ArticleFrontiers in cardiovascular medicine2022
Distal Aortic Failure Following the Frozen Elephant Trunk Procedure for Aortic Dissection.
Article 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 12 papers.
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Who cites it
12 citing papers in PubMed.
- Frozen elephant trunk: a narrative review of global and temporal trends.Journal of thoracic disease · 2026Review
- Thoracic aortic aneurysm.Nature reviews. Disease primers · 2025Review
- Early vs. Late Endovascular Extension Following Frozen Elephant Trunk Procedure: Effects on Clinical Outcomes and Aortic Remodeling.Journal of cardiovascular development and disease · 2025Article
- Are current follow-up intervals justified in patients with non-emergent aortic surgeries?Interdisciplinary cardiovascular and thoracic surgery · 2024Article
- Management of Non-A Non-B Aortic Dissection: A Narrative Review.Journal of cardiovascular development and disease · 2024Review
- Aortic shape with high-acute isthmic angle post frozen elephant trunk reconstruction is associated with worse postoperative outcomes: Multisite, principal component analysis, retrospective study.JTCVS structural and endovascular · 2024Article
- Mechanical Injury of Thoracic Aorta by Elephant Trunk Graft Limb following Frozen Elephant Trunk Procedure.Aorta (Stamford, Conn.) · 2024Article
- Complementary Thoracic Endovascular Aortic Repair (TEVAR) after Frozen Elephant Trunk for Residual Type A Aortic Dissection: Perioperative and Mid-Term Outcomes.Journal of clinical medicine · 2024Article
- Staging reinterventions for remodeling of residual aortic dissection: a single-center retrospective study.Frontiers in cardiovascular medicine · 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
- Aortic shape variation after frozen elephant trunk procedure predicts aortic events: Principal component analysis study.JTCVS open · 2023Article
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Authors and funding
11 authors.
Funding
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Abstract
Background: Aim of this study was to report and to identify risk factors for distal aortic failure following aortic arch replacement via the frozen elephant trunk (FET) procedure. Methods: One hundred eighty-six consecutive patients underwent the FET procedure for acute and chronic aortic dissection. Our cohort was divided into patients with and without distal aortic failure. Distal aortic failure was defined as: (I) distal aortic reintervention, (II) aortic diameter dilatation to ≥ 6 cm or > 5 mm growth within 6 months, (III) development of a distal stent-graft-induced new entry (dSINE) and/or (IV) aortic-related death. Preoperative, intraoperative, postoperative and aortic morphological data were analyzed. Results: Distal aortic failure occurred in 88 (47.3%) patients. Forty-six (24.7%) required a distal reintervention, aortic diameter dilatation was observed in 9 (4.8%) patients, a dSINE occurred in 22 (11.8%) patients and 11 (6.4%) suffered an aortic-related death. We found no difference in the number of communications between true and false lumen ( Conclusion: The incidence and risk of distal aortic failure following the FET procedure is high. Especially those patients with more acute and more extensive aortic dissections or larger preoperative descending aortic diameters carry a substantially higher risk of developing distal aortic failure. The prospective of the FET technique as a single-step treatment for aortic dissection seems low and follow-up in dedicated aortic centers is therefore paramount.
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