{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,28]],"date-time":"2026-10-28T00:14:27Z","timestamp":1793146467840,"version":"4.5.0"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2024,1,17]],"date-time":"2024-01-17T00:00:00Z","timestamp":1705449600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p\/>\n               <jats:sec>\n                  <jats:title>OBJECTIVES<\/jats:title>\n                  <jats:p>In this cohort study, we aimed to assess the 1-year clinical outcomes of using the E-vita Open NEO\u2122 hybrid prosthesis for total arch replacement with frozen elephant trunk (FET) to repair extensive aortic pathologies.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>METHODS<\/jats:title>\n                  <jats:p>We reviewed individuals who underwent thoracic aortic surgery between April 2021 and March 2023 from the Gangnam Severance Aortic Registry. Exclusion criteria included ascending aortic replacement, 1 or 2 partial arch replacement, descending aortic replacement and total arch replacement without an FET. Finally, all consecutive patients who underwent total arch replacement and FET with E-vita Open NEO for aortic arch pathologies between April 2021 and March 2023 were included in this cohort study. The patients were divided into 3 groups based on their pathology: acute aortic dissection, chronic aortic dissection and thoracic aortic aneurysm. The primary end point was in-hospital mortality. The secondary end points during the postoperative period comprised stroke, spinal cord injury and redo sternotomy for bleeding. Additionally, the secondary end points during the follow-up period included the 1-year survival rate, 1-year freedom from all aortic procedures and 1-year freedom from unplanned aortic interventions.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>RESULTS<\/jats:title>\n                  <jats:p>The study included 167 patients in total: 92 patients (55.1%) with acute aortic dissection, 20 patients (12.0%) with chronic aortic dissection and 55 patients (32.9%) with thoracic aortic aneurysm. The in-hospital mortality was 1.8% (n\u2009=\u20093). Strokes occurred in 1.8% (n\u2009=\u20093) of the patients, spinal cord injury in 1.8% (n\u2009=\u20093) and redo sternotomy for bleeding was performed in 3.0% (n\u2009=\u20095). There were no significant differences between the pathological groups. The median follow-up period (quartile 1\u2013quartile 3) was 198 (37\u2013373) days, with 1-year survival rates of 95.9%. At 1 year, the freedom from all aortic procedures and unplanned aortic interventions were 90.3% and 92.0%, respectively.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>CONCLUSIONS<\/jats:title>\n                  <jats:p>The 1-year clinical outcomes of total arch replacement with FET using the E-vita Open NEO were favourable. Long-term follow-up is required to evaluate the durability of the FET.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ejcts\/ezae017","type":"journal-article","created":{"date-parts":[[2024,1,19]],"date-time":"2024-01-19T06:03:32Z","timestamp":1705644212000},"source":"Crossref","is-referenced-by-count":9,"title":["One-year outcomes of total arch replacement and frozen elephant trunk using the E-vita Open NEO"],"prefix":"10.1093","volume":"65","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-7833-3882","authenticated-orcid":false,"given":"Chong Hoon","family":"Kim","sequence":"first","affiliation":[{"name":"Department of Cardiovascular Surgery, Yonsei University College of Medicine , Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3987-0057","authenticated-orcid":false,"given":"Tae-Hoon","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Yonsei University College of Medicine , Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3976-8554","authenticated-orcid":false,"given":"Ha","family":"Lee","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Medical Center , Seoul, Republic of Korea"},{"name":"Ewha Womans University Aorta and Vascular Hospital , Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1435-6441","authenticated-orcid":false,"given":"Myeong Su","family":"Kim","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Medical Center , Seoul, Republic of Korea"},{"name":"Ewha Womans University Aorta and Vascular Hospital , Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8208-484X","authenticated-orcid":false,"given":"Woon","family":"Heo","sequence":"additional","affiliation":[{"name":"Vascular Access Centre, Lifeline Clinic , Busan, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9858-140X","authenticated-orcid":false,"given":"Kyung-Jong","family":"Yoo","sequence":"additional","affiliation":[{"name":"Department of Cardiovascular Surgery, Cardiovascular Hospital, Severance Hospital, Yonsei University College of Medicine , Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bum-Koo","family":"Cho","sequence":"additional","affiliation":[{"name":"The Korea Heart Foundation , Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9850-9707","authenticated-orcid":false,"given":"Suk-Won","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery, Ewha Womans University Medical Center , Seoul, Republic of Korea"},{"name":"Ewha Womans University Aorta and Vascular Hospital , Seoul, Republic of Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,1,17]]},"reference":[{"key":"2024031016495147200_ezae017-B1","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":"Karck","year":"2003","journal-title":"J Thorac Cardiovasc 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