scholarly journals Complete neck vessel preservation using a fenestrated stent graft for the treatment of proximal anastomotic leakage after open frozen elephant trunk graft aortic arch repair: A case report

2022 ◽  
Author(s):  
Hikaru Nakagawa ◽  
Takao Ohki ◽  
Naoki Toya ◽  
Eisaku Ito ◽  
Tadashi Akiba
Keyword(s):  
Case Report ◽  
Anastomotic Leakage ◽  
Aortic Arch ◽  
Stent Graft ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Vessel Preservation ◽  
Fenestrated Stent Graft ◽  
Aortic Arch Repair

Review of frozen elephant trunk repair with the Thoraflex Hybrid device

2021 ◽  
Author(s):  
Vincent Chauvette ◽  
Maral Ouzounian ◽  
Jennifer Chung ◽  
Mark Peterson ◽  
Munir Boodhwani ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Current Evidence ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Hybrid Device ◽  
Future Design ◽  
Design Considerations ◽  
Elephant Trunk Technique ◽  
Aortic Arch Repair ◽  
Frozen Elephant Trunk Technique

The frozen elephant trunk technique has revolutionized aortic arch repair to enable more extensive arch and descending thoracic aortic treatment in a single setting. We review the current evidence supporting the use of the Thoraflex Hybrid (Terumo Aortic, FL, USA) device and discuss advantages, pitfalls and future design considerations.

Suturing Fenestration of the Left Subclavian Artery Orifice in Frozen Elephant Trunk Procedure

2020 ◽  
Author(s):  
Mitsumasa Hata ◽  
Shinji Wakui ◽  
Yusuke Ishii ◽  
Rei Hinoura ◽  
Susumu Isaka ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Subclavian Artery ◽  
Distal Part ◽  
Left Subclavian Artery ◽  
Frozen Elephant Trunk ◽  
Bleeding Events ◽  
Elephant Trunk ◽  
Novel Technique ◽  
Elephant Trunk Procedure

AbstractThe frozen elephant trunk (FET) procedure enables easier replacement of the entire aortic arch because it does not require reaching the distal part of the left subclavian artery (LSCA). However, it requires additional management for reconstruction of the LSCA, which is associated with bleeding events. However, the fenestrated FET technique confers a risk of endoleakage from the fenestration site. We report our unique novel technique in which the proximal side of the hybrid stent graft is cut into V-shape around the subclavian artery and sutured continuously around the orifice of the subclavian artery during aortic stump fixation.

scholarly journals Contained rupture of arch aneurysm managed with total arch, frozen elephant trunk and endograft

2019 ◽  
Vol 2019 (2) ◽  
Author(s):  
Michael Ibrahim ◽  
Roland Assi ◽  
Fenton McCarthy ◽  
Michael A Golden ◽  
Wilson Y Szeto
Keyword(s):  
Aortic Aneurysm ◽  
Aortic Arch ◽  
Stent Graft ◽  
Thoracic Aortic Aneurysm ◽  
Aortic Arch Aneurysm ◽  
Distal Anastomosis ◽  
Complex Case ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Arch Aneurysm

We here describe a complex case of a 75-year-old man presenting with contained rupture of an aortic arch aneurysm in the presence of a second thoracic aortic aneurysm. He was managed with emergent total arch replacement with frozen elephant trunk. Another stent-graft was used to achieve hemostasis at the distal anastomosis. He later underwent TEVAR extension to manage his second aneurysm in a staged fashion. This case demonstrates a number of important concepts in the evolving interaction between open and endovascular therapies of the aortic arch, particularly in the emergent setting.

scholarly journals Aortic arch repair with frozen elephant trunk versus conventional elephant trunk

2020 ◽  
Vol 9 (3) ◽  
pp. 223-225
Author(s):  
Davut Cekmecelioglu ◽  
Joseph S. Coselli
Keyword(s):  
Aortic Arch ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Aortic Arch Repair

Outcomes of Total Endovascular Aortic Arch Repair with Surgeon-Modified Fenestrated Stent-Grafts on Zone 0 Landing for Aortic Arch Pathologies

