Interdisciplinary cardiovascular and thoracic surgery最新文献

{"title":"The NAVIGATE registry: Early endovascular repair of the ascending aorta with the nexus ascending module.","authors":"Víctor X Mosquera, Andrea Ferreiro, Said Abisi, Luis Riera, Alexander Maßmann, Arun Pherwani, José Garrido","doi":"10.1093/icvts/ivag128","DOIUrl":"https://doi.org/10.1093/icvts/ivag128","url":null,"abstract":"<p><strong>Objectives: </strong>Open repair remains the standard for ascending aortic pathology but carries high morbidity in frail or inoperable patients. This study evaluates the feasibility and early outcomes of endovascular repair using the Nexus Ascending Module, a CE-marked device designed for zone 0.</p><p><strong>Methods: </strong>NAVIGATE is a retrospective multicentre European registry including eight high-risk patients treated between 2023 and 2025 across six tertiary centres. All had focal zone 0 pathology and were deemed unsuitable for open repair. Procedures were planned with ECG-gated CT angiography and performed transfemorally. Technical success, perioperative complications, 30-day mortality, and follow-up outcomes were assessed.</p><p><strong>Results: </strong>Median age was 80.0 years (IQR: 59.5-80.5), and 87.5% had prior cardiac surgery. The median EuroSCORE II was 24.0% (IQR 19.7-44.0%). Pathologies included Contained rupture/pseudoaneurysm (n = 4), mycotic pseudoaneurysm (n = 3), and type A DeBakey II dissection (n = 1). Technical success was achieved in all patients; two required immediate overlapping stent-grafts for complete sealing. No stroke, valve dysfunction, coronary compromise, tamponade, type I/III endoleak, conversion to surgery, or in-hospital/30-day mortality occurred. One access-related complication was observed.Median ICU and hospital stays were 1 and 5 days. At a median follow-up of 15 months (IQR 12-24), no aortic reinterventions or device-related complications occurred. Two patients died from respiratory disease (12 months) and persistent infection (4 months).</p><p><strong>Conclusions: </strong>This small multicentre case series suggests that endovascular repair of isolated zone 0 ascending pathology using the Nexus Ascending Module is technically feasible in highly selected patients; however, these findings are preliminary and hypothesis-generating.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147824402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bacillus Calmette-Guérin related mycotic pseudoaneurysm in the aortic arch: clinical and surgical challenges.","authors":"Sophie Bonni, Natasja W M Ramnath, Koen Selten, Ajay Moza","doi":"10.1093/icvts/ivag120","DOIUrl":"https://doi.org/10.1093/icvts/ivag120","url":null,"abstract":"<p><p>Mycotic aortic aneurysms following intravesical Bacillus Calmette-Guérin (BCG) therapy for urothelial carcinoma are rare but life-threatening. A male patient with BCG-treated bladder cancer presented with syncope, cough, and fever. Computed tomography showed a distal arch pseudoaneurysm, and positron emission tomography indicated infection. Treatment included aortic arch and descending aorta replacement and antimicrobials. Histopathology confirmed Mycobacterium bovis infection. The patient died one month postoperatively due to stroke and organ failure. Early recognition and multidisciplinary management are crucial.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health-related quality of life and associated factors before and after coronary artery bypass grafting: A multicenter prospective study in cyprus.","authors":"Kyriakos Alexandrou, Nicos Middleton, Maria Kyranou, Pavlos Sarafis","doi":"10.1093/icvts/ivag126","DOIUrl":"https://doi.org/10.1093/icvts/ivag126","url":null,"abstract":"<p><strong>Objectives: </strong>Coronary artery bypass grafting (CABG) improves survival in coronary artery disease (CAD), but its impact on health-related quality of life (HRQOL) remains variable. This study aimed to evaluate changes in HRQOL and associated factors before and after CABG.</p><p><strong>Methods: </strong>This prospective multicentre study, conducted across three hospitals in Cyprus, included patients undergoing elective CABG. HRQOL was assessed using the MacNew questionnaire preoperatively and at three and six months postoperatively. Associations with demographic and clinical factors, including age, gender, postoperative arrhythmias, left ventricular ejection fraction, and type of surgery, were examined. Non-parametric methods were applied due to non-normal data distribution.</p><p><strong>Results: </strong>HRQOL declined at three months compared with baseline (5.03 ± 1.02 vs 4.75 ± 1.00; p = 0.015), but improved significantly at six months (5.99 ± 0.67), exceeding preoperative levels. Male gender was associated with higher HRQOL scores at both follow-up time points (p = 0.011 and p = 0.009). No significant differences were observed by age, postoperative arrhythmia, left ventricular ejection fraction, or type of surgery.