prikaz prve stranice dokumenta Results of frozen elephant trunk from the international E-vita Open registry
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Scientific paper - Original scientific paper
Results of frozen elephant trunk from the international E-vita Open registry
Annals of Cardiothoracic Surgery, 9 (2020), 3; 178-188. https://doi.org/10.21037/acs-2020-fet-25
Tsagakis, Konstantinos; Pacini, Davide; Grabenwöger, Martin; Borger, Michael A.; Goebel, Nora; Hemmer, Wolfgang; Santos, Alvaro Laranjeira; Sioris, Thanos; Widenka, Kazimierz; Risteski, Petar; Mascaro, Jorge; Rudež, Igor; Zierer, Andreas; Mestres, Carlos A.; Ruhparwar, Arjang; Bartolomeo, Roberto Di; Jakob, Heinz More authors...

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Tsagakis, K., Pacini, D., Grabenwöger, M., Borger, M. A., Goebel, N., Hemmer, W. ... Jakob, H. (2020). Results of frozen elephant trunk from the international E-vita Open registry. Annals of Cardiothoracic Surgery, 9. (3), 178-188. doi: 10.21037/acs-2020-fet-25

Tsagakis, Konstantinos, et al. "Results of frozen elephant trunk from the international E-vita Open registry." Annals of Cardiothoracic Surgery, vol. 9, no. 3, 2020, pp. 178-188. https://doi.org/10.21037/acs-2020-fet-25

Tsagakis, Konstantinos, Davide Pacini, Martin Grabenwöger, Michael A. Borger, Nora Goebel, Wolfgang Hemmer, Alvaro Laranjeira Santos, et al. "Results of frozen elephant trunk from the international E-vita Open registry." Annals of Cardiothoracic Surgery 9, no. 3 (2020): 178-188. https://doi.org/10.21037/acs-2020-fet-25

Tsagakis, K., et al. (2020) 'Results of frozen elephant trunk from the international E-vita Open registry', Annals of Cardiothoracic Surgery, 9(3), pp. 178-188. doi: 10.21037/acs-2020-fet-25

Tsagakis K, Pacini D, Grabenwöger M, Borger MA, Goebel N, Hemmer W, and sur.. Results of frozen elephant trunk from the international E-vita Open registry. Annals of Cardiothoracic Surgery [Internet]. 2020 May [cited 2024 April 17];9(3):178-188. doi: 10.21037/acs-2020-fet-25

K. Tsagakis, et al., "Results of frozen elephant trunk from the international E-vita Open registry", Annals of Cardiothoracic Surgery, vol. 9, no. 3, pp. 178-188, May 2020. [Online]. Available at: https://urn.nsk.hr/urn:nbn:hr:105:674030. [Accessed: 17 April 2024]

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Metadata
Title (english)Results of frozen elephant trunk from the international E-vita Open registry
AuthorKonstantinos Tsagakis
AuthorDavide Pacini
AuthorMartin Grabenwöger
AuthorMichael A. Borger
AuthorNora Goebel
AuthorWolfgang Hemmer
AuthorAlvaro Laranjeira Santos
AuthorThanos Sioris
AuthorKazimierz Widenka
AuthorPetar Risteski
AuthorJorge Mascaro
AuthorIgor Rudež
AuthorAndreas Zierer
AuthorCarlos A. Mestres
AuthorArjang Ruhparwar
AuthorRoberto Di Bartolomeo
AuthorHeinz Jakob
Author's institutionUniversity of Zagreb
School of Medicine
(Department of Surgery)
Scientific / art field,
discipline and subdiscipline		BIOMEDICINE AND HEALTHCARE
Clinical Medical Sciences
Surgery
Abstract (english)
Background: Over the years, frozen elephant trunk (FET) has become the treatment of choice for multisegmental thoracic aortic disease. This multicenter study presents the evolution of FET results using the E-vita Open hybrid graft with respect to institutional experience and time. ----- Methods: The data of International E-vita Open registry were studied according to the institutional experience of the participating centers (high- versus low-volume centers) and according to the evolution of FET treatment during time (1st period, 2005-2011 versus 2nd period, 2012-2018). Overall, 1,165 patients were enrolled in the study with a wide variety of multisegmental thoracic aortic pathologies and aortic emergencies. Participating centers determined their own surgical protocol. ----- Results: The overall 30-day mortality was 12%. Short- and long-term survival were higher in high- versus low-volume centers (P=0.048 and P=0.013, respectively). In the 2nd time period, cerebral complications were reduced significantly (P=0.015). Incidence of permanent spinal cord-related symptoms was reduced to 3% in the 2nd time period, but did not reach statistical significance. Hypothermic circulatory arrest time (P<0.001) and incidence of postoperative temporary renal replacement therapy (P=0.008) were significantly reduced in the 2nd time period. Ten-year survival and freedom from aortic-related death rates were 46.6% and 85.7%, respectively, for the entire group. The freedom from distal aortic re-interventions for a new or progressive residual aortic disease was 76.0%. ----- Conclusions: Evolution of FET arch repair techniques with the E-vita Open graft and increasing institutional experience were associated with improved results. Progression of residual aortic disease makes close follow-up with aortic imaging mandatory in such patients.
Keywords (english)
Languageenglish
Publication typeScientific paper - Original scientific paper
Publication statusPublished
Peer reviewPeer review
Publication versionPublished version
Journal titleAnnals of Cardiothoracic Surgery
Numberingvol. 9, no. 3, pp. 178-188
p-ISSN2225-319X
e-ISSN2304-1021
DOIhttps://doi.org/10.21037/acs-2020-fet-25
URN:NBNurn:nbn:hr:105:674030
Publication2020-05
Document URLhttp://www.annalscts.com/article/view/16715/html
Type of resourceText
Access conditionsOpen access
Terms of useLicence Attribution-NonCommercial-NoDerivs 3.0 Unported (CC BY-NC-ND 3.0) icon
Created on2021-03-25 08:19:48