L. Bianchi, Naples, 80131, Italy. aledellacorte@libero.it.
Federica Lo PrestiDepartment of Translational Medical Sciences, Unit of Cardiac Surgery, University of Campania "L. Vanvitelli", V. Monaldi Hospital, Via L. Bianchi, Naples, 80131, Italy.
Rasul AshurovDepartment of Clinical Internal Medicine, Anaesthesiology and Cardiovascular Sciences, Sapienza University of Rome, Rome, Italy.
Giacomo SicaRadiology Unit, V. Monaldi Hospital, Naples, Italy.
Lucrezia PalmieriDepartment of Translational Medical Sciences, Unit of Cardiac Surgery, University of Campania "L. Vanvitelli", V. Monaldi Hospital, Via L. Bianchi, Naples, 80131, Italy.
Rita Di FraiaDepartment of Translational Medical Sciences, Unit of Cardiac Surgery, University of Campania "L. Vanvitelli", V. Monaldi Hospital, Via L. Bianchi, Naples, 80131, Italy.
Marisa De FeoDepartment of Translational Medical Sciences, Unit of Cardiac Surgery, University of Campania "L. Vanvitelli", V. Monaldi Hospital, Via L. Bianchi, Naples, 80131, Italy.
University of Campania "Luigi Vanvitelli" · ITOspedale Monaldi · ITSapienza University of Rome · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOpen arch surgery is technically demanding for the surgeon and surgically and biologically invasive for the patient, requiring a variably long period of hypothermic circulatory arrest. CASE PRESENTATION: Here we present a case of an elderly patient with chronic renal failure and multiple splanchnic artery disease successfully treated for a rupturing pseudoaneurysm of the aortic arch with a technique that we developed for particularly frail patients. The procedure includes: triple supra-aortic vessel perfusion; distal thoracic aorta antegrade perfusion; balloon endo-clamping of the descending aorta; and anastomosis of an off-the-shelf hybrid arch prosthesis in Ishimaru zone 0. These maneuvers allowed to maintain an extracorporeal circulation in the phase of distal anastomosis, instead of a period of circulatory arrest, employing just mild hypothermia: technical details are depicted and discussed also in comparison with other methods proposed in the literature.

conclusionsBeing able to take advantage of both open surgery advancements and endovascular methods is the key to cardiovascular surgery success today in front of complex pathologies of the aorta: increasing safety and reducing invasiveness of therapeutic options may progressively extend surgical candidacy to the frailest patients.

Indexed as

Blood Vessel Prosthesis ImplantationHeart ArrestAgedAortaAorta, ThoracicHumansPerfusionAortic arch aneurysmAuto-regulationCirculatory arrestContinuous peripheral perfusionFrozen elephant trunk techniqueHybrid vascular prosthesis

Identifiers

PMID38615049
PMCPMC11015542
OpenAlexW4394785063

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.