</p><p><strong>Conclusions: </strong>HRQOL declined early after CABG but improved significantly by six months, exceeding baseline levels. Male gender was associated with higher HRQOL scores. These findings support the value of incorporating HRQOL assessment into routine postoperative care.</p><p><strong>Trial registration: </strong>Thai Clinical Trials Registry (TCTR), ID: TCTR202247. URL: https://www.thaiclinicaltrials.org/.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mechanical versus bioprosthetic conduits for the bentall procedure: a 10-year propensity score-matched analysis of early and long-term outcomes.","authors":"Emine Aleyna Eroglu Polat, Gokay Altaylı, Mehmet Okan Donbaloglu, Mucahit Polat","doi":"10.1093/icvts/ivag125","DOIUrl":"https://doi.org/10.1093/icvts/ivag125","url":null,"abstract":"<p><strong>Objectives: </strong>The optimal conduit choice for the Bentall procedure-mechanical (MC) or biological (BC)-is confounded by significant baseline selection bias. We aimed to evaluate the impact of conduit choice on early and long-term outcomes after mitigating this bias in a contemporary surgical cohort.</p><p><strong>Methods: </strong>We retrospectively reviewed 442 consecutive patients undergoing elective Bentall procedures between 2015 and 2025 (365 MC vs 77 BC). Propensity score matching (1:1 nearest-neighbor, caliper 0.1) was performed based on 10 baseline covariates (including age, EuroSCORE II, and comorbidities) to generate a balanced cohort of 154 patients (77 per group). Operative outcomes, 30-day morbidity/mortality, long-term overall survival, and reoperation-free survival were compared using paired statistical tests and Kaplan-Meier (Log-rank) analysis.</p><p><strong>Results: </strong>PSM successfully balanced baseline covariates, eliminating significant differences in age (mean 64.1 [MC] vs 65.7 [BC] years, p = 0.403) and EuroSCORE II (p = 0.698). The median follow-up was 36.0 months (IQR: 18.0-78.0). In the propensity-matched cohort, no significant differences were found in long-term overall survival (p = 0.574) or reoperation-free survival (p = 0.944) between the mechanical and biological groups. Early mortality was also comparable (p = 0.344). However, the biological group demonstrated a significantly higher rate of early re-exploration for bleeding (24.7% vs 6.5%, p = 0.003), associated with a 3.8-fold increased risk (OR: 4.72, 95% CI: 1.66-13.40).</p><p><strong>Conclusions: </strong>In this 10-year propensity-matched analysis, both mechanical and bioprosthetic conduits demonstrated comparable long-term durability and survival outcomes. Although biological conduits were associated with a higher risk of early re-exploration for bleeding, this did not adversely affect early mortality or long-term reoperation-free survival. These findings suggest that bioprosthetic conduits offer robust mid-term effectiveness, provided that meticulous intraoperative hemostasis is ensured to mitigate early bleeding risks.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147791143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Enhanced recovery after cardiac surgery: gender insights from an ultra-fast-track protocol.","authors":"Sarah Berger Veith, Emre Polat, Christian Dumps, Phillipp Simon, Julia Pochert, Evaldas Girdauskas, Sina Stock","doi":"10.1093/icvts/ivag105","DOIUrl":"https://doi.org/10.1093/icvts/ivag105","url":null,"abstract":"<p><strong>Objectives: </strong>Ultra-Fast-Track (UFT) Enhanced Recovery After Surgery (ERAS)-defined by on-table extubation, minimally invasive surgical technique and deescalated ICU care-represents an intensified ERAS approach. Female patients remain underrepresented in cardiac surgery research and experience worse postoperative outcomes. Therefore, we investigated possible gender-mediated differences in the outcomes of our UFT-ERAS program.</p><p><strong>Methods: </strong>800 consecutive patients underwent UFT-ERAS for minimally invasive valve and aortic surgery at our institution 01/2021-09/2024. Patients were divided by gender and retrospective cohort analysis was performed. The primary outcome was UFT-ERAS achievement, defined by a 0-5 score of postoperative milestones (on-table extubation, postoperative intermediate care, early physiotherapy, transfer to general ward ≤24 h and hospital discharge ≤7 days). Secondary end-points were Major Adverse Cardiovascular Events (MACE), reoperation for bleeding, reintubation, ICU readmission, acute kidney injury, atrial fibrillation, delirium and transfusion.