2021 ◽  
pp. 152660282110364
Author(s):  
Xiaoye Li ◽  
Lei Zhang ◽  
Chao Song ◽  
Hao Zhang ◽  
Shibo Xia ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Artery Occlusion ◽  
Technical Success ◽  
Stent Grafts ◽  
Landing Zone ◽  
Subclavian Artery Occlusion ◽  
Fenestrated Stent Graft ◽  
Aortic Arch Repair

Objectives This study evaluated the feasibility and safety of total endovascular aortic arch repair with surgeon-modified fenestrated stent-graft on zone 0 landing for aortic arch pathologies. Methods Between June 2016 and October 2019, 37 consecutive patients underwent total endovascular arch repair with surgeon-modified fenestrated stent-grafts on zone 0 landing. Outcomes included technical success, perioperative and follow-up morbidity and mortality, and branch artery patency. Results During the study period, 37 patients were treated with total endovascular aortic arch repair with surgeon-modified fenestrated stent-graft. Twenty-one (56.8%) patients were diagnosed with aortic dissections, 15 (40.5%) patients with aneurysms, and 1 (2.7%) patient required reintervention due to endoleak and sac expansion from previous thoracic endovascular aortic repair for thoracoabdominal aneurysm. The proximal landing zone for all patients were in zone 0, and all branch arteries of aortic arch were reconstructed. Technical success was achieved in 34 cases (91.9%). Three (8.1%) patients had fenestrations misaligned with target arteries, and the chimney technique was applied as a complementary measure. Thirty-day mortality rate was 5.4% (n=2). Thirty-day stroke rate was 5.4% (n=2). Thirty-day reintervention rate was 2.7% (n=1). At a median follow-up of 20 months (range, 3–49 months), 5 (13.5%) patients died, including 2 aortic-related deaths, 1 nonaortic-related death, and 2 deaths of unknown reason. One (2.7%) patient had stroke. Four patients (10.8%) had reintervention during the follow-up, including 2 cases of left subclavian artery occlusion and 2 cases of type II endoleak. The estimated survival (±SE) at 2 years was 72.4%±9.7% (95% CI 53.4%–91.4%). The estimated freedom from reintervention (±SE) at 2 years was 87.4%±5.9% (95% CI 75.84%–98.96%). Conclusions Total endovascular aortic arch repair with surgeon-modified fenestrated stent-grafts on zone 0 landing is an alternate option for the treatment of aortic arch pathologies in experienced centers.

scholarly journals Double homemade fenestrated stent graft for total endovascular aortic arch repair

2019 ◽  
Vol 70 (4) ◽  
pp. 1031-1038 ◽  
Author(s):  
Ludovic Canaud ◽  
Baris Ata Ozdemir ◽  
Lucien Chassin-Trubert ◽  
Julien Sfeir ◽  
Pierre Alric ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Stent Graft ◽  
Fenestrated Stent Graft ◽  
Aortic Arch Repair

scholarly journals Open Aortic Arch Repair by Frozen Elephant Trunk: Single-Center Experience in 300 Patients

2019 ◽  
Author(s):  
K. Tsagakis ◽  
M. Dimitriou ◽  
D. Wendt ◽  
S.-E. Shehada ◽  
M. Thielmann ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Frozen Elephant Trunk ◽  
Single Center ◽  
Elephant Trunk ◽  
Single Center Experience ◽  
Aortic Arch Repair

scholarly journals Neurologic Outcomes in Aortic Arch Repair With Frozen Elephant Trunk Versus 2-Stage Hybrid Repair

2019 ◽  
Vol 107 (6) ◽  
pp. 1775-1781 ◽  
Author(s):  
Mahmoud Alhussaini ◽  
Aly Abdelwahab ◽  
George J. Arnaoutakis ◽  
Tomas Martin ◽  
Mohamed A.K. Salama Ayyad ◽  
...  
Keyword(s):  
Aortic Arch ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Neurologic Outcomes ◽  
Hybrid Repair ◽  
Aortic Arch Repair
Sign in / Sign up

Export Citation Format

Share Document