{"id":"https://openalex.org/W7155205221","doi":"https://doi.org/10.1186/s13019-026-03936-x","title":"Short- and long-term outcomes of david versus bentall procedures in acute type a aortic dissection: a meta-analysis with reconstructed individual patient data for time-to-event analysis","display_name":"Short- and long-term outcomes of david versus bentall procedures in acute type a aortic dissection: a meta-analysis with reconstructed individual patient data for time-to-event analysis","publication_year":2026,"publication_date":"2026-04-22","ids":{"openalex":"https://openalex.org/W7155205221","doi":"https://doi.org/10.1186/s13019-026-03936-x","pmid":"https://pubmed.ncbi.nlm.nih.gov/42021394","pmcid":"https://www.ncbi.nlm.nih.gov/pmc/articles/13262080"},"language":"en","primary_location":{"id":"doi:10.1186/s13019-026-03936-x","doi":"https://doi.org/10.1186/s13019-026-03936-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13019-026-03936-x","pdf_url":null,"source":{"id":"https://openalex.org/S172459203","display_name":"Journal of Cardiothoracic Surgery","issn_l":"1749-8090","issn":["1749-8090"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiothoracic Surgery","raw_type":"journal-article"},"volume":null,"type":"review","is_traditional":true,"indexed_in":["crossref","doaj","pubmed"],"open_access":{"is_oa":true,"oa_status":"gold","oa_url":"https://doi.org/10.1186/s13019-026-03936-x","any_repository_has_fulltext":true},"authorships":[{"author_position":"first","author":{"id":"https://openalex.org/A5117538397","display_name":"Kristine Santos","orcid":"https://orcid.org/0009-0004-3563-4211","observed_orcids":["https://orcid.org/0009-0004-3563-4211"]},"institutions":[{"id":"https://openalex.org/I2801766299","display_name":"Medisch Spectrum Twente","ror":"https://ror.org/033xvax87","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2801766299"]},{"id":"https://openalex.org/I4405279158","display_name":"New Vision University","ror":"https://ror.org/0135qjt26","country_code":"GE","type":"education","lineage":["https://openalex.org/I4405279158"]}],"countries":["GE","NL"],"is_corresponding":true,"raw_author_name":"Kristine Santos","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Medisch Spectrum Twente, Enschede, Netherlands. santos.kristine13@yahoo.co.uk","New Vision University School of Medicine, Tbilisi, Georgia. santos.kristine13@yahoo.co.uk"],"raw_orcid":"https://orcid.org/0009-0004-3563-4211","affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Medisch Spectrum Twente, Enschede, Netherlands. santos.kristine13@yahoo.co.uk","institution_ids":["https://openalex.org/I2801766299"]},{"raw_affiliation_string":"New Vision University School of Medicine, Tbilisi, Georgia. santos.kristine13@yahoo.co.uk","institution_ids":["https://openalex.org/I4405279158"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5119598621","display_name":"Ghislain Irakoze Habiyambere","orcid":"https://orcid.org/0009-0008-3874-8037","observed_orcids":["https://orcid.org/0009-0008-3874-8037"]},"institutions":[{"id":"https://openalex.org/I4210143973","display_name":"University of Global Health Equity","ror":"https://ror.org/04c8tz716","country_code":"RW","type":"education","lineage":["https://openalex.org/I4210143973"]}],"countries":["RW"],"is_corresponding":false,"raw_author_name":"Ghislain Irakoze Habiyambere","raw_affiliation_strings":["University of Global Health Equity, Butaro campus, Burera, Rwanda"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"University of Global Health Equity, Butaro campus, Burera, Rwanda","institution_ids":["https://openalex.org/I4210143973"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5114756070","display_name":"Henri Bartolozzi","orcid":"https://orcid.org/0009-0009-0734-5849","observed_orcids":["https://orcid.org/0009-0009-0734-5849"]},"institutions":[{"id":"https://openalex.org/I173112312","display_name":"Trakia University","ror":"https://ror.org/04p2cym91","country_code":"BG","type":"education","lineage":["https://openalex.org/I173112312"]}],"countries":["BG"],"is_corresponding":false,"raw_author_name":"Henri Bartolozzi","raw_affiliation_strings":["Trakia