This review discusses the clinical applications of the frozen elephant trunk procedure for patients with acute aortic dissection. Sub-analysis of the multicenter Japanese Frozenix study, J-ORCHESTRA, are presented, and recent reports of frozen elephant trunk usage for acute aortic dissection are discussed.
KatoMOhnishiKKanekoM, et al.
New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft. Circulation1996;
94(Suppl II): II188–II193.
2.
KarckMChavanAHaglCFriedrichHGalanskiMHaverichA.The frozen elephant trunk technique: a new treatment for thoracic aortic aneurysms.J Thorac Cardiovasc Surg2003;
125: 1550–1553.
3.
JakobHDohleDBenedikJ, et al.
Long-term experience with the E-vita Open hybrid graft in complex thoracic aortic disease. Eur J Cardiothorac Surg2017;
51: 329–338.
4.
Di BartolomeoRMuranaGDi MarcoLPantaleoAAlfonsiJLeoneAPaciniD.Frozen versus conventional elephant trunk technique: application in clinical practice.Eur J Cardiothorac Surg2017;
51(Suppl 1): i20–i28.
5.
KatayamaKUchidaNKatayamaA, et al.
Multiple factors predict the risk of spinal cord injury after the frozen elephant trunk technique for extended thoracic aortic disease. Eur J Cardiothorac Surg2015;
47: 616–620.
6.
TianDHWanBDi EusanioMBlackDYanTD.A systematic review and meta-analysis on the safety and efficacy of the frozen elephant trunk technique in aortic arch surgery. Ann Cardiothorac Surg2013;
2: 581–591.
7.
MaWGZhuJMZhengJ, et al.
Sun’s procedure for complex aortic arch repair: total arch replacement using a tetrafurcate graft with stented elephant trunk implantation. Ann Cardiothorac Surg2013;
2: 642–648.
8.
Committee for Scientific Affairs, The Japanese Association for Thoracic Surgery; ShimizuHOkadaMTangokuA, et al.
Thoracic and cardiovascular surgeries in Japan during 2017: annual report by the Japanese Association for Thoracic Surgery.Gen Thorac Cardiovasc Surg2020;
68: 414–449.
9.
AbeTYamamotoHMiyataH, et al.
Patient trends and outcomes of surgery for type A acute aortic dissection in Japan: an analysis of more than 10,000 patients from the Japan Cardiovascular Surgery Database.Eur J Cardiothorac Surg2020;
57: 660–667.
10.
YamaguchiTNakaiMSumitaY, et al. Current status of the management and outcomes of acute aortic dissection in Japan: analyses of nationwide Japanese Registry of All Cardiac and Vascular Diseases-Diagnostic Procedure Combination data. Eur Heart J Acute Cardiovascular Care2019 Aug 28: 2048872619872847.
11.
EvangelistaAIsselbacherEMBossoneE, et al.
Insights from the International Registry of Acute Aortic Dissection: a 20-year experience of collaborative clinical research.Circulation2018;
137: 1846–1860.
12.
HelderMRSchaffHVDayCN, et al.
Regional and temporal trends in the outcomes of repairs for acute type A aortic dissections. Ann Thorac Surg2020;
109: 26–33.
13.
ConzelmannLOWeigangEMehlhornU, et al.
Mortality in patients with acute aortic dissection type A: analysis of pre- and intraoperative risk factors from the German Registry for Acute Aortic Dissection Type A (GERAADA)Eur J Cardiothorac Surg2016;
49: e44–5211.
14.
OlssonaCAhlssonAFuglsangS, et al.
Medium-term survival after surgery for acute type A aortic dissection is improving.Eur J Cardiothorac Surg2017;
52: 852–857.
15.
OkitaY.The frozen elephant trunk technique for treatment of thoracic aortic aneurysm with Japanese-made open stent graft: FROZENIX. J Visualized Surg2018;
4: 188. Available at: http://jovs.amegroups.com/article/view/21154/20692
16.
OkitaY.Frozen elephant trunk with Frozenix prosthesis.Ann Cardiothorac Surg2020;
9: 152–163.
17.
RoselliEERafaelASolteszEGCanaleLLytleBW.Simplified frozen elephant trunk repair for acute DeBakey type I dissection.J Thorac Cardiovasc Surg2013;
145: S197–S201.
18.
PoonSSTianDHYanT, et al.
Frozen elephant trunk does not increase incidence of paraplegia in patients with acute type A aortic dissection.J Thorac Cardiovasc Surg2020;
159: 1189–96.e1.
19.
TsagakisKWendtDDimitriouAM, et al.
The frozen elephant trunk treatment is the operation of choice for all kinds of arch disease. J Cardiovasc Surg (Torino)2018;
59: 540–546.
20.
ShresthaMMartensAKaufeldT, et al.
Single-centre experience with the frozen elephant trunk technique in 251 patients over 15 years. Eur J Cardiothorac Surg2017;
52: 858–866.
21.
LeoneABeckmannEMartensA, et al. Total aortic arch replacement with frozen elephant trunk technique: Results from two European institutes. J Thorac Cardiovasc Surg2019.
22.
ChenYMaWGZhiAH, et al.
Fate of distal aorta after frozen elephant trunk and total arch replacement for type A aortic dissection in Marfan syndrome. J Thorac Cardiovasc Surg2020;
159: 1201–1211.
23.
YoshitakeATochiiMTokunagaC, et al.
Early and long-term results of total arch replacement with the frozen elephant trunk technique for acute type A aortic dissection. Eur J Cardiothorac Surg2020;
1: ezaa099.
24.
PreventzaOLiaoJLOliveJK, et al. Neurologic complications after the frozen elephant trunk procedure: a meta-analysis of more than 3000 patients. J Thorac Cardiovasc Surg 2019: S0022-5223(19)32242-1.
25.
CzernyMEggebrechtHRousseauH, et al.
Distal stent-graft induced new entry after TEVAR or FET - insights into a new disease from EuREC. Ann Thorac Surg2020;
10: S0003-4975(20)30529-4.
