Next-Generation Frozen Elephant Trunk Technique in the Era of Precision Medicine

Suk Won Song; Ha Lee; Myeong Su Kim; Randolph Hung Leung Wong; Jacky Yan Kit Ho; Wilson Y. Szeto; Heinz Jakob

doi:10.5090/jcs.24.089

Next-Generation Frozen Elephant Trunk Technique in the Era of Precision Medicine

Suk Won Song, Ha Lee, Myeong Su Kim, Randolph Hung Leung Wong, Jacky Yan Kit Ho, Wilson Y. Szeto, Heinz Jakob

Department of Thoraxic and Cardiovascular Surgery

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

The frozen elephant trunk (FET) technique can be applied to extensive aortic pathology, including lesions in the aortic arch and proximal descending thoracic aorta. FET is useful for tear-oriented surgery in dissections, managing malperfusion syndrome, and promoting positive aortic remodeling. Despite these benefits, complications such as distal stent-induced new entry and spinal cord ischemia can pose serious problems with the FET technique. To prevent these complications, careful sizing and planning of the FET are crucial. Additionally, since the FET technique involves total arch replacement, meticulous surgical skills are essential, particularly for young surgeons. In this article, we propose several techniques to simplify surgical procedures, which may lead to better outcomes for patients with extensive aortic pathology. In the era of precision medicine, the next-generation FET device could facilitate the treatment of complex aortic diseases through a patient-tailored approach.

Original language	English
Pages (from-to)	419-429
Number of pages	11
Journal	Journal of Chest Surgery
Volume	57
Issue number	5
DOIs	https://doi.org/10.5090/jcs.24.089
State	Published - 2024

Bibliographical note

Publisher Copyright:
Copyright © 2024, The Korean Society for Thoracic and Cardiovascular Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Keywords

Aortic diseases
Endoleak
Endovascular aneurysm repair
Spinal cord ischemia
Vascular grafting

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10.5090/jcs.24.089

Cite this

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title = "Next-Generation Frozen Elephant Trunk Technique in the Era of Precision Medicine",

abstract = "The frozen elephant trunk (FET) technique can be applied to extensive aortic pathology, including lesions in the aortic arch and proximal descending thoracic aorta. FET is useful for tear-oriented surgery in dissections, managing malperfusion syndrome, and promoting positive aortic remodeling. Despite these benefits, complications such as distal stent-induced new entry and spinal cord ischemia can pose serious problems with the FET technique. To prevent these complications, careful sizing and planning of the FET are crucial. Additionally, since the FET technique involves total arch replacement, meticulous surgical skills are essential, particularly for young surgeons. In this article, we propose several techniques to simplify surgical procedures, which may lead to better outcomes for patients with extensive aortic pathology. In the era of precision medicine, the next-generation FET device could facilitate the treatment of complex aortic diseases through a patient-tailored approach.",

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AU - Szeto, Wilson Y.

AU - Jakob, Heinz

N1 - Publisher Copyright: Copyright © 2024, The Korean Society for Thoracic and Cardiovascular Surgery This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

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Next-Generation Frozen Elephant Trunk Technique in the Era of Precision Medicine

Abstract

Bibliographical note

Keywords

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