University, Stara Zagora, Bulgaria"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Trakia University, Stara Zagora, Bulgaria","institution_ids":["https://openalex.org/I173112312"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5117635523","display_name":"Ogechukwu Samuel Obi","orcid":"https://orcid.org/0000-0003-4184-9644","observed_orcids":["https://orcid.org/0000-0003-4184-9644"]},"institutions":[{"id":"https://openalex.org/I4210104314","display_name":"New York Institute of Technology","ror":"https://ror.org/01bghzb51","country_code":"US","type":"education","lineage":["https://openalex.org/I4210104314"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Ogechukwu Samuel Obi","raw_affiliation_strings":["New York Institute of Technology College of Osteopathic Medicine, Northern Boulevard, Old Westbury, NY, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"New York Institute of Technology College of Osteopathic Medicine, Northern Boulevard, Old Westbury, NY, USA","institution_ids":["https://openalex.org/I4210104314"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5010857654","display_name":"Pedro Carvalho","orcid":"https://orcid.org/0000-0002-6954-4925","observed_orcids":["https://orcid.org/0000-0002-6954-4925"]},"institutions":[{"id":"https://openalex.org/I4210134111","display_name":"Minneapolis Heart Institute Foundation","ror":"https://ror.org/03mhcky17","country_code":"US","type":"other","lineage":["https://openalex.org/I4210134111"]}],"countries":["US"],"is_corresponding":false,"raw_author_name":"Pedro E.P. Carvalho","raw_affiliation_strings":["Center for Coronary Artery Disease, Minneapolis Heart Institute Foundation, Minneapolis, USA"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Center for Coronary Artery Disease, Minneapolis Heart Institute Foundation, Minneapolis, USA","institution_ids":["https://openalex.org/I4210134111"]}]},{"author_position":"middle","author":{"id":"https://openalex.org/A5122353351","display_name":"Dario Madera","orcid":"https://orcid.org/0009-0008-1416-4408","observed_orcids":["https://orcid.org/0009-0008-1416-4408"]},"institutions":[{"id":"https://openalex.org/I4210156231","display_name":"Institut Pasteur de Montevideo","ror":"https://ror.org/04dpm2z73","country_code":"UY","type":"facility","lineage":["https://openalex.org/I4210156231"]}],"countries":["UY"],"is_corresponding":false,"raw_author_name":"Dario Madera","raw_affiliation_strings":["Department of Vascular Surgery Pasteur Hospital, Montevideo, Uruguay"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Vascular Surgery Pasteur Hospital, Montevideo, Uruguay","institution_ids":["https://openalex.org/I4210156231"]}]},{"author_position":"last","author":{"id":"https://openalex.org/A5077946035","display_name":"Tomasz P\u0142onek","orcid":"https://orcid.org/0000-0003-3671-2483","observed_orcids":["https://orcid.org/0000-0003-3671-2483"]},"institutions":[{"id":"https://openalex.org/I2801766299","display_name":"Medisch Spectrum Twente","ror":"https://ror.org/033xvax87","country_code":"NL","type":"healthcare","lineage":["https://openalex.org/I2801766299"]}],"countries":["NL"],"is_corresponding":false,"raw_author_name":"Tomasz P\u0142onek","raw_affiliation_strings":["Department of Cardiothoracic Surgery, Medisch Spectrum Twente, Enschede, Netherlands"],"raw_orcid":null,"affiliations":[{"raw_affiliation_string":"Department of Cardiothoracic Surgery, Medisch Spectrum Twente, Enschede, Netherlands","institution_ids":["https://openalex.org/I2801766299"]}]}],"institutions":[],"countries_distinct_count":6,"institutions_distinct_count":7,"corresponding_author_ids":["https://openalex.org/A5117538397"],"corresponding_institution_ids":["https://openalex.org/I2801766299","https://openalex.org/I4405279158"],"apc_list":{"value":2890,"currency":"USD","value_usd":2890},"apc_paid":{"value":2890,"currency":"USD","value_usd":2890},"fwci":1.0279,"has_fulltext":true,"cited_by_count":1,"citation_normalized_percentile":{"value":0.66588266,"is_in_top_1_percent":false,"is_in_top_10_percent":false},"cited_by_percentile_year":{"min":91,"max":95},"biblio":{"volume":"21","issue":"1","first_page":null,"last_page":null},"is_retracted":false,"is_paratext":false,"is_xpac":false,"primary_topic":{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},"topics":[{"id":"https://openalex.org/T10618","display_name":"Aortic