Zone proximalization in frozen elephant trunk: what is the optimal zone for open intervention? A systematic review and meta-analysis
| Autor: | Mostafa, Mousavizadeh, Mohamad, Bashir, Matti, Jubouri, Sven Z, Tan, Elahe Z, Borzeshi, Saba, Ilkhani, Sepideh, Banar, Pooria, Nakhaei, Yousef, Rezaei, Mohammed, Idhrees, Saeid, Hosseini |
|---|---|
| Rok vydání: | 2022 |
| Předmět: | |
| Zdroj: | The Journal of Cardiovascular Surgery. 63 |
| ISSN: | 1827-191X 0021-9509 |
| DOI: | 10.23736/s0021-9509.22.12292-5 |
| Popis: | The treatment of complex aortic lesions involving the ascending, arch, and proximal descending aorta, remains challenging for surgeons despite the evolution of surgical techniques and aortic prostheses over decades. The frozen elephant trunk (FET) approach offers a one-stage repair of this entity of aortic pathologies. The main scope of this systematic review and meta-analysis is to evaluate the clinical outcomes and effectiveness of FET.In a systematic review, multiple electronic databases including EMBASE, Scopus, and PubMed/MEDLINE were searched from inception to June 2021 to identify relevant studies reporting on outcomes of total arch replacement (TAR) with FET.Eighty-five studies met inclusion criteria, encompassing 10960 patients. Meta-analysis was conducted using the R-studio (RStudio, Boston, MA, USA) and STATA software (StataCorp LLC, College Station, TX, USA). The pooled in-hospital mortality rate was 7% (95% CI 0.05-0.09; IOur results indicate that the morbidities and mortality following TAR with FET were acceptable. We also associated the distal anastomosis in zone 2 with fewer renal failure development compared to that in zone 3. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|