TY  - JOUR
AU  - Tsagakis, Konstantinos
AU  - Pacini, Davide
AU  - Grabenwöger, Martin
AU  - Borger, Michael A.
AU  - Goebel, Nora
AU  - Hemmer, Wolfgang
AU  - Santos, Alvaro Laranjeira
AU  - Sioris, Thanos
AU  - Widenka, Kazimierz
AU  - Risteski, Petar
AU  - Mascaro, Jorge
AU  - Rudez, Igor
AU  - Zierer, Andreas
AU  - Mestres, Carlos A.
AU  - Ruhparwar, Arjang
AU  - Bartolomeo, Roberto Di
AU  - Jakob, Heinz
PY  - 2020
TI  - Results of frozen elephant trunk from the international E-vita Open registry
JF  - Annals of Cardiothoracic Surgery; Vol 9, No 3 (May 29, 2020): Frozen Elephant Trunk
Y2  - 2020
KW  - 
N2  - Background: Over the years, frozen elephant trunk (FET) has become the treatment of choice for multisegmental thoracic aortic disease. This multicenter study presents the evolution of FET results using the E-vita Open hybrid graft with respect to institutional experience and time.  Methods: The data of International E-vita Open registry were studied according to the institutional experience of the participating centers (high- versus low-volume centers) and according to the evolution of FET treatment during time (1st period, 2005–2011 versus 2ndd period, 2012–2018). Overall, 1,165 patients were enrolled in the study with a wide variety of multisegmental thoracic aortic pathologies and aortic emergencies. Participating centers determined their own surgical protocol.  Results: The overall 30-day mortality was 12%. Short- and long-term survival were higher in high- versus low-volume centers (P=0.048 and P=0.013, respectively). In the 2nd time period, cerebral complications were reduced significantly (P=0.015). Incidence of permanent spinal cord-related symptoms was reduced to 3% in the 2nd time period, but did not reach statistical significance. Hypothermic circulatory arrest time (P
UR  - https://www.annalscts.com/article/view/16715