Frozen Elephant Trunk Procedure and Risk for Distal Stent-Graft-Induced New Entries
Open Access
- 15 December 2022
- journal article
- research article
- Published by Georg Thieme Verlag KG in AORTA
- Vol. 10 (04) , 178-181
Abstract
The frozen elephant trunk (FET) procedure is known as an effective treatment option for patients with any aortic pathology involving the aortic arch. However, there is growing evidence that many patients often require secondary intended, expected, or unexpected aortic reinterventions during follow-up. In those with underlying aortic dissection pathology, a substantial risk for developing distal stent-graft-induced new entries (dSINEs) has been identified as one cause for secondary aortic reinterventions. dSINE can develop at any time after the FET procedure. Endovascular treatment is generally feasible and safe to close the newly formed entry with low procedural risk. Nevertheless, all patients need continuous follow-up after FET treatment, ideally in a specialized aortic outpatient clinic.Keywords
This publication has 29 references indexed in Scilit:
- Current options and recommendations for the treatment of thoracic aortic pathologies involving the aortic arch: an expert consensus document of the European Association for Cardio-Thoracic surgery (EACTS) and the European Society for Vascular Surgery (ESVS)European Journal of Cardio-Thoracic Surgery, 2018
- True-lumen and false-lumen diameter changes in the downstream aorta after frozen elephant trunk implantationEuropean Journal of Cardio-Thoracic Surgery, 2018
- How does descending aorta geometry change when it dissects?European Journal of Cardio-Thoracic Surgery, 2017
- Single-centre experience with the frozen elephant trunk technique in 251 patients over 15 years†European Journal of Cardio-Thoracic Surgery, 2017
- The impact of entries and exits on false lumen thrombosis and aortic remodelling†European Journal of Cardio-Thoracic Surgery, 2017
- The elephant trunk is freezing: The Hannover experienceThe Journal of Thoracic and Cardiovascular Surgery, 2015
- Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTSEuropean Journal of Cardio-Thoracic Surgery, 2015
- Distal aortic reintervention after surgery for acute DeBakey type I or II aortic dissection: open versus endovascular repairEuropean Journal of Cardio-Thoracic Surgery, 2014
- Thoracic aortic aneurysm expansion due to late distal stent graft‐induced new entryCatheterization and Cardiovascular Interventions, 2014
- Stent graft-induced new entry after endovascular repair for Stanford type B aortic dissectionJournal of Vascular Surgery, 2010