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Updated: Sep 27, 2025
06:26
Novel and Innovative Hybrid Technique for Type A Aortic Dissection
Published on: March 28, 2025
508
Multidisciplinary aortic arch procedures within the "Aortic Team"
Tomasz Jędrzejczak1, Pawel Rynio2, Maciej Lewandowski3
1Cardiac Surgery Department, Pomeranian Medical University, Szczecin, Poland.
Summary
Establishing "Aortic Teams" in Poland improved patient outcomes for aortic arch pathology. This multidisciplinary approach yielded high technical success and good clinical results, demonstrating cost-effectiveness.
Area of Science:
- Cardiovascular Surgery
- Vascular Surgery
- Medical Innovation
Background:
- European Association for Cardio-Thoracic Surgery (EACTS) and European Society for Vascular Surgery (ESVS) recommended "Aortic Teams" in 2019.
- The first Polish Aortic Team was established in Szczecin in 2021.
Purpose of the Study:
- To evaluate the outcomes of aortic arch pathology treatment by a multidisciplinary Aortic Team.
- To assess the feasibility and cost-effectiveness of Aortic Teams in Poland.
Main Methods:
- Retrospective analysis of 64 patients treated for aortic arch pathology.
- Utilized various endovascular techniques including frozen elephant trunk, custom-made branched devices, physician-modified endografts (PMEG), and thoracic endovascular aortic repair (TEVAR) plus techniques.
Main Results:
- Overall technical success rate was 91% with an 89% good treatment outcome.
- TEVAR plus technique showed 100% technical success and 4% adverse events.
- Physician-modified endografts (PMEG) achieved 91% technical success and 11% adverse events.
Conclusions:
- The implementation of Aortic Teams is feasible and potentially cost-effective in Poland.
- Multidisciplinary collaboration between cardiac and vascular surgeons enhances competence and clinical outcomes.
- This model aligns with the evolving landscape of cardiac surgery globally.
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