Disease and Treatment Approaches","score":0.9994999766349792,"subfield":{"id":"https://openalex.org/subfields/2705","display_name":"Cardiology and Cardiovascular Medicine"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}},{"id":"https://openalex.org/T11310","display_name":"Connective tissue disorders research","score":0.0,"subfield":{"id":"https://openalex.org/subfields/1311","display_name":"Genetics"},"field":{"id":"https://openalex.org/fields/13","display_name":"Biochemistry, Genetics and Molecular Biology"},"domain":{"id":"https://openalex.org/domains/1","display_name":"Life Sciences"}},{"id":"https://openalex.org/T10983","display_name":"Aortic aneurysm repair treatments","score":0.0,"subfield":{"id":"https://openalex.org/subfields/2746","display_name":"Surgery"},"field":{"id":"https://openalex.org/fields/27","display_name":"Medicine"},"domain":{"id":"https://openalex.org/domains/4","display_name":"Health Sciences"}}],"keywords":[{"id":"https://openalex.org/keywords/acute-type-a-aortic-dissection","display_name":"acute type A aortic dissection","score":0.972000002861023},{"id":"https://openalex.org/keywords/david-procedure","display_name":"David procedure","score":0.9229999780654907},{"id":"https://openalex.org/keywords/bentall-procedure","display_name":"Bentall procedure","score":0.9919999837875366},{"id":"https://openalex.org/keywords/aortic-root","display_name":"aortic root","score":0.609000027179718},{"id":"https://openalex.org/keywords/valve-sparing-aortic-root-replacement","display_name":"valve-sparing aortic root replacement","score":0.7820000052452087},{"id":"https://openalex.org/keywords/long-term-survival","display_name":"long-term survival","score":0.8429999947547913},{"id":"https://openalex.org/keywords/mortality","display_name":"mortality","score":0.7910000085830688},{"id":"https://openalex.org/keywords/atrial-fibrillation","display_name":"atrial fibrillation","score":0.8820000290870667},{"id":"https://openalex.org/keywords/acute-kidney-injury","display_name":"acute kidney injury","score":0.9089999794960022},{"id":"https://openalex.org/keywords/mechanical-ventilation","display_name":"mechanical ventilation","score":0.6430000066757202},{"id":"https://openalex.org/keywords/blood-loss","display_name":"blood loss","score":0.5920000076293945},{"id":"https://openalex.org/keywords/length-of-hospital-stay","display_name":"length of hospital stay","score":0.7490000128746033},{"id":"https://openalex.org/keywords/survival-analysis","display_name":"survival analysis","score":0.7480000257492065},{"id":"https://openalex.org/keywords/aortic-valve-replacement","display_name":"aortic valve replacement","score":0.4020000100135803},{"id":"https://openalex.org/keywords/aortic-replacement","display_name":"aortic replacement","score":0.4099999964237213},{"id":"https://openalex.org/keywords/postoperative-outcomes","display_name":"postoperative outcomes","score":0.4129999876022339}],"concepts":[{"id":"https://openalex.org/C71924100","wikidata":"https://www.wikidata.org/wiki/Q11190","display_name":"Medicine","level":0,"score":0.916100025177002},{"id":"https://openalex.org/C156957248","wikidata":"https://www.wikidata.org/wiki/Q1862216","display_name":"Odds ratio","level":2,"score":0.6783000230789185},{"id":"https://openalex.org/C2780960084","wikidata":"https://www.wikidata.org/wiki/Q3354911","display_name":"Bentall procedure","level":4,"score":0.6448000073432922},{"id":"https://openalex.org/C2779993142","wikidata":"https://www.wikidata.org/wiki/Q594660","display_name":"Aortic dissection","level":3,"score":0.5950000286102295},{"id":"https://openalex.org/C2778789114","wikidata":"https://www.wikidata.org/wiki/Q235007","display_name":"Cardiac surgery","level":2,"score":0.5490999817848206},{"id":"https://openalex.org/C160022790","wikidata":"https://www.wikidata.org/wiki/Q2964004","display_name":"Cardiothoracic