Zusammenfassung
Das Frozen-Elephant-Trunk-Verfahren ist eine Weiterentwicklung der konventionellen Elephant-Trunk-Technik und ermöglicht die einzeitige Behandlung von Aortenerkrankungen, die sich über den Aortenbogen und die Aorta descendens ausbreiten. Zudem wird durch diese Technik eine weitere endovaskuläre oder offene chirurgische Therapie bei residualen Befunden erleichtert. Die angewendete Hybridprothese besteht aus einer Gefäßprothese für den Ersatz des Aortenbogens und die Reimplantation der Kopfgefäße sowie einem Stent-Graft zur Behandlung der Aorta descendens. Der vorliegende Beitrag beschreibt die technischen Aspekte und die Erfahrung der Autoren mit der E‑vita-open-Hybridprothese.
Abstract
The frozen elephant trunk technique constitutes an evolution of the conventional elephant trunk technique, which facilitates a definitive treatment of aortic pathologies encompassing both the aortic arch and the descending aorta. Furthermore, it facilitates a secondary surgical or endovascular repair of residual pathologies. The hybrid prosthesis is composed of a vascular prosthesis for replacement of the aortic arch and reimplantation of the cranial vessels as well as a stent graft for treatment of the descending aorta. This article describes the technical aspects of the operation and the experiences of the authors with the E‑vita open hybrid stent graft prosthesis.
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H. Jakob ist Consultant bei der Fa. Jotec. A.M. Dimitriou und K. Tsagakis geben an, dass kein Interessenkonflikt besteht.
Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.
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Dimitriou, A.M., Tsagakis, K. & Jakob, H. Frozen Elephant Trunk und E‑vita-open-Hybridprothese. Z Herz- Thorax- Gefäßchir 32, 187–196 (2018). https://doi.org/10.1007/s00398-018-0229-7
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DOI: https://doi.org/10.1007/s00398-018-0229-7