ReviewFrontiers in cardiovascular medicine2022
Kinking of Frozen Elephant Trunk Hybrid Prostheses: Incidence, Mechanism, and Management.
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 13 papers.
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Who cites it
13 citing papers in PubMed, 19 citations in OpenAlex.
- Total Aortic Arch Replacement With the Frozen Elephant Trunk Technique: Influence of Aortic Arch Anomalies.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Aortic Arch Incision and Closure Technique (AICT) for Proximal Fixation of the Frozen Elephant Trunk.Journal of clinical medicine · 2026Article
- Customized T-NEXT Thoraflex graft for staged hybrid surgery of the aortic organ.Journal of visualized surgery · 2026Article
- Stent graft kinking after total arch replacement using frozen elephant trunk with E-Vita open Neo.Journal of cardiothoracic surgery · 2025Article
- Beyond Uncertainty: Establishing the Oda Strategy for the Treatment of Acute Aortic Dissection.Journal of clinical medicine · 2025Review
- Changes in Abdominal Artery Diameter in Patients Treated for Acute Aortic Dissection.Journal of cardiovascular development and disease · 2025Article
- Progressive Stenosis of Thoraflex Hybrid Prosthesis after Total Arch Replacement Leading to a Fatal Outcome: A Case Report.Annals of vascular diseases · 2025Article
- The Frozen Elephant Trunk Procedure-8 Years of Experience from Poland.Journal of clinical medicine · 2024Article
- The elephant's Achilles' heel: a case report of acute obstruction of frozen elephant trunk after proximal aortic dissection repair.European heart journal. Case reports · 2024Article
- 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
- Trans-sternotomy, snare-assisted thoracic endovascular aortic repair for redirection of a migrated elephant trunk.Journal of vascular surgery cases and innovative techniques · 2023Article
Corrections and comments
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Authors and funding
6 authors at 5 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Introduction: Kinking of the Frozen Elephant Trunk (FET) stent graft is one of the most devastating complications of the FET procedure. It can present post-operatively with reduced arterial pressures in the lower limbs and intermittent claudication. However, it can also be visualized intra-operatively by the surgeons. Unresolved kinking of the stent graft can result in intraluminal thrombus formation and subsequent multi-organ septic emboli. Aims: The main scope of this review is to collate, summarize and present all the evidence in the literature on kinking of FET stent grafts. Methods: We carried out a comprehensive literature search on multiple electronic databases including PubMed, EMBASE, Ovid, and Scopus to collate all research evidence on the incidence, mechanism, and management of FET graft kinking. Results: Incidence of kinking is variable, ranging from 0% to 8% in the literature, with varying rates associated with each stent graft type. The Thoraflex Hybrid Conclusion: Graft kinking is one of the most critical complications of the FET technique. Its life-threatening sequelae warrant appropriate follow-up of these patients post-operatively, in addition to time management if kinking is suspected. Given the limited evidence in the literature, future studies should incorporate graft kinking into their outcomes reporting.
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Registered trials
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