Evidence map›Paper›PMID 39790967›Full record

ArticleAnnals of thoracic surgery short reports2023

Closing of a Patent Tear Above the Aortic Hiatus and Type A Aortic Dissection Outcomes.

Katsuhiko Oda, Keisuke Kanda, Makoto Takahashi, Naoya Terao, Rina Akanuma, Takahiko Hasegawa, Satoshi Kawatsu

Abstract read
In one paragraph

Article in Annals of thoracic surgery short reports, 2023. 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
–field-weighted citation impact
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.

  1. Review
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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

7 authors.

Katsuhiko OdaDepartment of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Keisuke KandaDepartment of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Makoto TakahashiDepartment of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Naoya TeraoDepartment of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Rina AkanumaDepartment of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Takahiko HasegawaDepartment of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.
Satoshi KawatsuDepartment of Cardiovascular Surgery, Iwate Prefectural Central Hospital, Morioka, Iwate, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: A strategy combining tear-oriented initial surgical procedure and subsequent thoracic endovascular aortic repair (TEVAR) can be adopted for acute type A aortic dissection (ATAAD). This study investigated this strategy's outcomes and the role of the aortic hiatus (AH). Methods: Overall, 192 consecutive patients with ATAAD who underwent initial surgery between 2012 and 2021 were assessed in this observational retrospective study. The reintervention rate, the relationship of the residual tear location above or below the AH, and the outcomes of subsequent TEVAR and redo distal open repair were assessed. Results: The initial surgery's in-hospital death rate was 8.3%; the subsequent TEVAR and redo distal open repair rates were 28% and 3%, respectively. Reintervention was performed in 93% and 0% of patients with tears above and below the AH, respectively, with a 0% mortality rate. Conclusions: In false lumen expansion cases, timely detection and closure of the residual intimal tear above the AH with subsequent TEVAR might improve ATAAD outcomes.

Identifiers

PMID39790967
PMCPMC11708697

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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.