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Updated: Feb 12, 2026

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Subcellular Fractionation from Fresh and Frozen Gastrointestinal Specimens
Published on: July 15, 2018
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Is the frozen elephant trunk frozen?
Roberto Di Bartolomeo1, Giacomo Murana1, Luca Di Marco1
1S. Orsola-Malpighi Hospital, Alma Mater studiorum, University of Bologna, Via Massarenti 9, 40138, Bologna, Italy.
General Thoracic and Cardiovascular Surgery
|March 30, 2018
Summary
Frozen elephant trunks (FETs) offer significant advancements in treating complex thoracic aortic disease. Newer hybrid prostheses simplify implantation and reduce surgery times, improving outcomes.
Area of Science:
- Cardiovascular Surgery
- Thoracic Surgery
- Vascular Surgery
Background:
- Complex thoracic aortic disease presents significant surgical challenges.
- Conventional and frozen elephant trunk (FET) techniques have evolved as major improvements.
- Advancements in devices aim to simplify procedures and enhance post-operative results.
Purpose of the Study:
- To review the frozen elephant trunk (FET) technique in thoracic aortic disease treatment.
- To discuss current devices, surgical indications, and procedural steps.
- To highlight advancements in hybrid FET prostheses.
Main Methods:
- Review of current literature on FET techniques and devices.
- Analysis of surgical indications for FET procedures.
- Description of principal surgical steps for FET implantation.
Main Results:
- FET techniques represent major technical improvements for complex thoracic aortic disease.
- Newer devices, particularly multi-branched hybrid FET prostheses, facilitate graft implantation.
- These advancements aim to reduce operative times and improve post-operative outcomes.
Conclusions:
- Frozen elephant trunk techniques are pivotal in managing complex thoracic aortic disease.
- Hybrid FET prostheses offer enhanced procedural efficiency and improved patient outcomes.
- Continued evolution of devices promises further advancements in thoracic aortic surgery.
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