Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTS

被引：243

作者：

Shrestha, Malakh ^{[1
]}

Bachet, Jean

Bavaria, Joseph ^{[2
]}

Carrel, Thierry P. ^{[3
]}

De Paulis, Ruggero ^{[4
]}

Di Bartolomeo, Roberto ^{[5
]}

Etz, Christian D. ^{[6
]}

Grabenwoeger, Martin ^{[7
]}

Grimm, Michael ^{[8
]}

Haverich, Axel ^{[1
]}

Jakob, Heinz ^{[9
]}

Martens, Andreas ^{[1
]}

Mestres, Carlos A. ^{[10
,11
]}

Pacini, Davide ^{[5
]}

Resch, Tim ^{[12
]}

Schepens, Marc ^{[13
]}

Urbanski, Paul P. ^{[14
]}

Czerny, Martin ^{[15
,16
]}

机构：

[1] Hannover Med Sch, Dept Cardio Thorac Transplant & Vasc Surg, Hannover, Germany

[2] Hosp Univ Penn, Div Cardiovasc Surg, Philadelphia, PA 19104 USA

[3] Univ Hosp Bern, Clin Cardiovasc Surg, CH-3010 Bern, Switzerland

[4] European Hosp, Dept Cardiac Surg, Rome, Italy

[5] St Orsola Marcello Malpighi Hosp, Dept Cardiac Surg, Bologna, Italy

[6] Heart Ctr Leipzig, Dept Cardiac Surg, Leipzig, Germany

[7] Hosp Hietzing, Dept Cardiovasc Surg, Vienna, Austria

[8] Med Univ Innsbruck, Dept Cardiac Surg, A-6020 Innsbruck, Austria

[9] Univ Essen Gesamthsch, West German Heart Ctr, Dept Thorac & Cardiovasc Surg, Essen, Germany

[10] Hosp Clin Barcelona, Dept Cardiovasc Surg, Barcelona, Spain

[11] Cleveland Clin, Inst Heart & Vasc, Abu Dhabi, U Arab Emirates

[12] Malmo Univ Hosp, Dept Vasc Surg, Malmo, Sweden

[13] Acad Hosp St Jan, Brugge, Belgium

[14] Cardiovasc Clin, Bad Neustadt an der Saale, Germany

[15] Univ Zurich Hosp, Dept Cardiovasc Surg, CH-8091 Zurich, Switzerland

[16] Univ Heart Ctr Freiburg Bad Krozingen, Freiburg, Germany

来源：

EUROPEAN JOURNAL OF CARDIO-THORACIC SURGERY | 2015年 / 47卷 / 05期

关键词：

Frozen elephant trunk technique; Thoracic aortic pathology; Combined treatment; AORTIC-ARCH REPLACEMENT; COLLATERAL NETWORK CONCEPT; HEMIARCH REPLACEMENT; INTRAMURAL HEMATOMA; SURGICAL REPAIR; ASCENDING AORTA; INCREASED RISK; SUNS PROCEDURE; I DISSECTION; STENT-GRAFTS;

D O I：

10.1093/ejcts/ezv085

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The implementation of new surgical techniques offers chances but carries risks. Usually, several years pass before a critical appraisal and a balanced opinion of a new treatment method are available and rely on the evidence from the literature and expert's opinion. The frozen elephant trunk (FET) technique has been increasingly used to treat complex pathologies of the aortic arch and the descending aorta, but there still is an ongoing discussion within the surgical community about the optimal indications. This paper represents a common effort of the Vascular Domain of EACTS together with several surgeons with particular expertise in aortic surgery, and summarizes the current knowledge and the state of the art about the FET technique. The majority of the information about the FET technique has been extracted from 97 focused publications already available in the PubMed database (cohort studies, case reports, reviews, small series, meta-analyses and best evidence topics) published in English.

引用

页码：759 / 769

页数：11

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