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Adverse complications of Frozen elephant trunk, do we have enough quality data?
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  • Callum Howard,
  • Mohammed Al-Tawil,
  • Alexander Geragotellis,
  • Amr Abdelhaliem
Callum Howard
The University of Manchester Faculty of Biology Medicine and Health

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Mohammed Al-Tawil
Al Quds University
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Alexander Geragotellis
University of Cape Town Faculty of Health Sciences
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Amr Abdelhaliem
East Lancashire Hospitals NHS Trust
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Frozen elephant trunk (FET) has in recent times become a mainstay for total arch replacement (TAR) in aortovascular surgery and is indicated in order to treat a spectrum of complex aortic pathologies. However, despite associated excellent post-operative results it is incredibly important to recognise potential adverse complications such as negative aortic remodelling, endoleak and distal stent-graft induced new entry so that outcomes can be further improved. Below we provide commentary on a recent article in the Journal of Cardiac Surgery discussing the topic. Despite the fascinating outcomes of this systematic review and meta-analysis the heterogeneity of the literature regarding these adverse outcomes remains an issue which can only be solved with large multi-centre trials directly comparing graft types as well as indications for surgery.
22 Aug 2022Submitted to Journal of Cardiac Surgery
23 Aug 2022Assigned to Editor
23 Aug 2022Submission Checks Completed
23 Aug 2022Editorial Decision: Accept
Nov 2022Published in Journal of Cardiac Surgery volume 37 issue 11 on pages 3863-3864. 10.1111/jocs.16920