Background: The variety of pathology of the thoracic aorta supposes different approaches of surgical management, including the use of hybrid technologies.

Objective: To broaden a possible spectrum of indications for implantation of the "E-vita open plus" hybrid stent graft.

Results: Surgical treatment of thoracic aorta with the help of the "E-vita open plus" hybrid stent graft according to the "frozen elephant trunk" technique demonstrated satisfactory results in patients with various pathology: type A and B acute and chronic dissection according to the Stanford classification, as well as rare diseases (post-traumatic false aneurysm, complicated atherosclerosis of the thoracic aorta).

Conclusion: The technology of "frosted elephant trunk" with implantation of the "E-vita open plus" hybrid stent graft in not limited by cases of acute aortic dissection, aortic aneurysmatic transformation and has wider indications for application. The use of this technology in cases of rare pathology of the thoracic aorta ("shaggy aorta" syndrome, posttraumatic false aneurysm) makes it possible to obtain satisfactory clinical results.

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Article Synopsis
  • The Ascyrus Medical Dissection Stent (AMDS) can complicate the management of acute type A aortic dissection (ATAAD) due to issues with the false lumen (FL) persisting after treatment.
  • Two case studies illustrated the complications from failed AMDS treatments, leading to the successful use of a trifurcated hybrid prosthesis and frozen elephant trunk (FET) technique for redo aortic arch repair.
  • This new approach has shown potential in improving patient outcomes by effectively addressing complications from failed treatments and offering better long-term survival rates.
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Objectives: The aim of this multicentre study was to demonstrate the safety and clinical performance of E-vita OPEN NEO Stent Graft System (Artivion, Inc.) in the treatment of aneurysm or dissection, both acute and chronic, in the ascending aorta, aortic arch and descending thoracic aorta.

Methods: In this observational study of 12 centres performed in Europe and in Asia patients were enrolled between December 2020 and March 2022.

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Surgery for acute type A aortic dissection is highly challenging, even in expert hands. The goal in such emergency circumstances is primarily to save the patient's life. To minimize the perioperative risk, surgeons often choose surgery involving only supracoronary ascending aortic and hemiarch replacement.

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Objectives: In this cohort study, we aimed to assess the 1-year clinical outcomes of using the E-vita Open NEO™ hybrid prosthesis for total arch replacement with frozen elephant trunk (FET) to repair extensive aortic pathologies.

Methods: We reviewed individuals who underwent thoracic aortic surgery between April 2021 and March 2023 from the Gangnam Severance Aortic Registry. Exclusion criteria included ascending aortic replacement, 1 or 2 partial arch replacement, descending aortic replacement and total arch replacement without an FET.

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Introduction: Recent reports have questioned the blood impermeability of the novel frozen elephant trunk (FET) device E-vita Open NEO (EO-NEO). Therefore, standardized bleeding tests using porcine heparinized blood were performed, as well as stress testing on the blood tightness of the collar suture line, to investigate this observation.

Material And Methods: EO-NEO prostheses were examined for blood permeability in three test series.

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