scholarly journals Early- and mid-term aortic remodelling after the frozen elephant trunk technique for retrograde type A acute aortic dissection using the new Japanese J Graft open stent graft

2017 ◽  
Vol 25 (5) ◽  
pp. 720-726 ◽  
Author(s):  
Yoshitaka Yamane ◽  
Naomichi Uchida ◽  
Shingo Mochizuki ◽  
Tomokuni Furukawa ◽  
Kazunori Yamada
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Acute Aortic Dissection ◽  
Type A ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Elephant Trunk Technique ◽  
Open Stent ◽  
Frozen Elephant Trunk Technique

scholarly journals Aortic remodeling with frozen elephant trunk technique for Stanford type A aortic dissection using Japanese J-graft open stent graft

2018 ◽  
Vol 34 (2) ◽  
pp. 307-315 ◽  
Author(s):  
Masato Tochii ◽  
Yoshiyuki Takami ◽  
Hiroshi Ishikawa ◽  
Michiko Ishida ◽  
Yoshiro Higuchi ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Stent Graft ◽  
Type A ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Type A Aortic Dissection ◽  
Elephant Trunk Technique ◽  
Aortic Remodeling ◽  
Open Stent ◽  
Frozen Elephant Trunk Technique

scholarly journals Efficacy of entry exclusion strategy for DeBakey type III retrograde Stanford type A acute aortic dissection

2020 ◽  
Author(s):  
Yosuke Inoue ◽  
Hitoshi Matsuda ◽  
Jiro Matsuo ◽  
Takayuki Shijo ◽  
Atsushi Omura ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
False Lumen ◽  
Type A ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Descending Aorta ◽  
Type Iii ◽  
Elephant Trunk Technique ◽  
Frozen Elephant Trunk Technique

Abstract OBJECTIVES Resection of a primary entry tear is essential for the treatment of Stanford type A acute aortic dissection (AAAD). In DeBakey type III retrograde AAAD (DBIII-RAAAD), resection of the primary entry tear in the descending aorta is sometimes difficult. The frozen elephant trunk technique and thoracic endovascular aortic repair (TEVAR) enable the closure of the primary entry in the descending aorta. The aim of this study was to investigate the efficacy of resection or closure of primary entry, i.e. entry exclusion, in patients with DeBakey type III retrograde-AAAD. METHODS The medical records of 654 patients with AAAD who underwent emergency surgery between January 2000 and March 2019 were retrospectively reviewed, and 80 eligible patients with DeBakey type III retrograde-AAAD were divided into the excluded (n = 50; age, 62 ± 12 years) and residual (n = 30; age, 66 ± 14 years) groups according to postoperative computed tomography angiographic data of the false lumen around the primary entry. The excluded group was defined as having a postoperative false lumen at the level of the elephant trunk or thrombosis of the endograft including primary entry. Patients with early false lumen enhancement around the elephant trunk or an unresected primary entry tear after isolated hemiarch replacement were included in the residual group. The early and long-term surgical outcomes were compared between the groups. RESULTS The in-hospital mortality rate was 8% (6/80), with no significant difference observed between the excluded and the residual groups (10% and 7%, respectively; P > 0.99). Ninety-five percentage of the patients (20/21) achieved entry exclusion with stent grafts including the frozen elephant trunk procedure and TEVAR. Spinal cord ischaemia was not observed in either group. The cumulative overall survival at 5 years was comparable between the 2 groups (76% and 81% in the excluded and residual groups, respectively; P = 0.93). The 5-year freedom from distal aortic reoperation rate was significantly higher in the excluded group (97%) than in the residual group (97% vs 66%; P = 0.008). CONCLUSIONS Not only resection but also closure using the entry exclusion approach for DeBakey type III retrograde-AAAD utilizing new technologies including the frozen elephant trunk technique and TEVAR might mitigate dissection-related reoperations.

Reflection From UK Aortic Group: Frozen Elephant Trunk Technique as Optimal Solution in Type A Acute Aortic Dissection

2019 ◽  
Vol 31 (4) ◽  
pp. 686-690 ◽  
Author(s):  
Giovanni Mariscalco ◽  
Haris Bilal ◽  
Pedro Catarino ◽  
Leonidas Hadjinikolaou ◽  
Manoj Kuduvalli ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Acute Aortic Dissection ◽  
Optimal Solution ◽  
Type A ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Elephant Trunk Technique ◽  
Frozen Elephant Trunk Technique

scholarly journals Outcome of Frozen Elephant Trunk Technique for Acute Type A Aortic Dissection

Medicine ◽  
2015 ◽  
Vol 94 (16) ◽  
pp. e694 ◽  
Author(s):  
Hui-Han Lin ◽  
Shou-Fu Liao ◽  
Ching-Feng Wu ◽  
Ping-Chun Li ◽  
Ming-Li Li
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Type A Aortic Dissection ◽  
Elephant Trunk Technique ◽  
Frozen Elephant Trunk Technique

scholarly journals Arch replacement for acute type A aortic dissection using a single fenestrated frozen elephant trunk technique

2020 ◽  
Vol 9 (3) ◽  
pp. 248-250
Author(s):  
Homare Okamura ◽  
Mamoru Arakawa ◽  
Atsushi Miyagawa ◽  
Yuichiro Kitada ◽  
Hideo Adachi
Keyword(s):  
Aortic Dissection ◽  
Type A ◽  
Acute Type ◽  
Frozen Elephant Trunk ◽  
Elephant Trunk ◽  
Type A Aortic Dissection ◽  
Elephant Trunk Technique ◽  
Frozen Elephant Trunk Technique
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