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Klaus Kallenbach
Axel Haverich
Matthias Karck
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J Thorac Cardiovasc Surg 2008;135:714
© 2008 The American Association for Thoracic Surgery


Letter to the Editor

Reply to the Editor

Hiroyuki Kamiya, MDa, Klaus Kallenbach, MDa, Axel Haverich, MDb, Matthias Karck, MDa

a Department of Cardiac Surgery, University of Heidelberg, Heidelberg, Germany
b Department of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany

The first 20% of the full text of this article appears below.

We are grateful for the opportunity to respond to the letter by Dr Shuhaiber. We appreciate the comments on our recent article reporting moderate hypothermic lower body circulatory arrest with selective cerebral perfusion.1Go His comments can be summarized as follows: (1) the propensity score analysis was not applied properly in our study; (2) too many patients were excluded after matching when using propensity score analysis; and (3) therefore it cannot be concluded that the moderate hypothermic circulatory arrest is safe for aortic arch surgery, and more data should be accumulated for this conclusion.

Regarding the first point, Dr Shuhaiber pointed out that the propensity score simply took the . . . [Full Text of this Article]


Related Article

The role of propensity scores should be discouraged when there is too little and too early of new surgical techniques
Jeffrey H. Shuhaiber
J. Thorac. Cardiovasc. Surg. 2008 135: 713-714. [Extract] [Full Text] [PDF]






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