From E-VITA open plus to E-VITA NEO and E-NOVIA

Area of Science:

• Vascular Surgery
• Medical Device Technology
• Aortic Aneurysm Repair

Background:

• The Essen I prosthesis, first implanted in 2005, marked an early step in aortic repair.
• Subsequent developments led to the E-Vita open plus, E-Vita Neo, and E-Novia devices.
• These prostheses are designed for complex aortic arch pathologies.

Purpose of the Study:

• To evaluate the advancements in aortic prostheses, specifically the E-Vita family.
• To highlight the benefits of these devices in performing frozen elephant trunk (FET) procedures.
• To assess the impact of these prostheses on reducing surgical complications and promoting aortic remodeling.

Main Methods:

• Review of clinical applications and advancements of the Essen I prosthesis and its successors (E-Vita open plus, E-Vita Neo, E-Novia).
• Analysis of the surgical technique enabled by these devices, particularly for FET in zone 0/1.
• Assessment of reported outcomes including complication rates and aortic remodeling.

Main Results:

• The E-Vita prostheses enable surgeons to perform frozen elephant trunk (FET) procedures in challenging zone 0/1 locations.
• These devices have been shown to reduce the incidence of paraplegia and recurrent laryngeal nerve palsy.
• Improved proximalization of supraaortic arch vessels and more stable, positive remodeling of the distal aorta are observed.

Conclusions:

• The E-Vita open plus and its successors represent significant advancements in aortic surgery.
• These prostheses effectively manage complex aortic arch pathologies, particularly via the FET technique.
• The use of these devices leads to improved patient outcomes and better aortic repair results.