surgery","level":2,"score":0.5400000214576721},{"id":"https://openalex.org/C207103383","wikidata":"https://www.wikidata.org/wiki/Q3930246","display_name":"Hazard ratio","level":3,"score":0.5116999745368958},{"id":"https://openalex.org/C126322002","wikidata":"https://www.wikidata.org/wiki/Q11180","display_name":"Internal medicine","level":1,"score":0.4749999940395355},{"id":"https://openalex.org/C141071460","wikidata":"https://www.wikidata.org/wiki/Q40821","display_name":"Surgery","level":1,"score":0.46540001034736633},{"id":"https://openalex.org/C44249647","wikidata":"https://www.wikidata.org/wiki/Q208498","display_name":"Confidence interval","level":2,"score":0.41839998960494995},{"id":"https://openalex.org/C2779161974","wikidata":"https://www.wikidata.org/wiki/Q815819","display_name":"Atrial fibrillation","level":2,"score":0.41350001096725464},{"id":"https://openalex.org/C2780472472","wikidata":"https://www.wikidata.org/wiki/Q424337","display_name":"Acute kidney injury","level":2,"score":0.4009999930858612},{"id":"https://openalex.org/C164705383","wikidata":"https://www.wikidata.org/wiki/Q10379","display_name":"Cardiology","level":1,"score":0.3668000102043152},{"id":"https://openalex.org/C2777010666","wikidata":"https://www.wikidata.org/wiki/Q1498222","display_name":"Vascular surgery","level":3,"score":0.3407000005245209},{"id":"https://openalex.org/C143095724","wikidata":"https://www.wikidata.org/wiki/Q515895","display_name":"Odds","level":3,"score":0.3310999870300293},{"id":"https://openalex.org/C95190672","wikidata":"https://www.wikidata.org/wiki/Q815382","display_name":"Meta-analysis","level":2,"score":0.31769999861717224},{"id":"https://openalex.org/C2780120127","wikidata":"https://www.wikidata.org/wiki/Q743664","display_name":"Abdominal surgery","level":2,"score":0.31439998745918274},{"id":"https://openalex.org/C2777323849","wikidata":"https://www.wikidata.org/wiki/Q616003","display_name":"Aortic aneurysm","level":3,"score":0.3111000061035156},{"id":"https://openalex.org/C50382708","wikidata":"https://www.wikidata.org/wiki/Q223218","display_name":"Proportional hazards model","level":2,"score":0.2971999943256378},{"id":"https://openalex.org/C179755657","wikidata":"https://www.wikidata.org/wiki/Q58702","display_name":"Mortality rate","level":2,"score":0.26109999418258667},{"id":"https://openalex.org/C167135981","wikidata":"https://www.wikidata.org/wiki/Q2146302","display_name":"Retrospective cohort study","level":2,"score":0.25589999556541443}],"mesh":[{"descriptor_ui":"D000094630","descriptor_name":"Dissection, Ascending Aorta","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D000208","descriptor_name":"Acute Disease","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D000784","descriptor_name":"Aortic Dissection","qualifier_ui":"Q000601","qualifier_name":"surgery","is_major_topic":true},{"descriptor_ui":"D006801","descriptor_name":"Humans","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D013997","descriptor_name":"Time Factors","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D016896","descriptor_name":"Treatment Outcome","qualifier_ui":null,"qualifier_name":null,"is_major_topic":false},{"descriptor_ui":"D019917","descriptor_name":"Blood Vessel Prosthesis Implantation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true},{"descriptor_ui":"D019918","descriptor_name":"Heart Valve Prosthesis Implantation","qualifier_ui":"Q000379","qualifier_name":"methods","is_major_topic":true}],"locations_count":4,"locations":[{"id":"doi:10.1186/s13019-026-03936-x","doi":"https://doi.org/10.1186/s13019-026-03936-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13019-026-03936-x","pdf_url":null,"source":{"id":"https://openalex.org/S172459203","display_name":"Journal of Cardiothoracic Surgery","issn_l":"1749-8090","issn":["1749-8090"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiothoracic Surgery","raw_type":"journal-article"},{"id":"pmh:oai:pubmedcentral.nih.gov:13262080","doi":null,"is_oa":true,"landing_page_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13262080/","pdf_url":"https://pmc.ncbi.nlm.nih.gov/articles/PMC13262080/pdf/","source":{"id":"https://openalex.org/S2764455111","display_name":"PubMed