{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:31:48Z","timestamp":1793640708633,"version":"4.5.1"},"reference-count":21,"publisher":null,"issue":"9","license":[{"start":{"date-parts":[[2023,9,30]],"date-time":"2023-09-30T00:00:00Z","timestamp":1696032000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/lib.ossn.ru\/jour\/about\/editorialPolicies#openAccessPolicy"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Kardiologiia"],"abstract":"<jats:p>\n                    <jats:italic>Aim<\/jats:italic>\n                    \u00a0\u00a0\u00a0\u00a0\u00a0 To present the first experience of performing the Frozen Elephant Trunk (FET) surgery in patients with thoracic aorta disease using a new Russian hybrid stent graft \u201cSoft Elephant Trunk\u201d.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Material and methods<\/jats:italic>\n                    \u00a0 Between 2014 and 2021, 170 patients with thoracic aortic disease underwent complete aortic arch replacement using the FET technique. In 70 of these cases (since June 2019), a hybrid graft \u201cSoft Elephant Trunk\u201d was used. A specific feature of this graft is the conical reduction of the radial force of nitinol crowns and the soft distal end without radial force. The study endpoints were early postoperative results, as well as the absence of reoperations on the aorta, absence of stent-graft-associated complications, including distal stent-graft-induced fenestration, and survival at a mid-term follow-up of up to 2.5 years.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Results<\/jats:italic>\n                    Interventions were performed in patients with A type aortic dissection (n=51; 72.9 %), type B aortic dissection (n=13; 18.6 %), and thoracoabdominal aortic aneurysm (TAAA) (n=6; 8.5 %). In 14 (20 %) of these cases, interventions were performed after a primary intervention on the proximal aorta. Acute aortic dissection was diagnosed in 17 (24.3 %) cases. Aortic root replacement was performed in 21 (30 %) cases, David procedure in 5 (7.2 %) cases, Bentall-DeBono procedure in 11 (15.7 %) cases, and supracoronary graft placement in 33 (47.1 %) cases. There were no cases of paraplegia or paraparesis. Respiratory insufficiency was observed in 8 (11.4%) cases. In one (1.4%) case, acute renal failure developed, which required renal replacement therapy. In-hospital mortality was 4.3 % (3 patients died). Mean follow-up duration was 9 [4.25; 16]\u2008months. Three-year survival was 94 % (95 % confidence interval, CI: 88\u201399.9) and absence of reoperation was 96.6 % (95 % CI: 90.1\u2013100). There were no cases of distal stent-graft-induced fenestration in this group.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusion<\/jats:italic>\n                    \u00a0\u00a0\u00a0\u00a0\u00a0 The new hybrid graft, due to its specific structure, provides prevention of distal stent-graft-induced fenestration and, thereby, a stable long-term result. Using this stent-graft is effective in patients with thoracic aorta pathology undergoing the FET surgery. However, further studies are needed to determine potential advantages and disadvantages of this new hybrid graft, to obtain long-term results and accumulate experience.\n                  <\/jats:p>\n                  <jats:p>\u00a0<\/jats:p>","DOI":"10.18087\/cardio.2023.9.n2109","type":"journal-article","created":{"date-parts":[[2023,10,10]],"date-time":"2023-10-10T07:26:55Z","timestamp":1696922815000},"page":"29-37","source":"Crossref","is-referenced-by-count":2,"title":["The Frozen Elephant Trunk Procedure Using New Russian Hybrid Prosthesis \u201cSoft Elephant Trunk\u201d: the Early Experience"],"prefix":"10.68900","volume":"63","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3164-2877","authenticated-orcid":true,"given":"E. R.","family":"Charchyan","sequence":"first","affiliation":[{"name":"Petrovsky Russian Scientific Center for Surgery, Moscow"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9459-9282","authenticated-orcid":true,"given":"D. G.","family":"Breshenkov","sequence":"additional","affiliation":[{"name":"Petrovsky Russian Scientific Center for Surgery, Moscow"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9280-8845","authenticated-orcid":true,"given":"Yu. V.","family":"Belov","sequence":"additional","affiliation":[{"name":"Petrovsky Russian Scientific Center for Surgery, Moscow"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":null,"published-online":{"date-parts":[[2023,9,30]]},"reference":[{"key":"ref1","unstructured":"Kato M, Ohnishi K, Kaneko M, Ueda T, Kishi D, Mizushima T et al. New graft-implanting method for thoracic aortic aneurysm or dissection with a stented graft. Circulation. 1996;94(9 Suppl):II188-193. PMID: 8901744"},{"key":"ref2","doi-asserted-by":"crossref","unstructured":"Suto Y, Yasuda K, Shiiya N, Murashita T, Kawasaki M, Imamura M et al. Stented elephant trunk procedure for an extensive aneurysm involving distal aortic arch and descending aorta. The Journal of Thora cic and Cardiovascular Surgery. 1996;112(5):1389\u201390. DOI: 10.1016\/S0022-5223(96)70157-5","DOI":"10.1016\/S0022-5223(96)70157-5"},{"key":"ref3","doi-asserted-by":"crossref","unstructured":"Chavan A, Karck M, Hagl C, Winterhalter M, Baus S, Galanski M et al. Hybrid Endograft for One-Step Treatment of Multisegment Disease of the Thoracic Aorta. Journal of Vascular and Interventional Radiology. 2005;16(6):823\u20139. DOI: 10.1097\/01.RVI.0000159205.00299.97","DOI":"10.1097\/01.RVI.0000159205.00299.97"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Czerny M, Eggebrecht H, Rousseau H, Mouroz PR, Janosi R-A, Lescan M et al. 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DOI: 10.1093\/ejcts\/ezab297","DOI":"10.1093\/ejcts\/ezab297"}],"container-title":["Kardiologiia"],"original-title":[],"link":[{"URL":"https:\/\/lib.ossn.ru\/jour\/article\/viewFile\/2109\/1443","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2026,11,2]],"date-time":"2026-11-02T17:16:30Z","timestamp":1793639790000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardio.elpub.ru\/jour\/article\/view\/2109"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,9,30]]},"references-count":21,"journal-issue":{"issue":"9","published-online":{"date-parts":[[2023,9,30]]}},"URL":"https:\/\/doi.org\/10.18087\/cardio.2023.9.n2109","relation":{},"ISSN":["2412-5660","0022-9040"],"issn-type":[{"value":"2412-5660","type":"electronic"},{"value":"0022-9040","type":"print"}],"subject":[],"published":{"date-parts":[[2023,9,30]]}}}