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Journal articles
Mid-term results of elective repair of extensive thoracic aortic pathology by the Evita Open Plus hybrid endoprosthesis only.: Follow-up of the Evita Open Plus
Abstract : OBJECTIVES: To describe the early and mid-term clinical and instrumental results of the frozen elephant trunk (FET) procedure using the recent Evita Open Plus hybrid endoprosthesis for elective one-stage treatment of extensive thoracic aortic disease. METHODS: We reviewed 16 patients undergoing FET for post-dissection aneurysm (50%), true aneurysm (31%) or other aetiologies (19%), through median sternotomy and hypothermic circulatory arrest. An average 14 ± 7.6-month follow-up with regular contrast-enhanced control computed tomography scans was available. Four patients received preliminary carotid-subclavian bypass to improve spinal cord protection. Distal extension through endovascular deployment of stent-grafts into the descending aorta was performed during the same procedure in 3 patients. Concomitant procedures on the ascending aorta/root were done in 25% of cases. RESULTS: There were no cases of operative mortality. Cases of neither cerebral stroke nor postoperative paraplegia were observed. Two cases of transient paraparesis and 1 case of Brown-Séquard syndrome occurred. At follow-up, there were no cases of endoleak or endotension. One patient was reoperated for distal completion (thoracoabdominal aortic replacement). CONCLUSIONS: The FET using the Evita Open Plus device is a reliable and versatile treatment for one-step management of extensive disease of the aortic arch and the descending aorta. This strategy should be reserved for patients having limited preoperative comorbidities and good functional status.
Cited literature [24 references]
https://www.hal.inserm.fr/inserm-00903260
Contributor : Lotfi Senhadji Connect in order to contact the contributor
Submitted on : Wednesday, November 13, 2013 - 10:19:07 AM
Last modification on : Tuesday, November 23, 2021 - 2:24:03 PM
Long-term archiving on: : Friday, April 7, 2017 - 11:10:55 PM
Contributor : Lotfi Senhadji Connect in order to contact the contributor
Submitted on : Wednesday, November 13, 2013 - 10:19:07 AM
Last modification on : Tuesday, November 23, 2021 - 2:24:03 PM
Long-term archiving on: : Friday, April 7, 2017 - 11:10:55 PM
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