Central","issn_l":null,"issn":null,"is_oa":true,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"J Cardiothorac Surg","raw_type":"Text"},{"id":"pmid:42021394","doi":null,"is_oa":false,"landing_page_url":"https://pubmed.ncbi.nlm.nih.gov/42021394","pdf_url":null,"source":{"id":"https://openalex.org/S4306525036","display_name":"PubMed","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":"https://openalex.org/I1299303238","host_organization_name":"National Institutes of Health","host_organization_lineage":["https://openalex.org/I1299303238"],"host_organization_lineage_names":[],"type":"repository"},"license":null,"license_id":null,"version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of cardiothoracic surgery","raw_type":"Journal Article"},{"id":"pmh:oai:doaj.org/article:0356010412de43d088c5a118941b3872","doi":null,"is_oa":true,"landing_page_url":"https://doaj.org/article/0356010412de43d088c5a118941b3872","pdf_url":null,"source":{"id":"https://openalex.org/S4306401280","display_name":"DOAJ (DOAJ: Directory of Open Access Journals)","issn_l":null,"issn":null,"is_oa":false,"is_in_doaj":false,"is_core":false,"listed_in":[],"host_organization":null,"host_organization_name":null,"host_organization_lineage":[],"host_organization_lineage_names":[],"type":"repository"},"license":"cc-by-sa","license_id":"https://openalex.org/licenses/cc-by-sa","version":"submittedVersion","is_accepted":false,"is_published":false,"raw_source_name":"Journal of Cardiothoracic Surgery, Vol 21, Iss 1 (2026)","raw_type":"article"}],"best_oa_location":{"id":"doi:10.1186/s13019-026-03936-x","doi":"https://doi.org/10.1186/s13019-026-03936-x","is_oa":true,"landing_page_url":"https://doi.org/10.1186/s13019-026-03936-x","pdf_url":null,"source":{"id":"https://openalex.org/S172459203","display_name":"Journal of Cardiothoracic Surgery","issn_l":"1749-8090","issn":["1749-8090"],"is_oa":true,"is_in_doaj":true,"is_core":true,"listed_in":["cwts-core","doaj","dongbi-c","doyens","jufo-1","ki-jl-1","medline","norway-1","oarl","poland-70","russia-white-list-2","vabb-shw"],"host_organization":"https://openalex.org/P4310320256","host_organization_name":"BioMed Central","host_organization_lineage":["https://openalex.org/P4310320256","https://openalex.org/P4310319965"],"host_organization_lineage_names":["BioMed Central","Springer Nature"],"type":"journal"},"license":"cc-by-nc-nd","license_id":"https://openalex.org/licenses/cc-by-nc-nd","version":"publishedVersion","is_accepted":true,"is_published":true,"raw_source_name":"Journal of Cardiothoracic Surgery","raw_type":"journal-article"},"sustainable_development_goals":[{"id":"https://metadata.un.org/sdg/3","score":1.0,"display_name":"Good health and well-being"}],"study_designs":[{"id":"https://openalex.org/study-designs/systematic-review","display_name":"Systematic Review"},{"id":"https://openalex.org/study-designs/meta-analysis","display_name":"Meta-Analysis"}],"awards":[],"funders":[],"has_content":{"grobid_xml":true,"pdf":true},"content_urls":{"pdf":"https://content.openalex.org/works/W7155205221.pdf","grobid_xml":"https://content.openalex.org/works/W7155205221.grobid-xml"},"referenced_works_count":19,"referenced_works":["https://openalex.org/W2023255608","https://openalex.org/W2028661351","https://openalex.org/W2126930838","https://openalex.org/W2156776384","https://openalex.org/W2160372879","https://openalex.org/W2165010366","https://openalex.org/W2416103545","https://openalex.org/W2531269403","https://openalex.org/W2565451362","https://openalex.org/W2567362164","https://openalex.org/W2885498194","https://openalex.org/W2966423879","https://openalex.org/W3094777985","https://openalex.org/W3151022859","https://openalex.org/W3163923489","https://openalex.org/W4375834463","https://openalex.org/W4388890297","https://openalex.org/W4403074743","https://openalex.org/W4403513767"],"related_works":["https://openalex.org/W2772985883","https://openalex.org/W4404501025","https://openalex.org/W920574955","https://openalex.org/W2556282810","https://openalex.org/W2331224171","https://openalex.org/W2866300207","https://openalex.org/W