Key result
E-vita devices enable zone 0/1 frozen elephant trunk operations, reducing paraplegia and promoting aortic remodeling.
The evolution of E-VITA prostheses to E-VITA NEO and E-NOVIA facilitates frozen elephant trunk operations in zone 0/1, potentially reducing complications such as paraplegia and promoting positive distal aortic remodeling.
May support selective zone 0/1 FET with updated E-vita devices; leaves open prospective RCTs to confirm paraplegia reduction and remodeling.
The first clinical implantation of the "Essen I prosthesis" took place in 2005, which was then followed by E-Vita open plus. With further advancements E-Vita Neo and E-Novia was introduced. These devices enable the surgeons to perform frozen elephant trunk in zone 0/1 which eventually reduce the incidence of paraplegia, recurrent laryngeal nerve palsy and proximalization of supraaortic arch vessels. E-vita open plus and successors alleviate frozen elephant trunk operations rendering more stable results in promoting positive remodelling of the distal aorta.
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Jakob et al. (2020) reported a review. E-Vita open plus, E-Vita Neo, and E-Novia prostheses was evaluated. E-vita open plus and its successors enable frozen elephant trunk operations in zone 0/1, reducing the incidence of paraplegia and promoting positive remodeling of the distal aorta.
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