</p><p><strong>Results: </strong>Women were older and had higher baseline risk scores. Overall ERAS adherence and major postoperative complications were comparable between sexes. Only discharge ≤7 days was less frequent and postoperative transfusion need more frequent in women. In multivariable ordinal logistic regression adjusting for STS-PROM, age, and procedure type, sex was not independently associated with ERAS achievement (OR 0.88, 95% CI 0.66-1.18).</p><p><strong>Conclusions: </strong>In this predominantly low-risk patient cohort within a UFT-ERAS pathway, sex was not independently associated with overall ERAS achievement. However, women more frequently required transfusion and were less likely to be discharged within 7 days.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147719119","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Exploring the Use of Instant Messaging Groups in the Postoperative Period for Pectus Excavatum Patients.","authors":"Jade Qu, Rabail Zehri, Joel Dunning","doi":"10.1093/icvts/ivag049","DOIUrl":"https://doi.org/10.1093/icvts/ivag049","url":null,"abstract":"<p><p>As a National Centre for Pectus Surgery, our department receives referrals from across England. To strengthen perioperative support for patients undergoing the Nuss procedure in the RESTORE Trial (August 2024-May 2025), individual WhatsApp groups were introduced, reflecting growing evidence of the value of text-based communication in surgical care. Fifty-two groups were established, each averaging 6.7 members, including patients, relatives, secretarial, and research staff. These groups facilitated direct communication with the clinical team. All conversations were anonymised prior to analysis. Groups averaged an exchange of 67 messages: 20 from clinicians, 19 from patients, and 17 from family or friends. Patients initiated 28% of conversations and family members 20%, most often regarding pain management. Clinicians shared an average of 7.2 images per group, and patients shared 4, typically related to wounds or chest appearance. Mean clinician response time was 94 min, with daily message averages of 2 from clinicians, 2.5 from patients, and 1.6 from family. All patients reported satisfaction and would recommend this communication method. Instant messaging provided an effective, responsive, and low-burden means of enhancing perioperative care and reassurance for Nuss patients.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147700734","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical repair of supracristal ventricular septal defect with combined multivalvular disease in an elderly patient: A transaortic approach.","authors":"Shinji Kanemitsu, Satoshi Maruyama, Takato Yamasaki, Koh Kajiyama","doi":"10.1093/icvts/ivag113","DOIUrl":"https://doi.org/10.1093/icvts/ivag113","url":null,"abstract":"<p><p>Uncorrected supracristal ventricular septal defect in an elderly patient is rare. We present elderly female with supracristal ventricular septal defect, chronic atrial fibrillation, and multivalvular disease. A transaortic approach enabled direct visualization and secure patch closure through the same aortotomy used for aortic valve replacement. Concomitant mitral valve replacement, tricuspid annuloplasty, and a Maze procedure with left atrial volume reduction were performed. This case demonstrates the transaortic approach as an effective strategy for combined ventricular septal defect and valve surgery in elderly patients.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Giant calcified pericardial cyst with caseous degeneration causing right ventricular compression.","authors":"Yasuhiko Kawaguchi, Badr Arbaein, Raffael Pereira Cezar Zamper, A Dave Nagpal","doi":"10.1093/icvts/ivag097","DOIUrl":"https://doi.org/10.1093/icvts/ivag097","url":null,"abstract":"<p><p>Calcified pericardial cysts are exceedingly rare, and cysts containing caseous material are scarcely reported. We describe a giant calcified pericardial cyst causing right ventricular compression and heart failure symptoms. Imaging demonstrated a large calcified pericardial mass abutting the right ventricle and atrioventricular groove. Surgical resection via median sternotomy with anterior pericardiectomy was performed. Intraoperatively, thick caseous material was found within a heavily calcified cyst wall. Histopathology revealed a fibrous cyst wall without epithelial lining and no evidence of malignancy or granulomatous inflammation. Post-resection transoesophageal echocardiography confirmed relief of right ventricular compression with preserved function. This case highlights diagnostic challenges and surgical considerations of complex calcified pericardial cysts with atypical intracystic contents.