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Mid-term results of elective repair of extensive thoracic aortic pathology by the Evita Open Plus hybrid endoprosthesis only

Verhoye, Jean-Philippe ; Anselmi, Amedeo ; Kaladji, Adrien ; Flécher, Erwan ; Lucas, Antoine ; Heautot, Jean-François ; Beneux, Xavier ; Fouquet, Olivier

European journal of cardio-thoracic surgery, 2014-05, Vol.45 (5), p.812-817 [Periódico revisado por pares]

Germany: Oxford University Press

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Título:
Mid-term results of elective repair of extensive thoracic aortic pathology by the Evita Open Plus hybrid endoprosthesis only
Autor: Verhoye, Jean-Philippe ; Anselmi, Amedeo ; Kaladji, Adrien ; Flécher, Erwan ; Lucas, Antoine ; Heautot, Jean-François ; Beneux, Xavier ; Fouquet, Olivier
Assuntos: Adult ; Aneurysm, Dissecting - surgery ; Aorta, Thoracic - diagnostic imaging ; Aorta, Thoracic - pathology ; Aorta, Thoracic - surgery ; Aortic Aneurysm, Thoracic - surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - methods ; Female ; Humans ; Male ; Middle Aged ; Tomography, X-Ray Computed
É parte de: European journal of cardio-thoracic surgery, 2014-05, Vol.45 (5), p.812-817
Notas: ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
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Descrição: 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.
Editor: Germany: Oxford University Press
Idioma: Inglês

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Mid-term results of elective repair of extensive thoracic aortic pathology by the Evita Open Plus hybrid endoprosthesis only

Verhoye, Jean-Philippe ; Anselmi, Amedeo ; Kaladji, Adrien ; Flécher, Erwan ; Lucas, Antoine ; Heautot, Jean-François ; Beneux, Xavier ; Fouquet, Olivier

Germany: Oxford University Press

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