2991293390","https://openalex.org/W4210652908","https://openalex.org/W2318434357","https://openalex.org/W2734328249"],"abstract_inverted_index":{"BACKGROUND:":[0],"Acute":[1],"Type":[2],"A":[3,63],"Aortic":[4],"Dissection":[5],"(ATAAD)":[6],"involving":[7],"the":[8,15,22,70,113,139,144,147,282,309,320,324,332],"aortic":[9],"root":[10],"is":[11,335],"managed":[12],"with":[13,92,116,152,239,252,264,343],"either":[14],"Bentall":[16,51,73,145,283,321],"or":[17],"valve-sparing":[18],"David":[19,49,71,140,148,253,275,310,333],"procedure,":[20,146],"but":[21],"optimal":[23],"approach":[24],"remains":[25,329],"debated.":[26],"Prior":[27],"meta-analyses":[28],"are":[29],"limited":[30],"by":[31],"outdated":[32],"cohorts,":[33],"indirect":[34],"comparisons,":[35],"and":[36,50,72,88,97,112,200,226,295,303,316],"high":[37],"heterogeneity.":[38],"We":[39],"conducted":[40],"an":[41],"updated":[42],"meta-analysis":[43],"of":[44,134,156,203,298],"recent":[45],"studies":[46,67,128],"(2020\u20132025)":[47],"comparing":[48,69],"procedures,":[52],"incorporating":[53],"reconstructed":[54,106,270],"individual":[55],"patient":[56],"data":[57,104],"to":[58,143,177,194,259,281,319],"assess":[59,99],"long-term":[60,304],"survival.":[61,305],"METHODS:":[62],"systematic":[64],"search":[65],"identified":[66],"directly":[68],"procedures":[74],"in":[75,249,285],"ATAAD.":[76],"Statistical":[77],"analyses":[78],"were":[79,105,132],"performed":[80],"using":[81,110,121],"RevMan":[82],"8.13.0,":[83],"reporting":[84],"odds":[85,155,202],"ratios":[86,119],"(OR)":[87],"mean":[89],"differences":[90],"(MD)":[91],"95%":[93,160,173,190,208,220,232,256],"confidence":[94],"intervals":[95],"(CI),":[96],"heterogeneity":[98],"via":[100],"I\u00b2":[101,240],"statistic.":[102],"Time-to-event":[103],"from":[107],"Kaplan\u2013Meier":[108,271],"curves":[109],"digitisation":[111],"IPDfromKM":[114],"algorithm,":[115],"pooled":[117],"hazard":[118],"calculated":[120],"a":[122,246,313],"Cox":[123],"frailty":[124],"model.":[125],"RESULTS:":[126],"Seven":[127],"comprising":[129],"1,666":[130],"patients":[131,342],"included,":[133],"whom":[135],"432":[136],"(25.9%)":[137],"underwent":[138],"procedure.":[141,322],"Compared":[142],"technique":[149,311],"was":[150],"associated":[151],"significantly":[153,289],"lower":[154,201,266,290],"mortality":[157,250,268],"[OR":[158,206,218,230],"0.47;":[159],"CI":[161,174,191,209,221,233,257],"0.31\u20130.71;":[162],"p":[163,180,197,211,223,235,261],"=":[164,181,198,212,224,236,241],"0.004],":[165],"shorter":[166,292],"hospital":[167,293],"stay":[168],"[MD":[169,186],"\u2212":[170,175,178,187,192,195],"3.81":[171],"days;":[172],"6.80":[176],"0.82;":[179],"0.03],":[182],"reduced":[183,296],"blood":[184],"loss":[185],"33.45":[188],"mL;":[189],"65.24":[193],"1.65;":[196],"0.05]":[199],"atrial":[204],"fibrillation":[205],"0.42;":[207],"0.27\u20130.64;":[210],"0.02],":[213],"acute":[214],"kidney":[215],"injury":[216],"(AKI)":[217],"0.50;":[219],"0.32\u20130.79;":[222],"0.003],":[225],"prolonged":[227,301],"mechanical":[228],"ventilation":[229],"0.60;":[231],"0.49\u20130.75;":[234],"0.02];":[237],"all":[238],"0%.":[242],"Long-term":[243],"analysis":[244],"showed":[245],"62%":[247],"reduction":[248],"risk":[251],"[HR":[254],"0.38;":[255],"0.28":[258],"0.52;":[260],"<":[262],"0.001],":[263],"consistently":[265],"10-year":[267],"on":[269],"curves.":[272],"CONCLUSION:":[273],"The":[274],"procedure":[276,284,334],"demonstrated":[277],"favourable":[278,344],"outcomes":[279],"compared":[280],"ATAAD":[286],"patients,":[287],"including":[288],"mortality,":[291],"stays,":[294],"incidence":[297],"AKI,":[299],"AF,":[300],"ventilation,":[302],"These":[306],"findings":[307],"suggest":[308],"as":[312,331],"safe,":[314],"effective,":[315],"durable":[317],"alternative":[318],"However,":[323],"potential":[325],"for":[326,338],"selection":[327],"bias":[328],"considerable,":[330],"often":[336],"reserved":[337],"younger,":[339],"haemodynamically":[340],"stable":[341],"anatomy.":[345]},"counts_by_year":[{"year":2026,"cited_by_count":1}],"updated_date":"2026-11-11T12:16:26.678958","created_date":"2026-04-23T00:00:00"}
