Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular最新文献

{"title":"Saccular aneurysm formation of the descending aorta associated with aortic coarctation in an infant.","authors":"Arda Ozyuksel, Emir Canturk, Aygun Dindar, Atif Akcevin","doi":"10.5935/1678-9741.20140041","DOIUrl":"10.5935/1678-9741.20140041","url":null,"abstract":"<p><p>Aneurysm of the descending aorta associated with CoA is an extremely rare congenital abnormality. In this report, we present a 16 months old female patient in whom cardiac catheterization had been performed which had revealed a segment of coarctation and saccular aneurysm in the descending aorta. The patient was operated and a 3x2 centimeters aneurysm which embraces the coarcted segment in descending aorta was resected. In summary, we present a case of saccular aortic aneurysm distal to aortic coarctation in an infant without any history of intervention or vascular inflammatory disease. Our case report seems to be the youngest patient in literature with this pathology. </p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"642-4"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/4b/20/rbccv-29-04-0642.PMC4408828.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Surgical treatment of a giant left ventricular aneurysm- a case report.","authors":"Gustavo Alves Schaitza,&nbsp;José Rocha Faria Neto,&nbsp;Julio Cesar Francisco,&nbsp;Cristiana Pellegrino Baena,&nbsp;Helcio Giffhorn,&nbsp;Bruna Olandoski,&nbsp;Leanderson Franco de Meira,&nbsp;Luiz César Guarita-Souza","doi":"10.5935/1678-9741.20140107","DOIUrl":"https://doi.org/10.5935/1678-9741.20140107","url":null,"abstract":"<p><p>An aneurysm of the left ventricle is a complication of acute myocardial infarction. We report a case of a giant aneurysm of the left ventricle after myocardial infarction in a 59 year-old male patient. The surgery to correct the aneurysm was performed with the use of cardiopulmonary bypass under normothermia. A bovine pericardial patch was used for the geometric reconstruction of the ventricular wall affected by the aneurysm. After the procedure, echocardiography and magnetic resonance imaging revealed improvement in left ventricular ejection fraction and volume reduction. </p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"663-6"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/24/5f/rbccv-29-04-0663.PMC4408833.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33083814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Reply to the editor on \"Impact of type of procedure and surgeon on EuroSCORE operative risk validation\".","authors":"Fernando A Atik, Claudio Ribeiro da Cunha","doi":"10.5935/1678-9741.20140121","DOIUrl":"10.5935/1678-9741.20140121","url":null,"abstract":"","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"668"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/63/bb/rbccv-29-04-0668.PMC4408835.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33083817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors for mortality of patients undergoing coronary artery bypass graft surgery.","authors":"Carlos Alberto Dos Santos,&nbsp;Marcos Aurélio Barboza de Oliveira,&nbsp;Antônio Carlos Brandi,&nbsp;Paulo Henrique Husseini Botelho,&nbsp;Josélia de Cássia Menin Brandi,&nbsp;Marcio Antônio Dos Santos,&nbsp;Moacir Fernandes de Godoy,&nbsp;Domingo Marcolino Braile","doi":"10.5935/1678-9741.20140073","DOIUrl":"https://doi.org/10.5935/1678-9741.20140073","url":null,"abstract":"<p><strong>Introduction: </strong>Coronary artery bypass grafting is a safe procedure performed worldwide with low rates of mortality and morbidity in general population.</p><p><strong>Objective: </strong>To investigate risk factors for mortality of patients undergoing coronary artery bypass grafting coronary artery bypass grafting surgery.</p><p><strong>Methods: </strong>A total of 1,628 consecutive patients undergoing on-pump coronary artery bypass grafting were retrospectively studied from December 1999 to February 2012. Data analysis involved paired Student t test, Mann-Whitney test and Fisher's exact test for the categorical data. Logistic regression, Odds Ratio and 95%CI were used for definition of risk factors for mortality.