ArticleJournal of cardiothoracic surgery2024
Long-term outcomes of frozen elephant trunk for aortic dissection: a single-center experience.
Article in Journal of cardiothoracic surgery, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Impact of core temperature management and postoperative continuous renal replacement therapy in extensive aortic arch repair for type A dissection.Journal of thoracic disease · 2026Article
- Clinical outcomes of hybrid surgery in the treatment of aortic arch disease: a retrospective study.Journal of thoracic disease · 2026Article
- Sex differences in outcomes of a two-stage approach to aortic arch surgery: 8-year experience of a national aortovascular centre.Journal of cardiothoracic surgery · 2026Article
- Comparable Outcomes in Redo Total Arch Replacement for Previous Aortic Dissection vs. Other Cardiac Surgeries: A Single-Center Pilot Study of the E-Vita Open Hybrid Prosthesis.Journal of clinical medicine · 2025Article
- Are frozen elephant trunks freezing out conventional ones? A systematic review and meta-analysis.Annals of cardiothoracic surgery · 2025Article
- Complexity in aortic arch surgery and laws of diminishing return.Journal of thoracic disease · 2025Article
- The impact of true lumen morphology on frozen elephant trunk technique in chronic aortic dissection.Journal of thoracic disease · 2025Article
- Advances in aortic surgery.The British journal of cardiology · 2025Article
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3 authors.
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Abstract
backgroundTo date a number of papers analysing outcomes of the frozen elephant trunk (FET) in acute aortic dissection has been published. However, there are limited comparative studies on long-term outcomes of FET in acute and chronic aortic dissection. The objective of the study was to analyze the long-term outcomes after FET procedure for aortic dissection (AD).
methodsBetween March 2012 and December 2022, a total of 123 FET had been performed for thoracic aortic disease. Patients with aortic dissection (n = 97) were divided into 2 groups: acute (n = 32, 33%) and chronic aortic dissection (n = 65, 67%). Pre-, intra- and postoperative data were retrospectively collected from electronic patient's records, including follow-up data of the analyzed patients.
resultsThe incidence of stroke was 3.1%. The delirium rate was up to 9.3% in both groups with a prevalence in chronic aortic dissection (CAD) group without significant differences (P = 0.494). Paraplegia was diagnosed only in CAD patients (n = 2). Respiratory failure and the rate of renal replacement therapy were similar in the studied groups. Re-sternotomy was required in one (3.1%) patient with acute AD and 5 (7.7%) patients with chronic AD (P = 0.416). Overall 30-day mortality in the entire cohort, acute and chronic AD was 13 (13.4%), 7 (21.9%) and 6 (9.2%), respectively (P = 0.097). The overall survival rate at 60 months for the entire cohort, acute and chronic AD was 64.1 ± 5.9%, 62.3 ± 9.1%, 66.5 ± 7%, respectively (P = 0.265). Freedom from unintended distal aortic re-intervention at 60 months for the entire cohort of patients, acute and chronic AD was 74.2 ± 1.5%, 100%, 65.3 ± 2%, respectively (P = 0.355).
conclusionsOur experience showed acceptable long-term outcomes after the FET procedure including mortality and re-intervention rate in patients with aortic dissection regardless of acuity of the dissection.
trial registrationThe study has been registered in Australian and New Zealand Clinical Trial Registry (ACTRN 12618001329257) on August 7, 2018.
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