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June 12, 2026The Journal of Cardiovascular Surgery

The expertise effect: how advancing skills in frozen elephant trunk have broadened surgical indication for acute dissection

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Authors

LMLuca DI MARCOSSSilvia SnaideroALAlessandro LEONE

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Overview

Retrospective analysis assesses outcomes and technical strategies in acute aortic dissection, indicating improved surgical practices and broadened indications.

Key Points

  • This research aims to evaluate how nearly two decades of experience with the Frozen Elephant Trunk procedure has influenced surgical indications and outcomes.
  • Retrospective, single-center analysis of 417 patients from 2007 to 2024
  • Stratified into three periods: 2007-2013, 2014-2019, 2020-2024
  • Utilized Kaplan-Meier analysis for assessing survival and complications.
  • Acute type A dissections increased significantly from 10% to 29.4% (OR 2.24, 95% CI 1.27-3.96, P<0.001)
  • Visceral ischemia time decreased from 60 minutes to 32 minutes (MD 11.83, 95% CI 15.94-7.72, P<0.001)
  • Spinal cord injury rates declined from 12.8% to 2.8% (OR 0.23, 95% CI 0.07-0.77, P<0.001).

Cite This Study

MARCO et al. (2026) studied this question.

synapsesocial.com/papers/6a2ba2c18101cf8926f019c2https://doi.org/10.23736/s0021-9509.26.13614-3
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Five-year results of using the 'frozen elephant trunk' technique for thoracic aortic dissection2019 · 10 citations
  2. 2Outcome of Frozen Elephant Trunk Technique for Acute Type A Aortic Dissection2015 · 38 citations
  3. 3Frozen Elephant Trunk in Acute Aortic Syndrome: Retrospective Results from a Low-Volume Center2025
  4. 4A modified frozen elephant trunk technique for acute Stanford type A aortic dissection2020 · 3 citations
  5. 5The frozen elephant trunk technique in acute aortic dissection: the ultimate solution? An institutional experience2024 · 4 citations