</p><p><strong>Results: </strong>Of a total of 1,628 patients undergoing on-pump coronary artery bypass grafting, 141 (8.7%) died. The following risk factors for mortality were identified after logistic regression: dialysis (OR=7.61; 95%CI 3.58-16.20), neurologic dysfunction type I (OR=4.42; 95%CI 2.48-7.81), use of IABP (OR=3.38; 95%CI 1.98-5.79), cardiopulmonary bypass time (OR=3.09; 95%CI 2.04-4.68), serum creatinine on admission and peak values > 0.4mg/dL (OR=2.67; 95%CI 1.79-4.00), age > 65 years (OR=2.31; 95%CI 1.55-3.44), and time between hospital admission and and surgical procedure (OR=1.53; 95%CI 1.03-2.27).</p><p><strong>Conclusion: </strong>Dialysis, type I neurologic dysfunction, use of IABP, cardiopulmonary bypass time (> 115 minutes), serum creatinine on admission and peak values>0.4mg/dL, age > 65 years and time between hospital admission and surgical procedure were considered as risk factors for mortality in patients undergoing on-pump coronary artery bypass grafting surgery.</p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"513-20"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1678-9741.20140073","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082390","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Therapeutic options to minimize allogeneic blood transfusions and their adverse effects in cardiac surgery: a systematic review.","authors":"Antônio Alceu dos Santos, José Pedro da Silva, Luciana da Fonseca da Silva, Alexandre Gonçalves de Sousa, Raquel Ferrari Piotto, José Francisco Baumgratz","doi":"10.5935/1678-9741.20140114","DOIUrl":"10.5935/1678-9741.20140114","url":null,"abstract":"<p><strong>Introduction: </strong>Allogeneic blood is an exhaustible therapeutic resource. New evidence indicates that blood consumption is excessive and that donations have decreased, resulting in reduced blood supplies worldwide. Blood transfusions are associated with increased morbidity and mortality, as well as higher hospital costs. This makes it necessary to seek out new treatment options. Such options exist but are still virtually unknown and are rarely utilized.</p><p><strong>Objective: </strong>To gather and describe in a systematic, objective, and practical way all clinical and surgical strategies as effective therapeutic options to minimize or avoid allogeneic blood transfusions and their adverse effects in surgical cardiac patients.</p><p><strong>Methods: </strong>A bibliographic search was conducted using the MeSH term \"Blood Transfusion\" and the terms \"Cardiac Surgery\" and \"Blood Management.\" Studies with titles not directly related to this research or that did not contain information related to it in their abstracts as well as older studies reporting on the same strategies were not included.</p><p><strong>Results: </strong>Treating anemia and thrombocytopenia, suspending anticoagulants and antiplatelet agents, reducing routine phlebotomies, utilizing less traumatic surgical techniques with moderate hypothermia and hypotension, meticulous hemostasis, use of topical and systemic hemostatic agents, acute normovolemic hemodilution, cell salvage, anemia tolerance (supplementary oxygen and normothermia), as well as various other therapeutic options have proved to be effective strategies for reducing allogeneic blood transfusions.</p><p><strong>Conclusion: </strong>There are a number of clinical and surgical strategies that can be used to optimize erythrocyte mass and coagulation status, minimize blood loss, and improve anemia tolerance. In order to decrease the consumption of blood components, diminish morbidity and mortality, and reduce hospital costs, these treatment strategies should be incorporated into medical practice worldwide.</p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"606-21"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/b6/5b/rbccv-29-04-0606.PMC4408825.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082835","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"How to perform a coronary artery anastomosis in complete endoscopic fashion with robotic assistance.","authors":"Leonardo Secchin Canale,&nbsp;Johannes Bonatti","doi":"10.5935/1678-9741.20140079","DOIUrl":"https://doi.org/10.5935/1678-9741.20140079","url":null,"abstract":"<p><p>Current technology in robotic surgery allows us to perform myocardial revascularization procedures in a totally endoscopic fashion. We will describe the technique of choice for left internal mammary artery to left anterior descendent artery anastomosis with the use of cardiopulmonary bypass machine. The method is efficient and there is long term follow-up showing similar patency of the graft when compared to conventional methods (when performed through sternotomy). </p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"654-6"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/f2/64/rbccv-29-04-0654.PMC4408831.