{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T00:46:02Z","timestamp":1777941962453,"version":"3.51.4"},"reference-count":15,"publisher":"SAGE Publications","issue":"3","license":[{"start":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T00:00:00Z","timestamp":1760486400000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vasc Endovascular Surg"],"published-print":{"date-parts":[[2026,4]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To report the outcomes of the frozen elephant trunk (FET) technique for patients with chronic aortic dissection and thoracic aortic aneurysm.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients undergoing the FET technique using the Vascutek Thoraflex hybrid graft for chronic aortic dissection and thoracic aortic aneurysm from 2013 to 2021 were included. Outcomes included mortality rates, peri-operative complications and aortic related re-interventions. Patients were categorised into aortic dissection and thoracic aortic aneurysm groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>39 patients were identified, of whom 56% (n = 22) had a thoracic aortic aneurysm and 44% (n = 17) chronic aortic dissection. Patients with aneurysm had a significantly higher rate of peripheral artery disease at baseline. A significant difference was found in in-hospital mortality rate (27% in patients presenting with aneurysm (n = 6) vs 0% (n = 0) in patients with dissection). Peri-operative complications were 2 (5%) post-operative strokes, 1 (3%) symptomatic spinal cord ischemia, 2 (5%) lower limb ischemia and 4 (10%) ischemic colitis. The median follow-up was 14.8 (2.9-46.5) months. During follow up, mortality from all cause was 18% (n = 7), and aortic re-intervention rate 18% (n = 7) after 39.4 (19.8-45.5) months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The FET technique is a good therapeutic option for aortic disease of the aortic arch and proximal descending aorta. While the postoperative outcome was acceptable given the high mortality rates of such disease and their treatment, outcomes were better among patients presenting with aortic dissection, particularly in terms of peri-operative mortality.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/15385744251387766","type":"journal-article","created":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T14:47:09Z","timestamp":1760539629000},"page":"224-233","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Early and Mid-term Results From a Tertiary Care Center for Total Aortic Arch Replacement Using the Thoraflex Hybrid Graft"],"prefix":"10.1177","volume":"60","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-0191-146X","authenticated-orcid":false,"given":"Louise","family":"Koskas","sequence":"first","affiliation":[{"name":"Sorbonne Universit\u00e9, Facult\u00e9 de Sant\u00e9, UFR de M\u00e9decine, Paris, France"},{"name":"Arts et M\u00e9tiers Institute of Technology, Cnam, LIFSE, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Steeve","family":"Doizi","sequence":"additional","affiliation":[{"name":"Sorbonne Universit\u00e9, Service d\u2019Urologie, AP-HP, H\u00f4pital Tenon, Paris, France"},{"name":"Sorbonne Universit\u00e9, GRC n\u00b039, Sant\u00e9 de l'homme, H\u00f4pital Tenon, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4275-2839","authenticated-orcid":false,"given":"Mohammad","family":"Zagzoog","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Groupe Hospitalier Paris Saint Joseph, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jean-Michel","family":"Davaine","sequence":"additional","affiliation":[{"name":"Arts et M\u00e9tiers Institute of Technology, Cnam, LIFSE, Paris, France"},{"name":"Universit\u00e9 Paris Cit\u00e9, Service de Chirurgie Vasculaire, AP-HP, H\u00f4pital Europ\u00e9en Georges Pompidou, Paris, France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fabien","family":"Koskas","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, Clinique Val d\u2019Or, Saint-Cloud, France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2025,10,15]]},"reference":[{"key":"e_1_3_6_2_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-5223(03)00045-X"},{"key":"e_1_3_6_3_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocs.16086"},{"key":"e_1_3_6_4_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezz037"},{"key":"e_1_3_6_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2020.08.040"},{"key":"e_1_3_6_6_2","doi-asserted-by":"publisher","DOI":"10.1093\/icvts\/ivaa305"},{"key":"e_1_3_6_7_2","doi-asserted-by":"publisher","DOI":"10.1093\/ejcts\/ezx199"},{"key":"e_1_3_6_8_2","doi-asserted-by":"publisher","DOI":"10.21037\/cdt-22-330"},{"issue":"4","key":"e_1_3_6_9_2","first-page":"406","article-title":"Best surgical option for arch extension of type B aortic dissection: the open approach","volume":"3","author":"Kim JB","year":"2014","unstructured":"Kim JB, Sundt TM3rd. 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