Key result
Total arch replacement using a frozen elephant trunk (TAR-FET) for type B aortic dissection resulted in 90% aortic event-free survival at 5 years with no cases of retrograde type A dissection or paraplegia.
Why the study?
Does total arch replacement with frozen elephant trunk (TAR-FET) prevent aortic events in patients with type B aortic dissection and a distal arch entry tear?
Observational (n=33)
No
Does total arch replacement with frozen elephant trunk (TAR-FET) prevent aortic events in patients with type B aortic dissection and a distal arch entry tear?
TAR-FET appears to be a safe and effective strategy for type B aortic dissection with distal arch entry, achieving a 90% 5-year aortic event avoidance rate.
May support TAR-FET in select B-type dissections with distal arch entry; leaves open larger comparative trials.
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Matsuzaki et al. (2018) conducted an observational in Acute type B aortic dissection requiring surgical intervention (n=33). Total arch replacement using Frozen elephant trunk (TAR-FET) vs. Zone 2 landing TEVAR was evaluated on Aortic event-free survival at 5 years. Total arch replacement using a frozen elephant trunk (TAR-FET) for type B aortic dissection resulted in 90% aortic event-free survival at 5 years with no cases of retrograde type A dissection or paraplegia.
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