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082839","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Aortic Center: specialized care improves outcomes and decreases mortality.","authors":"Marcela da Cunha Sales,&nbsp;José Dario Frota Filho,&nbsp;Cristiane Aguzzoli,&nbsp;Leonardo Dornelles Souza,&nbsp;Álvaro Machado Rösler,&nbsp;Eraldo Azevedo Lucio,&nbsp;Paulo Ernesto Leães,&nbsp;Mauro Ricardo Nunes Pontes,&nbsp;Fernando Antônio Lucchese","doi":"10.5935/1678-9741.20140122","DOIUrl":"https://doi.org/10.5935/1678-9741.20140122","url":null,"abstract":"<p><strong>Objective: </strong>To compare in-hospital outcomes in aortic surgery in our cardiac surgery unit, before and after foundation of our Center for Aortic Surgery (CTA).</p><p><strong>Methods: </strong>Prospective cohort with non-concurrent control. Foundation of CTA required specialized training of surgical, anesthetic and intensive care unit teams, routine neurological monitoring, endovascular and hybrid facilities, training of the support personnel, improvement of the registry and adoption of specific protocols. We included 332 patients operated on between: January/2003 to December/2007 (before-CTA, n=157, 47.3%); and January/2008 to December/2010 (CTA, n=175, 52.7%). Baseline clinical and demographic data, operative variables, complications and in-hospital mortality were compared between both groups.</p><p><strong>Results: </strong>Mean age was 58±14 years, with 65% male. Group CTA was older, had higher rate of diabetes, lower rates of COPD and HF, more non-urgent surgeries, endovascular procedures, and aneurysms. In the univariate analysis, CTA had lower mortality (9.7 vs. 23.0%, P=0.008), which occurred consistently across different diseases and procedures. Other outcomes which were reduced in CTA included lower rates of reinterventions (5.7 vs 11%, P=0.046), major complications (20.6 vs. 33.1%, P=0.007), stroke (4.6 vs. 10.9%, P=0.045) and sepsis (1.7 vs. 9.6%, P=0.001), as compared to before-CTA. Multivariable analysis adjusted for potential confounders revealed that CTA was independently associated with mortality reduction (OR=0.23, IC 95% 0.08 - 0.67, P=0.007). CTA independent mortality reduction was consistent in the multivariable analysis stratified by disease (aneurysm, OR=0.18, CI 95% 0.03 - 0.98, P=0.048; dissection, OR=0.31, CI 95% 0.09 - 0.99, P=0.049) and by procedure (hybrid, OR=0.07, CI 95% 0.007 - 0.72, P=0.026; Bentall, OR=0.18, CI 95% 0.038 - 0.904, P=0.037). Additional multivariable predictors of in-hospital mortality included creatinine (OR=1.7 [1.1-2.6], P=0.008), urgent surgery (OR=5.0 [1.5-16.7], P=0.008) and thoracoabdominal aneurysm (OR=24.6 [3.1-194.1], P=0.002).</p><p><strong>Conclusion: </strong>Thoracic aorta surgery in specialized center was associated with lower incidence of complications and all-cause mortality as compared to usual care.</p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"494-504"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/d3/46/rbccv-29-04-0494.PMC4408810.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Influence of valve prosthesis type on early mortality in patients undergoing valve surgery.","authors":"André Mauricio S Fernandes,&nbsp;Felipe da Silva Pereira,&nbsp;Larissa Santana Bitencourt,&nbsp;Agnaldo Viana Pereira Neto,&nbsp;Gabriel Barreto Bastos,&nbsp;André Rodrigues Durães,&nbsp;Roque Aras,&nbsp;Igor Nogueira Lessa","doi":"10.5935/1678-9741.20140035","DOIUrl":"https://doi.org/10.5935/1678-9741.20140035","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the influence of the type of prosthesis in-hospital mortality in the post-operative period in patients who had valve replacement.</p><p><strong>Methods: </strong>A cross-sectional data, such as gender, origin, age, etiology, echocardiograph data, the type of surgery performed and the prosthesis used in cases of valve replacement were analyzed retrospectively.</p><p><strong>Results: </strong>We reviewed 353 charts of patients who underwent valve replacement surgery. The mean age was 41.87±17.9 years. Regarding gender, 52.8% were female. As for the origin, 61.1% came from small cities within the state. Of all patients, 58.5% suffered from rheumatic disease. Assessing the type of prosthesis implanted, 70% held replace by bioprosthesis and 30% metallic. The hospital mortality in this study was 11%, with no significant difference between the types of prosthesis utilized.