{"created":"2025-01-17T06:01:58.935501+00:00","id":2000271,"links":{},"metadata":{"_buckets":{"deposit":"7c7541da-e31d-474c-a845-e014328f6a7d"},"_deposit":{"created_by":3,"id":"2000271","owner":"3","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"2000271"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:02000271","sets":["7:27:45"]},"author_link":[],"item_10_alternative_title_3":{"attribute_name":"その他（別言語等）のタイトル","attribute_value_mlt":[{"subitem_alternative_title":"TraineeによるFrozen Elephant trunk法を用いた弓部大動脈置換術の安全性に関する検討","subitem_alternative_title_language":"ja"}]},"item_10_biblio_info_21":{"attribute_name":"bibliographic_information","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2021-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"4","bibliographicPageEnd":"344","bibliographicPageStart":"336","bibliographicVolumeNumber":"69","bibliographic_titles":[{"bibliographic_title":"The Thoracic and cardiovascular surgeon","bibliographic_titleLang":"en"}]}]},"item_10_date_granted_30":{"attribute_name":"学位授与年月日","attribute_value_mlt":[{"subitem_dategranted":"2020-12-25"}]},"item_10_degree_grantor_32":{"attribute_name":"item_10_degree_grantor_32","attribute_value_mlt":[{"subitem_degreegrantor":[{"subitem_degreegrantor_language":"ja","subitem_degreegrantor_name":"旭川医科大学"}],"subitem_degreegrantor_identifier":[{"subitem_degreegrantor_identifier_name":"10107","subitem_degreegrantor_identifier_scheme":"kakenhi"}]}]},"item_10_degree_name_31":{"attribute_name":"学位名","attribute_value_mlt":[{"subitem_degreename":"博士（医学）","subitem_degreename_language":"ja"}]},"item_10_description_28":{"attribute_name":"識別番号 その他","attribute_value_mlt":[{"subitem_description":"PMID:32634833","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_10_description_33":{"attribute_name":"item_10_description_33","attribute_value_mlt":[{"subitem_description":"Background  The aim of the present study was to validate safety of total arch replacement (TAR) using a novel frozen elephant trunk device, operated by trainees as surgical education.\n\nMethods  Sixty-four patients including 19 patients (29.6%) with acute aortic dissection type A (AADA) underwent TAR in our institute between April 2014 and March 2019 were retrospectively analyzed. Twenty-nine patients were operated by trainees (group T) and 35 patients were operated by attending surgeons (group A).\n\nResults  Patient characteristics did not differ between groups. Operative time (409.4 ± 87.8 vs. 468.6 ± 129.6 minutes, p  = 0.034), cardiopulmonary bypass time (177.7 ± 50.4 vs. 222.9 ± 596.7 minutes, p  = 0.019), and hypothermic circulatory arrest time (39.5 ± 13.4 vs. 54.5 ± 18.5 minutes, p  = 0.001) were significantly shorter in group A than in group T, but aortic clamping time did not differ between groups (115.3 ± 55.7 vs. 114.2 ± 35.0 minutes, p  = 0.924) because the rate of concomitant surgery was higher in group A (37.1 vs. 10.3%, p  = 0.014). Thirty-day mortality was 3.1% in the entire cohort. Although operation time was longer in group T, there were no significant difference in postoperative results between the groups, and the experience levels of the main operator were not independent predictors for in-hospital mortality + major postoperative complications. There was no difference in late death and aortic events between groups.\n\nConclusions  The present study demonstrated that TAR can be safely performed by trainees, and suggests TAR as a possible and safe educational operation.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_10_dissertation_number_29":{"attribute_name":"dissertation_number","attribute_value_mlt":[{"subitem_dissertationnumber":"乙第487号"}]},"item_10_relation_24":{"attribute_name":"DOI","attribute_value_mlt":[{"subitem_relation_type":"isIdenticalTo","subitem_relation_type_id":{"subitem_relation_type_id_text":"https://doi.org/10.1055/s-0040-1713354","subitem_relation_type_select":"DOI"}}]},"item_10_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0171-6425","subitem_source_identifier_type":"PISSN"}]},"item_10_version_type_38":{"attribute_name":"出版タイプ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"中西, 仙太郎","creatorNameLang":"ja","creatorNameType":"Personal"},{"creatorName":"ナカニシ, センタロウ","creatorNameLang":"ja-Kana","creatorNameType":"Personal"},{"creatorName":"Nakanishi, Sentaro","creatorNameLang":"en","creatorNameType":"Personal"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2021-10-18"}],"filename":"O487 Nakanishi Sentaro_TD.pdf","filesize":[{"value":"5.3 MB"}],"format":"application/pdf","url":{"objectType":"fulltext","url":"https://asahikawa-med.repo.nii.ac.jp/record/2000271/files/O487 Nakanishi Sentaro_TD.pdf"},"version_id":"32c51254-a906-46ea-a024-0a033c73fd2b"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"total arch replacement","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"frozen elephant trunk","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"extra-anatomical bypass","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"trainee","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"education","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"item_resource_type","attribute_value_mlt":[{"resourcetype":"doctoral thesis","resourceuri":"http://purl.org/coar/resource_type/c_db06"}]},"item_title":"Proximalized total arch replacement can be safety performed by trainee","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Proximalized total arch replacement can be safety performed by trainee","subitem_title_language":"en"}]},"item_type_id":"10","owner":"3","path":["45"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2021-10-18"},"publish_date":"2021-10-18","publish_status":"0","recid":"2000271","relation_version_is_last":true,"title":["Proximalized total arch replacement can be safety performed by trainee"],"weko_creator_id":"3","weko_shared_id":-1},"updated":"2025-01-17T06:07:44.142328+00:00"}