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„Distal stent graft-induced new entries“ nach Frozen-Elephant-Trunk-Operation

Distal stent graft-induced new entries following frozen elephant trunk procedure

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Zeitschrift für Herz-,Thorax- und Gefäßchirurgie Aims and scope

Zusammenfassung

Die Frozen-Elephant-Trunk-Prozedur ist eine fest etablierte Behandlungsoption für Aortenpathologien mit Beteiligung des Aortenbogens. Geplante, antizipierte und ungeplante Reinterventionen sind jedoch häufig. Mitursächlich ist das relativ hohe Risiko für die Entstehung von „distal stent graft-induced new entries“ (dSINE) bei Patienten mit Aortendissektionen. Diese können jederzeit nach einer Frozen-Elephant-Trunk-Behandlung auftreten – deren Behandlung ist jedoch in der Regel unkompliziert und risikoarm endovaskulär möglich. Die kontinuierliche Nachsorge von Patienten nach einer Frozen-Elephant-Trunk-Behandlung idealerweise in einer spezialisierten Aortenambulanz ist obligat.

Abstract

The frozen elephant trunk procedure is a well-established treatment option for patients with aortic pathologies involving the aortic arch. Planned, anticipated, and unplanned aortic reinterventions are common. In patients with aortic dissections, the comparably high risk for the development of distal stent graft-induced new entries (dSINE) has been identified as one cause. These can develop at any time following the frozen elephant trunk procedure. Endovascular treatment is generally feasible and safe. Continuous follow-up of all patients after the frozen elephant trunk treatment, ideally in a dedicated aortic outpatient clinic, is mandatory.

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Authors and Affiliations

  1. Klinik für Herz- und Gefäßchirurgie, Department Universitäts Herzzentrum, Uniklinik Freiburg, Hugstetter Str. 55, 79106, Freiburg, Deutschland

    Maximilian Kreibich MHBA,  Tim Berger,  Matthias Siepe,  Martin Czerny MBA &  Bartosz Rylski

  2. Medizinische Fakultät, Albert-Ludwigs-Universität Freiburg, Freiburg, Deutschland

    Maximilian Kreibich MHBA,  Tim Berger,  Matthias Siepe,  Martin Czerny MBA &  Bartosz Rylski

Authors
  1. Maximilian Kreibich MHBA
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  2. Tim Berger
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  3. Matthias Siepe
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  4. Martin Czerny MBA
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  5. Bartosz Rylski
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Corresponding author

Correspondence to Maximilian Kreibich MHBA.

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Interessenkonflikt

M. Kreibich: Vortragstätigkeit für Terumo Aortic. T. Berger, M. Siepe: kein Interessenskonflikt. M. Czerny und B. Rylski: Proktor-Aktivitäten und Vortragstätigkeiten für Terumo Aortic.

Für diesen Beitrag wurden von den Autoren keine Studien an Menschen oder Tieren durchgeführt. Für die aufgeführten Studien gelten die jeweils dort angegebenen ethischen Richtlinien.

Additional information

Der vorliegende Beitrag ist eine Zusammenfassung der Originalarbeit der Autoren: Kreibich M, Bunte D, Berger T, Votsch A, Rylski B, Krombholz-Reindl P et al (2020) Distal Stent Graft-Induced New Entries After the Frozen Elephant Trunk Procedure. Ann Thorac Surg 110:1271–1279. Der Inhalt dieser Arbeit wurde 2021 mit dem Gefäßchirurgischen Forschungspreis der DGTHG ausgezeichnet.

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Kreibich, M., Berger, T., Siepe, M. et al. „Distal stent graft-induced new entries“ nach Frozen-Elephant-Trunk-Operation. Z Herz- Thorax- Gefäßchir 36, 260–263 (2022). https://doi.org/10.1007/s00398-022-00515-9

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  • DOI: https://doi.org/10.1007/s00398-022-00515-9

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