The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience
Complex lesions of the thoracic aorta are traditionally treated in 2 surgical steps with the elephant trunk technique. A relatively new approach is the frozen elephant trunk (FET) technique, which potentially allows combined lesions of the thoracic aorta to be treated in a 1-stage procedure combin...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Society for Thoracic and Cardiovascular Surgery
2017-12-01
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| Series: | Korean Journal of Thoracic and Cardiovascular Surgery |
| Subjects: | |
| Online Access: | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.1.1 |
| _version_ | 1819178600815919104 |
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| author | Luca Di Marco Antonio Pantaleo Alessandro Leone Giacomo Murana Roberto Di Bartolomeo Davide Pacini |
| author_facet | Luca Di Marco Antonio Pantaleo Alessandro Leone Giacomo Murana Roberto Di Bartolomeo Davide Pacini |
| author_sort | Luca Di Marco |
| collection | DOAJ |
| description | Complex lesions of the thoracic aorta are traditionally treated in 2 surgical steps with the elephant trunk
technique. A relatively new approach is the frozen elephant trunk (FET) technique, which potentially allows
combined lesions of the thoracic aorta to be treated in a 1-stage procedure combining endovascular treatment
with conventional surgery using a hybrid prosthesis. These are very complex and time-consuming operations,
and good results can be obtained only if appropriate strategies for myocardial, cerebral, and visceral
protection are adopted. However, the FET technique is associated with a non-negligible incidence of spinal
cord injury, due to the extensive coverage of the descending aorta with the excessive sacrifice of intercostal
arteries. The indications for the FET technique include chronic thoracic aortic dissection, acute or chronic
type B dissection when endovascular treatment is contraindicated, chronic aneurysm of the thoracic aorta,
and chronic aneurysm o f the distal a rch. T he F ET t echnique i s also i ndicated i n acute type A a ortic dissection,
especially when the tear is localized in the aortic arch; in cases of distal malperfusion; and in young
patients. In light of the great interest in the FET technique, the Vascular Domain of the European
Association for cardio-thoracic Surgery published a position paper reporting the current knowledge and the
state of the art of the FET technique. Herein, we describe the surgical techniques involved in the FET technique
a nd w e report o ur e xperience with the F ET t echnique f or t he t reatment o f complex aortic d isease of
the thoracic aorta. |
| first_indexed | 2024-12-22T21:45:08Z |
| format | Article |
| id | doaj.art-8c8f7b3fc3414f94b0a944535b600c5c |
| institution | Directory Open Access Journal |
| issn | 2233-601X 2093-6516 |
| language | English |
| last_indexed | 2024-12-22T21:45:08Z |
| publishDate | 2017-12-01 |
| publisher | Korean Society for Thoracic and Cardiovascular Surgery |
| record_format | Article |
| series | Korean Journal of Thoracic and Cardiovascular Surgery |
| spelling | doaj.art-8c8f7b3fc3414f94b0a944535b600c5c2022-12-21T18:11:30ZengKorean Society for Thoracic and Cardiovascular SurgeryKorean Journal of Thoracic and Cardiovascular Surgery2233-601X2093-65162017-12-015011710.5090/kjtcs.2017.50.1.1The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna ExperienceLuca Di Marco0Antonio Pantaleo1Alessandro Leone2Giacomo Murana3Roberto Di Bartolomeo4Davide Pacini5Sant’Orsola HospitalSant’Orsola HospitalSant’Orsola HospitalSant’Orsola HospitalSant’Orsola HospitalSant’Orsola HospitalComplex lesions of the thoracic aorta are traditionally treated in 2 surgical steps with the elephant trunk technique. A relatively new approach is the frozen elephant trunk (FET) technique, which potentially allows combined lesions of the thoracic aorta to be treated in a 1-stage procedure combining endovascular treatment with conventional surgery using a hybrid prosthesis. These are very complex and time-consuming operations, and good results can be obtained only if appropriate strategies for myocardial, cerebral, and visceral protection are adopted. However, the FET technique is associated with a non-negligible incidence of spinal cord injury, due to the extensive coverage of the descending aorta with the excessive sacrifice of intercostal arteries. The indications for the FET technique include chronic thoracic aortic dissection, acute or chronic type B dissection when endovascular treatment is contraindicated, chronic aneurysm of the thoracic aorta, and chronic aneurysm o f the distal a rch. T he F ET t echnique i s also i ndicated i n acute type A a ortic dissection, especially when the tear is localized in the aortic arch; in cases of distal malperfusion; and in young patients. In light of the great interest in the FET technique, the Vascular Domain of the European Association for cardio-thoracic Surgery published a position paper reporting the current knowledge and the state of the art of the FET technique. Herein, we describe the surgical techniques involved in the FET technique a nd w e report o ur e xperience with the F ET t echnique f or t he t reatment o f complex aortic d isease of the thoracic aorta.http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.1.1Aortic archHybridAortic surgeryFrozen elephant trunk |
| spellingShingle | Luca Di Marco Antonio Pantaleo Alessandro Leone Giacomo Murana Roberto Di Bartolomeo Davide Pacini The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience Korean Journal of Thoracic and Cardiovascular Surgery Aortic arch Hybrid Aortic surgery Frozen elephant trunk |
| title | The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience |
| title_full | The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience |
| title_fullStr | The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience |
| title_full_unstemmed | The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience |
| title_short | The Frozen Elephant Trunk Technique: European Association for Cardio-Thoracic Surgery Position and Bologna Experience |
| title_sort | frozen elephant trunk technique european association for cardio thoracic surgery position and bologna experience |
| topic | Aortic arch Hybrid Aortic surgery Frozen elephant trunk |
| url | http://www.kjtcvs.org/journal/download_pdf.php?doi=10.5090/kjtcs.2017.50.1.1 |
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