ReviewFrontiers in cardiovascular medicine2022
Incidence of Distal Stent Graft Induced New Entry vs. Aortic Remodeling Associated With Frozen Elephant Trunk.
Review in Frontiers in cardiovascular medicine, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 34 citations in OpenAlex.
- Single-center early efficacy evaluation of Fontus branch-type intraoperative stenting for acute type a aortic dissection.Journal of cardiothoracic surgery · 2025Article
- Stent part anastomosis reduces distal stent graft-induced new entry after frozen elephant trunk.General thoracic and cardiovascular surgery · 2025Article
- Unanticipated stenosis of the distal edge of frozen elephant trunk caused by retrograde perfusion: A case report.General thoracic and cardiovascular surgery cases · 2025Article
- The soft elephant trunk: a new approach in the treatment of aortic dissection.Annals of cardiothoracic surgery · 2025Article
- Hybrid Aortic Arch Replacement with Frozen Elephant Trunk (FET) Technique: Surgical Considerations, Pearls, and Pitfalls.Journal of clinical medicine · 2024Review
- Next-Generation Frozen Elephant Trunk Technique in the Era of Precision Medicine.Journal of chest surgery · 2024Review
- Evidence-based frozen elephant trunk practice: a narrative review.Cardiovascular diagnosis and therapy · 2023Review
- Hybrid Treatment of Complex Diseases of the Aortic Arch and Descending Thoracic Aorta by Frozen Elephant Trunk Technique.Journal of clinical medicine · 2023Review
- Frozen elephant trunk: the gold standard.Cardiovascular diagnosis and therapy · 2023Article
- Distal stent graft-induced new entry (dSINE) after frozen elephant trunk: a scoping review.Cardiovascular diagnosis and therapy · 2023Article
- (s)INE: (soft-graft)-induced new entry tear after elephant trunk procedure.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
- The frozen elephant trunk procedure: indications, outcomes and future directions.Cardiovascular diagnosis and therapy · 2022Review
- Downstream thoracic endovascular aortic repair following the frozen elephant trunk procedure.Cardiovascular diagnosis and therapy · 2022Review
- Kinking of Frozen Elephant Trunk Hybrid Prostheses: Incidence, Mechanism, and Management.Frontiers in cardiovascular medicine · 2022Review
- Distal Aortic Failure Following the Frozen Elephant Trunk Procedure for Aortic Dissection.Frontiers in cardiovascular medicine · 2022Article
Corrections and comments
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Authors and funding
10 authors at 7 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The introduction of the frozen elephant trunk (FET) technique for total arch replacement (TAR) has revolutionized the field of aortivascular surgery by allowing hybrid repair of complex aortic pathologies in a single step through combining an open surgical approach with an endovascular one. FET has been associated with favorable aortic remodeling, however, its is also associated with development of distal stent graft induced new entry (dSINE) tears postoperatively. The rate of aortic remodeling and the incidence of dSINE have been linked together, in addition, there seems to be a relationship between these two variables and FET insetion length as well as graft size. Aims: The scope of this review is to highlight the rate of aortic remodeling as well the incidence of dSINE associated with different FET devices available commercially. This review also aimed to investigate the relationship between aortic remodeling, dSINE, FET insertion length and FET graft size. Methods: We conducted a comprehensive literature search using multiple electronic databases including PubMed, Ovid, Scopus and Embase in order to collate all research evidence on the above mentioned variables. Results: Thoraflex™ Hybrid Plexus seems to yield optimum aortic remodeling by promoting maximum false thrombosis as well true lumen expansion. Thoraflex Hybrid™ is also associated with the lowest incidence of dSINE post-FET relative to the other FET devices on the market. Aortic remodeling and dSINE do influence each other and are both linked with FET graft length and size. Conclusion: The FET technique for TAR shows excellent aortic remodeling but is associated with a considerable risk of dSINE development. However, Thoraflex™ Hybrid has demonstrated itself to be the superior FET device on the aortic arch prostheses market. Since aortic remodeling, dSINE, FET insertion length and stent graft size are all interconnect, the choice of FET device length and size must be made with great care for optimum results.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.