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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J Cardiothorac Surg
October 2024
Department of Cardiovascular Surgery, University Heart and Vascular Centre, Goethe University and University Hospital Frankfurt, Frankfurt/Main, Germany.
Eur J Cardiothorac Surg
June 2024
Department of Cardiovascular Surgery, Clinic Floridsdorf, Vienna, Austria.
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.
Multimed Man Cardiothorac Surg
January 2024
Department for Adult Cardiac Surgery, S.V. Ochapowski Regional Hospital #1, Krasnodar, Russia.
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.
View Article and Find Full Text PDFEur J Cardiothorac Surg
March 2024
Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Medical Center, Seoul, Republic of Korea.
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.
Front Cardiovasc Med
December 2023
Department of Thoracic- and Cardiovascular Surgery, West German Heart and Vascular Center, Essen, Germany.
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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