</p><p><strong>Conclusion: </strong>The type of implant used had no effect on in-hospital mortality.</p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"559-63"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.5935/1678-9741.20140035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082902","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effect of gender on the early results of coronary artery bypass surgery in the younger patients' group.","authors":"Hasan Uncu,&nbsp;Mehmet Acipayam,&nbsp;Levent Altinay,&nbsp;Pinar Doğan,&nbsp;Isil Davarcı,&nbsp;İbrahim Özsöyler","doi":"10.5935/1678-9741.20140050","DOIUrl":"https://doi.org/10.5935/1678-9741.20140050","url":null,"abstract":"<p><strong>Introduction: </strong>In this retrospective study, we aimed to determine the risk factors for coronary artery bypass surgery in patients under 45 years of age, and evaluate the early postoperative results and the effect of gender.</p><p><strong>Methods: </strong>A total of 324 patients under 45 years of age who undergone on-pump coronary artery bypass surgery between April 12, 2004 and January 10, 2012 were included to the study. Patients divided into groups as follows: Group 1 consisted of 269 males (mean age 41.3), Group 2 consisted of 55 females (mean age 41.6). Preoperative risk factors, intraoperative and postoperative data and early mortality rates of the groups were compared.</p><p><strong>Results: </strong>Smoking rate was significantly higher in Group 1. Diabetes mellitus incidence and body mass index were significantly higher in Group 2 (P values P=0.01; P=0.0001; P=0.04 respectively). The aortic cross-clamping and cardiopulmonary bypass time and number of grafts per patient were significantly higher in Group 1 (P values P=0.04; P=0.04; P=0.002 respectively). There were no deaths in either group.</p><p><strong>Conclusion: </strong>We found that gender has no effect on early mortality rates of the coronary bypass surgery patients under 45 years.</p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"569-73"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/50/0f/rbccv-29-04-0569.PMC4408820.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082904","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Risk factors of atheromatous aorta in cardiovascular surgery.","authors":"Fernando A Atik,&nbsp;Isaac Azevedo Silva,&nbsp;Claudio Ribeiro da Cunha","doi":"10.5935/1678-9741.20140058","DOIUrl":"https://doi.org/10.5935/1678-9741.20140058","url":null,"abstract":"<p><strong>Objective: </strong>To determine the prevalence and profile of ascending aorta or aortic arch atheromatous disease in cardiovascular surgery patients, its risk factors and its prognostic implication early after surgery.</p><p><strong>Methods: </strong>Between January 2007 and June 2011, 2042 consecutive adult patients were analyzed, with no exclusion criteria. Atheromatous aorta diagnosis was determined intraoperatively by surgeon palpation of the aorta. Determinants of atheromatous aorta, as well as its prognostic implication were studied by multivariate logistic regression.</p><p><strong>Results: </strong>Prevalence of atheromatous aorta was 3.3% (68 patients). Determinants were age > 61 years (OR= 2.79; CI95%= 2.43 - 3.15; P<0.0001), coronary artery disease (OR=3.1; CI95%=2.8 - 3.44; P=0.002), hypertension (OR=2.26; CI95%=1.82 - 2.7; P=0.03) and peripheral vascular disease (OR=3.15; CI95%= 2.83 - 3.46; P=0.04). Atheromatous aorta was an independent predictor of postoperative cerebrovascular accident (OR=3.46; CI95%=3.18 - 3.76; P=0.01).</p><p><strong>Conclusion: </strong>Although infrequent, the presence of atheromatous aorta is associated with advanced age, hypertension, coronary artery disease and peripheral vascular disease. In those patients, a more detailed preoperative and intraoperative assessment of the aorta is justified, due to greater risk of postoperative cerebrovascular accident.</p>","PeriodicalId":87739,"journal":{"name":"Revista brasileira de cirurgia cardiovascular : orgao oficial da Sociedade Brasileira de Cirurgia Cardiovascular","volume":"29 4","pages":"487-93"},"PeriodicalIF":0.0,"publicationDate":"2014-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://ftp.ncbi.nlm.nih.gov/pub/pmc/oa_pdf/6d/9b/rbccv-29-04-0487.PMC4408809.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"33082389","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}