Evidence map›Paper›PMID 42604337›Full record

ArticleJTCVS open2026

Head-core temperature discordance during hypothermic circulatory arrest in acute type A aortic dissection.

Hodaka Wakisaka, Noriyuki Takashima, Tomoaki Suzuki

Abstract read
In one paragraph

Article in JTCVS open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing 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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

3 authors.

Hodaka WakisakaDepartment of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
Noriyuki TakashimaDepartment of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.
Tomoaki SuzukiDepartment of Cardiovascular Surgery, Shiga University of Medical Science, Otsu, Shiga, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Objectives: Core temperature is routinely used to guide hypothermic circulatory arrest (HCA) for acute type A aortic dissection (ATAAD). However, it remains unclear whether impaired carotid artery flow alters the relationship between cerebral and systemic cooling during HCA. This study aimed to evaluate head-core temperature discordance in patients with carotid artery dissection. Methods: This retrospective study included 358 consecutive patients who underwent emergency hemiarch replacement for ATAAD under HCA without adjunctive cerebral perfusion between 2012 and 2022. Patients were classified according to carotid artery flow status: no carotid dissection, preserved carotid flow, or compromised carotid flow. A temperature discordance index (Δ Results: Tympanic temperature at the onset of circulatory arrest was maintained across all groups (median, 24.5 °C). Postoperative stroke occurred more frequently in patients with carotid artery dissection than in those without carotid involvement (14.8% vs 8.3%; Conclusions: During HCA, compromised carotid artery flow is associated with attenuated Δ

Indexed as

acute type A aortic dissectioncarotid artery dissectioncerebral protectionhypothermic circulatory arresttemperature monitoring

Identifiers

PMID42604337
PMCPMC13477104

What OpenQuestion holds

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Registered trials

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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.