{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,2]],"date-time":"2026-06-02T05:08:42Z","timestamp":1780376922778,"version":"3.54.1"},"reference-count":134,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,2,2]],"date-time":"2026-02-02T00:00:00Z","timestamp":1769990400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Clinical Ultrasound"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>The frozen elephant trunk procedure represents a major advance in treating complex thoracic aortic pathologies involving the arch and proximal descending aorta by enabling single\u2010stage hybrid repair. Among available devices, the E\u2010vita Open Plus prosthesis has emerged as a leading solution due to its advanced design features, enhancing procedural safety, technical precision, and long\u2010term outcomes. Essential to the procedure is multidetector computed tomography angiography (CTA), which serves as the gold standard imaging modality for preoperative planning, postoperative assessment, and long\u2010term surveillance. The E\u2010vita Open Plus prosthesis, when paired with advanced perfusion strategies such as early distal aortic perfusion and selective antegrade cerebral perfusion, has demonstrated reduced neurologic complications and enhanced durability. This review explores the integral role of CTA in guiding all phases of the FET procedure using the E\u2010vita Open Plus. Preoperatively, CTA provides high\u2010resolution anatomical detail for prosthesis sizing, identifying dissection planes, and assessing involvement of supra\u2010aortic branches. Postoperatively, it enables accurate evaluation of graft position, patency, and complications such as endoleaks, distal stent\u2010induced new entry tears, graft kinking, or malposition. Serial CTA surveillance also provides essential insights into aortic remodeling, particularly in evaluating true lumen expansion and false lumen thrombosis\u2014key predictors of favorable long\u2010term outcomes. Clinical outcomes from high\u2010volume centers report encouraging survival and reintervention\u2010free rates. This review synthesizes the evolving evidence and underscores CTA's important role in optimizing patient selection, procedural planning, and outcome evaluation in contemporary FET surgery.<\/jats:p>","DOI":"10.1002\/jcu.70196","type":"journal-article","created":{"date-parts":[[2026,2,3]],"date-time":"2026-02-03T06:54:56Z","timestamp":1770101696000},"page":"1219-1240","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Role of Computed Tomography Angiography in Preoperative Planning, Postoperative Assessment of Frozen Elephant Trunk Procedure With the\n                    <scp>E\u2010vita<\/scp>\n                    Open Plus Prosthesis"],"prefix":"10.1002","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1253-1776","authenticated-orcid":false,"given":"Marianna","family":"Mirchuk","sequence":"first","affiliation":[{"name":"Department of Radiological Diagnostics Danylo Halytsky Lviv National Medical University  Lviv Ukraine"},{"name":"Ukrainian\u2010Polish Heart Center Lviv  Lviv Ukraine"},{"name":"School of Medicine and Surgery University of Milano\u2010Bicocca  Milan Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giuseppe","family":"Muscogiuri","sequence":"additional","affiliation":[{"name":"School of Medicine and Surgery University of Milano\u2010Bicocca  Milan Italy"},{"name":"Department of Radiology ASST Papa Giovanni XXIII  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Samuele","family":"Bichi","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Ospedale Papa Giovanni XXIII  Bergamo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caterina","family":"Simon","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery Ospedale Papa Giovanni XXIII  Bergamo 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