Frozen Elephant Trunk Procedure and Risk for Distal Stent-Graft-Induced New Entries.
Maximilian KreibichTim BergerBartosz RylskiMatthias SiepeMartin CzernyPublished in: Aorta (Stamford, Conn.) (2022)
The frozen elephant trunk (FET) procedure is known as an effective treatment option for patients with any aortic pathology involving the aortic arch. However, there is growing evidence that many patients often require secondary intended, expected, or unexpected aortic reinterventions during follow-up. In those with underlying aortic dissection pathology, a substantial risk for developing distal stent-graft-induced new entries (dSINEs) has been identified as one cause for secondary aortic reinterventions. dSINE can develop at any time after the FET procedure. Endovascular treatment is generally feasible and safe to close the newly formed entry with low procedural risk. Nevertheless, all patients need continuous follow-up after FET treatment, ideally in a specialized aortic outpatient clinic.
Keyphrases
- aortic dissection
- end stage renal disease
- aortic valve
- minimally invasive
- ejection fraction
- left ventricular
- newly diagnosed
- chronic kidney disease
- pulmonary artery
- primary care
- peritoneal dialysis
- prognostic factors
- high glucose
- drug induced
- heart failure
- atrial fibrillation
- lower limb
- patient reported outcomes
- pulmonary hypertension
- patient reported
- pulmonary arterial hypertension