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January 1, 2019Angiology and vascular surgery

The 'frozen elephant trunk' procedure for thoracic aortic dissection demonstrated a 30-day mortality of 6.8% and 5-year survival of 100% for acute type A and 62.2% for acute type B dissection.

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Why the study?

The medium-term efficacy of hybrid intervention using the frozen elephant trunk procedure in patients operated on for thoracic aortic dissection required evaluation.

Does the 'frozen elephant trunk' technique provide satisfactory survival and freedom from reintervention in patients with thoracic aortic dissection?

Population

44 patients operated on for Stanford type A and B thoracic aortic dissections

Comparison

Frozen elephant trunk procedure

Design

Cohort study

Follow-up

Five-year

Key result

The 'frozen elephant trunk' procedure for thoracic aortic dissection demonstrated a 30-day mortality of 6.8% and 5-year survival of 100% for acute type A and 62.2% for acute type B dissection.

Authors

БКБ. Н. КозловДПД. С. ПанфиловИХИ. А. Ходашинский

Discussion

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Overview

Supports FET consideration in thoracic aortic dissection; leaves open randomized comparisons for durability.

Study Design

Type

Cohort (n=44)

Structured PICO

Does the 'frozen elephant trunk' technique provide satisfactory survival and freedom from reintervention in patients with thoracic aortic dissection?

P
Population
44 patients with Stanford type A and B thoracic aortic dissections who underwent the 'frozen elephant trunk' procedure, followed for 5 years.
E
Exposure
Hybrid intervention using the 'frozen elephant trunk' technique under moderate hypothermic circulatory arrest (25-28 °C) with unilateral cerebral perfusion
O
Outcome
Five-year survival and freedom from reinterventionshard clinical

The 'frozen elephant trunk' technique provides satisfactory medium-term survival and freedom from reintervention in patients with thoracic aortic dissection.

Cite This Study

Козлов et al. (2019) conducted a cohort in Stanford type A and B thoracic aortic dissections (n=44). 'frozen elephant trunk' procedure was evaluated on Thirty-day mortality. The 'frozen elephant trunk' procedure for thoracic aortic dissection demonstrated a 30-day mortality of 6.8% and 5-year survival of 100% for acute type A and 62.2% for acute type B dissection.

synapsesocial.com/papers/6a974cb03cd4aac86e7fd211https://doi.org/10.33529/angio2019205
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Also Consider

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

  1. 1A modified frozen elephant trunk technique for acute Stanford type A aortic dissection2020 · 3 citations
  2. 2A modified frozen elephant trunk technique for acute Stanford type A aortic dissection2020
  3. 3Outcome of Frozen Elephant Trunk Technique for Acute Type A Aortic Dissection2015 · 38 citations
  4. 4The frozen elephant trunk technique in acute aortic dissection: the ultimate solution? An institutional experience2024 · 4 citations
  5. 5The expertise effect: how advancing skills in frozen elephant trunk have broadened surgical indication for acute dissection2026