{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,28]],"date-time":"2026-01-28T05:02:11Z","timestamp":1769576531887,"version":"3.49.0"},"reference-count":33,"publisher":"Georg Thieme Verlag KG","issue":"04","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Thorac Cardiovasc Surg"],"published-print":{"date-parts":[[2022,6]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background\u2003The treatment of extensive thoracic\/thoracoabdominal aortic pathologies with arch involvement remains a challenging task in aortic surgery. The introduction of the frozen elephant trunk (FET) technique offered a link between open surgery and thoracic endovascular aortic repair (TEVAR). Despite a decade of experience, data on the complementary use of these techniques are scant. The aim of this study was to evaluate TEVAR following FET in clinical reality.<\/jats:p><jats:p>\n          Methods\u2003Between November 2006 and June 2018, 20 patients (9 females; median age of 69 years) underwent endovascular second-stage completion after FET. The clinical outcomes, technical feasibility, and morphological findings were analyzed retrospectively.<\/jats:p><jats:p>\n          Results\u2003Eleven of the 20 interventions were intended \u201crendezvous procedures\u201d in a multistage approach; 4 were elective reinterventions, and 5 were emergency complication repairs. The median interval between FET and TEVAR was 231 days (11 days\u20137.4 years). The technical success rate was 100%. During a median follow-up (FU) period of 58.3 months, the overall survival rate was 95%, with one in-hospital death. Neurological complications occurred in three cases (spinal cord injury: n\u2009=\u20091; stroke: n\u2009=\u20092). Computed tomography angiography showed overall regression in the median diameter of the proximal descending aorta (from 57 to 48.5\u2009mm).<\/jats:p><jats:p>\n          Conclusion\u2003TEVAR as a second-stage intervention after FET is a feasible option, with satisfactory results at medium-term FU. In extensive thoracoabdominal aortic disease without proximal landing zones, the complementary use of both techniques in a multistage approach should be considered.<\/jats:p>","DOI":"10.1055\/s-0040-1722732","type":"journal-article","created":{"date-parts":[[2021,2,14]],"date-time":"2021-02-14T05:18:55Z","timestamp":1613279935000},"page":"314-322","source":"Crossref","is-referenced-by-count":8,"title":["TEVAR Following FET: Current Outcomes of Rendezvous Procedures in Clinical Practice"],"prefix":"10.1055","volume":"70","author":[{"given":"Katrin","family":"Meisenbacher","sequence":"first","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anja","family":"Osswald","sequence":"first","affiliation":[{"name":"Department of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moritz Sebastian","family":"Bischoff","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dittmar","family":"B\u00f6ckler","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias","family":"Karck","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Arjang","family":"Ruhparwar","sequence":"additional","affiliation":[{"name":"Department of Cardiac Surgery, Heidelberg University Hospital, Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Philipp","family":"Geisb\u00fcsch","sequence":"additional","affiliation":[{"name":"Department of Vascular and Endovascular Surgery, Heidelberg University Hospital, Heidelberg, Baden-W\u00fcrttemberg, Germany"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2021,2,12]]},"reference":[{"issue":"06","key":"ref1","doi-asserted-by":"crossref","first-page":"1550","DOI":"10.1016\/S0022-5223(03)00045-X","article-title":"The frozen elephant trunk technique: a new treatment for thoracic aortic aneurysms","volume":"125","author":"M Karck","year":"2003","journal-title":"J Thorac Cardiovasc Surg"},{"issue":"05","key":"ref2","doi-asserted-by":"crossref","first-page":"858","DOI":"10.1093\/ejcts\/ezx218","article-title":"Single-centre experience with the frozen elephant trunk technique in 251 patients over 15\u2009years","volume":"52","author":"M Shrestha","year":"2017","journal-title":"Eur J Cardiothorac Surg"},{"issue":"02","key":"ref4","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1016\/j.hlc.2018.04.306","article-title":"Frozen elephant trunk: an alternative surgical weapon against extensive thoracic aorta disease. a three-year meta-analysis","volume":"28","author":"N A Papakonstantinou","year":"2019","journal-title":"Heart Lung Circ"},{"issue":"04","key":"ref5","doi-asserted-by":"crossref","first-page":"679","DOI":"10.1053\/j.semtcvs.2019.05.038","article-title":"Which frozen elephant trunk offers the optimal solution? 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