View : 70 Download: 0
One-year outcomes of total arch replacement and frozen elephant trunk using the E-vita Open NEO
- Title
- One-year outcomes of total arch replacement and frozen elephant trunk using the E-vita Open NEO
- Authors
- Kim; Chong Hoon; Tae-Hoon; Lee; Ha; Myeong Su; Heo; Woon; Yoo; Kyung-Jong; Cho; Bum-Koo; Song; Suk-Won
- Ewha Authors
- 송석원; 김명수
- SCOPUS Author ID
- 송석원
- Issue Date
- 2024
- Journal Title
- European Journal of Cardio-thoracic Surgery
- ISSN
- 1010-7940
- Citation
- European Journal of Cardio-thoracic Surgery vol. 65, no. 3
- Keywords
- Acute aortic dissection; Chronic aortic dissection; Thoracic aortic aneurysm; Thoracic endovascular aortic repair; Total arch replacement; Frozen elephant trunk
- Publisher
- European Association for Cardio-Thoracic Surgery
- Indexed
- SCIE; SCOPUS
- Document Type
- Article
- Abstract
- OBJECTIVES: In this cohort study, we aimed to assess the 1-year clinical outcomes of using the E-vita Open NEOTM hybrid prosthesis for total arch replacement with frozen elephant trunk (FET) to repair extensive aortic pathologies. METHODS: We reviewed individuals who underwent thoracic aortic surgery between April 2021 and March 2023 from the Gangnam Severance Aortic Registry. Exclusion criteria included ascending aortic replacement, 1 or 2 partial arch replacement, descending aortic replacement and total arch replacement without an FET. Finally, all consecutive patients who underwent total arch replacement and FET with E-vita Open NEO for aortic arch pathologies between April 2021 and March 2023 were included in this cohort study. The patients were divided into 3 groups based on their pathology: acute aortic dissection, chronic aortic dissection and thoracic aortic aneurysm. The primary end point was in-hospital mortality. The secondary end points during the postoperative period comprised stroke, spinal cord injury and redo sternotomy for bleeding. Additionally, the secondary end points during the follow-up period included the 1-year survival rate, 1-year freedom from all aortic procedures and 1-year freedom from unplanned aortic interventions. RESULTS: The study included 167 patients in total: 92 patients (55.1%) with acute aortic dissection, 20 patients (12.0%) with chronic aortic dissection and 55 patients (32.9%) with thoracic aortic aneurysm. The in-hospital mortality was 1.8% (n ¼ 3). Strokes occurred in 1.8% (n ¼ 3) of the patients, spinal cord injury in 1.8% (n ¼ 3) and redo sternotomy for bleeding was performed in 3.0% (n ¼ 5). There were no significant differences between the pathological groups. The median follow-up period (quartile 1–quartile 3) was 198 (37–373) days, with 1-year survival rates of 95.9%. At 1 year, the freedom from all aortic procedures and unplanned aortic interventions were 90.3% and 92.0%, respectively. CONCLUSIONS: The 1-year clinical outcomes of total arch replacement with FET using the E-vita Open NEO were favourable. Long-term follow-up is required to evaluate the durability of the FET. © The Author(s) 2024. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
- DOI
- 10.1093/ejcts/ezae017
- Appears in Collections:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
There are no files associated with this item.
- Export
- RIS (EndNote)
- XLS (Excel)
- XML