{"id":"W4416072821","doi":"10.1053/j.jvca.2025.09.217","title":"First Total Percutaneous Four-Vessel Endovascular Aortic Arch Repair with a Triple Inner-Branch Device and In Situ Laser Fenestration: Anaesthetic Strategies for Neurological and Haemodynamic Protection","year":2025,"lang":"en","type":"article","venue":"Journal of Cardiothoracic and Vascular Anesthesia","topic":"Aortic Disease and Treatment Approaches","field":"Medicine","cited_by":0,"is_retracted":false,"has_abstract":false,"ca_institutions":"Centre Hospitalier de l’Université de Montréal","funders":"","keywords":"Aortic arch; Percutaneous; Stent; Common carotid artery; Median sternotomy; Aneurysm; Subclavian artery; General anaesthesia","routes":{"ca_aff":true,"ca_fund":false,"ca_venue":false,"about_ca":false,"invisible_to_affiliation_only":false},"retraction":null,"screen":null,"direct_labels":[],"prediction":{"model_version":"metacan-v3-hybrid-931329e0061c","candidate_categories":[],"consensus_categories":[],"category_scores_codex":[0.0004736831,0.0005827997,0.0009577652,0.0007178923,0.001137498,0.001010218,0.0006854894,0.0008945731,0.002480211],"category_scores_gemma":[0.0006885244,0.0002489846,0.001142691,0.0002682313,0.0006522071,0.0009306525,0.0005683283,0.002252697,0.0006593849],"about_ca_system_candidate":false,"about_ca_system_consensus":false,"about_ca_system_score_codex":0.0003326068,"about_ca_system_score_gemma":0.0005557717,"about_ca_topic_candidate":false,"about_ca_topic_consensus":false,"about_ca_topic_score_codex":0.00023211,"about_ca_topic_score_gemma":0.0009388121,"domain_scores_codex":[0.9997818,0.00002346021,0.00002962245,0.00005834055,0.0000389483,0.00006778629],"domain_scores_gemma":[0.9996473,0.00008919121,0.00005765244,0.00007570881,0.00002226748,0.0001078538],"domain_codex":null,"domain_gemma":null,"domain_candidate":null,"domain_consensus":null,"study_design_codex":"design_other","study_design_gemma":"case_report","study_design_scores_codex":[0.007784591,0.004878109,0.04737916,0.001170972,0.001293763,0.08730157,0.001618949,0.003061107,0.3305082,0.005264633,0.003055599,0.5066833],"study_design_scores_gemma":[0.001007564,0.0214966,0.136733,0.0005016453,0.001604003,0.6710642,0.0009817355,0.01180267,0.1213389,0.007129617,0.02591849,0.0004216602],"study_design_candidate":"case_report","study_design_consensus":null,"genre_codex":"empirical","genre_gemma":"empirical","genre_scores_codex":[0.9135686,0.004582846,0.07029004,0.001798395,0.0007469819,0.00009215796,0.0001209181,0.0005085029,0.008291563],"genre_scores_gemma":[0.9578086,0.001540526,0.03483954,0.0007448621,0.0007271853,0.00004015383,0.000107914,0.00007447015,0.0041167],"genre_candidate":"empirical","genre_consensus":"empirical","teacher_disagreement_score":0.002480211,"threshold_uncertainty_score":0.008297145,"prediction_status":"machine_predicted_unvalidated"},"machine_scores":{"provisional":true,"baseline":true,"maturity_gate_passed":false,"score_opus":0.01690501537718493,"score_gpt":0.2572597305596099,"score_spread":0.240354715182425,"validation_status":"score_only:v0-immature-baseline","note":"Baseline scores from an immature model (maturity gate not passed). Scores rank; they never assert a category."}}