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Outcomes of lung transplantation from asphyxiation donors: reassessing hypoxic injury and implications for donation after circulatory death.","authors":"Ye In Christopher Kwon, Matthew Ambrosio, Michael Keller, Chadi A Hage, Gary Schwartz, Suresh Keshavamurthy, Vipul Patel, Rachit D Shah, Vigneshwar Kasirajan, Zubair A Hashmi","doi":"10.1093/icvts/ivag108","DOIUrl":"https://doi.org/10.1093/icvts/ivag108","url":null,"abstract":"<p><strong>Objectives: </strong>With persistent donor shortages limiting lung transplantation (LT), optimizing the use of extended-criteria donors is essential. Asphyxiation (AXP) and donation after circulatory death (DCD) donors both experience hypoxic-ischemic injury, raising concern for graft performance. We evaluated the long-term outcomes of AXP donor LT and the effect of ex-vivo lung perfusion (EVLP) on survival.</p><p><strong>Methods: </strong>Adult recipients (≥18 years) of primary LT (2014-2024) in the United Network for Organ Sharing registry were stratified by donor cause of death: AXP vs non-AXP. Survival was estimated by Kaplan-Meier analysis, and multivariable Cox regression identified factors associated with mortality. Subgroup analyses examined EVLP and DCD versus donation after brain death (DBD) cohorts.</p><p><strong>Results: </strong>Among 26,334 LT recipients, 1,406 (5.3%) received AXP donor lungs. AXP donors were more frequently DCD (9.5% vs. 6%, p<0.001). Ten-year recipient (25.2% vs 27.4%; p=0.67) and graft (24.1% vs 26.8%; p=0.72) survival were comparable, and AXP status was not independently associated with mortality after adjusting for allocation era (HR 1.01, 95% CI 0.91-1.11, p=0.908). However, EVLP use in AXP lungs correlated with decreased 3-year survival (55.3% vs. 74.1%; p=0.035). Sensitivity analyses demonstrated significant differences among the four donor subgroups (DCD-AXP, DCD non-AXP, DBD-AXP, DBD non-AXP) on overall comparison (p=0.008), with DCD-AXP recipients exhibiting numerically highest 5-year survival rates.</p><p><strong>Conclusions: </strong>AXP donor lungs provide comparable long-term outcomes, and DCD-AXP grafts do not appear to confer inferior survival. The interaction between AXP and EVLP use warrants further study to refine donor reconditioning strategies.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Perioperative outcomes of complex versus simple segmentectomy via uniportal video-assisted thoracoscopic surgery for lung lesions: A systematic review and meta-analysis.","authors":"Mohamed Elshiekh, Laith Altawil, Mohamed Yaseen Alfeetouri, Felipe Passos, Osama Barakat, Samuel Heuts, Setu Gupta, Massimo Baudo, Arian Arjomandi Rad, Peyman Sardari Nia, Muhammed Elhadi","doi":"10.1093/icvts/ivag106","DOIUrl":"https://doi.org/10.1093/icvts/ivag106","url":null,"abstract":"<p><strong>Background: </strong>Uniportal video-assisted thoracoscopic surgery (U-VATS) has been increasingly adopted for anatomical segmentectomy because of its minimally invasive nature and favourable recovery profile. However, whether perioperative outcomes differ between complex and simple segmentectomy when performed via U-VATS remains uncertain. This study compared perioperative outcomes between complex and simple U-VATS segmentectomy.</p><p><strong>Methods: </strong>A systematic review and meta-analysis were conducted according to PRISMA 2020 and AMSTAR 2 guidelines, and the study was registered in PROSPERO (CRD420251151464). Six databases were searched for studies comparing complex and simple U-VATS segmentectomy for pulmonary lesions. Primary outcomes were operative time, intraoperative blood loss, and conversion to thoracotomy. Secondary outcomes included chest tube duration, hospital stay, and postoperative complications. Random-effects models were used for pooled analyses.</p><p><strong>Results: </strong>Five retrospective studies, including 1,051 patients (707 complex; 344 simple), were analysed. No statistically significant differences were detected in operative time (MD = 15.25 minutes, 95% CI: -1.25 to 31.75; P = 0.07; I2 = 88%), intraoperative blood loss (MD = -1.33 mL, 95% CI: -11.95 to 9.29; P = 0.81; I2 = 58%), or conversion to thoracotomy (OR = 0.46, 95% CI: 0.10 to 1.99; P = 0.30; I2 = 0%). Secondary outcomes also showed no significant differences, including chest tube duration (MD = -0.15 days, 95% CI: -0.41 to 0.11; P = 0.25; I2  = 26%), hospital stay (MD = -0.16 days, 95% CI: -0.73 to 0.40; P = 0.57; I2  = 66%).</p><p><strong>Conclusion: </strong>No statistically significant differences were detected in key perioperative outcomes between complex and simple U-VATS segmentectomy; however, given substantial clinical heterogeneity and limited retrospective evidence, findings should be interpreted cautiously and are most applicable to selected patients treated in experienced, high-volume centres.</p>","PeriodicalId":73406,"journal":{"name":"Interdisciplinary cardiovascular and thoracic surgery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-04-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147679130","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}