ArticleCardiovascular diagnosis and therapy2023
Distal stent graft-induced new entry (dSINE) after frozen elephant trunk: a scoping review.
Article in Cardiovascular diagnosis and therapy, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.
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Who cites it
15 citing papers in PubMed.
- Aortic arch replacement with descending thoracic aorta stenting for chronic dissection: early outcomes.Journal of cardiothoracic surgery · 2026Article
- Hybrid prosthesis in frozen elephant trunk procedures for hereditary thoracic aortic diseases: a 14-year single-aortic center experience.Journal of cardiothoracic surgery · 2025Article
- Technical success and initial clinical outcome of partial frozen elephant trunk in various aortic arch pathology.Indian journal of 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
- Predictors of Distal Stent Graft-Induced New Entry after Frozen Elephant Trunk in Acute Type A Aortic Dissection.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Article
- Arch repair using a new frozen elephant trunk without a stent at the distal edge.JTCVS techniques · 2025Article
- Staged hybrid approach for acute type A aortic dissection: zone 2 arch replacement and completion thoracic endovascular aortic repair upon indication.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2025Article
- One-Stage Hybrid Surgery for Complicated Acute Type B Aortic Dissection Involving Distal Arch Aneurysm: A Case Report.Annals of vascular diseases · 2025Article
- Can computational fluid dynamics simulations predict a distal stent graft-induced new entry after frozen elephant trunk operation?Frontiers in cardiovascular medicine · 2025Article
- Long-term outcomes of frozen elephant trunk for aortic dissection: a single-center experience.Journal of cardiothoracic surgery · 2024Article
- Mechanical Injury of Thoracic Aorta by Elephant Trunk Graft Limb following Frozen Elephant Trunk Procedure.Aorta (Stamford, Conn.) · 2024Article
- Article
- Staging TEVAR after FET - an exception or the rule?Indian journal of thoracic and cardiovascular surgery · 2023Article
- Sizing the Frozen Elephant Trunk Based on Aortic Pathology and the Importance of Pre-Operative Imaging.Journal of clinical medicine · 2023Article
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Background: The introduction of hybrid total arch replacement with the frozen elephant trunk (FET) technique has improved the field of aortic surgery by allowing single-stage treatment of complex aortic pathologies. Although FET has been associated with favorable aortic remodeling, it is also associated with the potential development of distal stent graft-induced new entries (dSINEs). The aim of our review is to collect data about the incidence and the supposed conditions for the occurrence of dSINE after total hybrid arch replacement with FET technique. Methods: The literature review was performed using PubMed databases from inception to January 2022. A descriptive approach to detect and display supposed risk factors and predictors for dSINE occurrence has been adopted. Results: Eight studies summarized the state-of-the-art of dSINE in a total number of 544 FET procedures performed to treat acute and chronic aortic dissections. The scoping review showed dSINEs occurrence in 69 patients (12.7%). The mean time between surgery and the diagnosis ranged from 12.6 to 30.6 months. Most patients that developed dSINE received endovascular treatment, whereas a couple of them needed open surgery. According to our experience, from January 2007 to December 2021, in 225 FET procedures a total of 54 cases of dSINE, both with Thoraflex and E-vita grafts have been detected. The mean time between the surgical procedure and the diagnosis was 27.2±33.6 months. Conclusions: dSINEs are frequent complications after FET. Although not emergent, they require proper treatment. Due to dSINE's asymptomatic nature and potential harm, a rigorous follow-up including angio-computed tomography (CT) should be planned.
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