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Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTS


Shrestha, Malakh; Bachet, Jean; Bavaria, Joseph; Carrel, Thierry P; De Paulis, Ruggero; Di Bartolomeo, Roberto; Etz, Christian D; Grabenwöger, Martin; Grimm, Michael; Haverich, Axel; Jakob, Heinz; Martens, Andreas; Mestres, Carlos A; Pacini, Davide; Resch, Tim; Schepens, Marc; Urbanski, Paul P; Czerny, Martin (2015). Current status and recommendations for use of the frozen elephant trunk technique: a position paper by the Vascular Domain of EACTS. European Journal of Cardio-Thoracic Surgery, 47(5):759-769.

Abstract

The implementation of new surgical techniques offers chances but carries risks. Usually, several years pass before a critical appraisal and a balanced opinion of a new treatment method are available and rely on the evidence from the literature and expert's opinion. The frozen elephant trunk (FET) technique has been increasingly used to treat complex pathologies of the aortic arch and the descending aorta, but there still is an ongoing discussion within the surgical community about the optimal indications. This paper represents a common effort of the Vascular Domain of EACTS together with several surgeons with particular expertise in aortic surgery, and summarizes the current knowledge and the state of the art about the FET technique. The majority of the information about the FET technique has been extracted from 97 focused publications already available in the PubMed database (cohort studies, case reports, reviews, small series, meta-analyses and best evidence topics) published in English

Abstract

The implementation of new surgical techniques offers chances but carries risks. Usually, several years pass before a critical appraisal and a balanced opinion of a new treatment method are available and rely on the evidence from the literature and expert's opinion. The frozen elephant trunk (FET) technique has been increasingly used to treat complex pathologies of the aortic arch and the descending aorta, but there still is an ongoing discussion within the surgical community about the optimal indications. This paper represents a common effort of the Vascular Domain of EACTS together with several surgeons with particular expertise in aortic surgery, and summarizes the current knowledge and the state of the art about the FET technique. The majority of the information about the FET technique has been extracted from 97 focused publications already available in the PubMed database (cohort studies, case reports, reviews, small series, meta-analyses and best evidence topics) published in English

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Additional indexing

Item Type:Journal Article, refereed, original work
Communities & Collections:National licences > 142-005
Dewey Decimal Classification:610 Medicine & health
Scopus Subject Areas:Health Sciences > Surgery
Health Sciences > Pulmonary and Respiratory Medicine
Health Sciences > Cardiology and Cardiovascular Medicine
Uncontrolled Keywords:Combined treatment; Frozen elephant trunk technique; Thoracic aortic pathology
Language:English
Date:1 May 2015
Deposited On:30 Oct 2018 17:30
Last Modified:31 Jul 2020 02:12
Publisher:Oxford University Press
ISSN:1010-7940
OA Status:Hybrid
Free access at:Publisher DOI. An embargo period may apply.
Publisher DOI:https://doi.org/10.1093/ejcts/ezv085
Related URLs:https://www.swissbib.ch/Search/Results?lookfor=nationallicenceoxford101093ejctsezv085 (Library Catalogue)
PubMed ID:25769463

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