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Aortic reinterventions after the frozen elephant trunk procedure
Maximilian Kreibich1, Tim Berger1, Bartosz Rylski1
1Department of Cardiovascular Surgery, University Heart Center Freiburg, Freiburg, Germany; Faculty of Medicine, University of Freiburg, Freiburg, Germany.
The Journal of Thoracic and Cardiovascular Surgery
|April 1, 2019
Summary
Aortic reinterventions are common after the frozen elephant trunk (FET) procedure, occurring in 33% of patients. While predictors remain elusive, reinterventions show acceptable outcomes, emphasizing the need for close patient follow-up.
Area of Science:
- Cardiovascular Surgery
- Thoracic Aortic Pathology
- Minimally Invasive Procedures
Background:
- The frozen elephant trunk (FET) procedure is a single-step treatment for thoracic aorta pathologies.
- Its long-term efficacy and need for reintervention require further investigation.
Purpose of the Study:
- To evaluate the incidence and outcomes of aortic reinterventions following FET implantation.
- To identify predictors for aortic reintervention after FET procedures.
Main Methods:
- Retrospective analysis of 107 patients who underwent the FET procedure.
- Comparison of patient characteristics and follow-up data between those with and without reinterventions.
- Competing risk regression to identify predictors of reintervention.
Main Results:
- 33% of patients required aortic reintervention (endovascular, open, or hybrid).
- No significant difference in underlying pathology between reintervention groups.
- No identified independent predictors for reintervention; 36-month reintervention risk was 64%.
Conclusions:
- Aortic reinterventions are frequent after FET procedures.
- Reinterventions are associated with acceptable morbidity and mortality.
- Close patient surveillance post-FET is crucial.
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