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Neurologic Complications After the Frozen Elephant Trunk Procedure: A Meta-Analysis of More Than 3,000 Patients

Thursday, October 31, 2019

Submitted by

Wei-Guo Ma

Source

Source Name: The Journal of Thoracic and Cardiovascular Surgery

Source URL: https://www.jtcvs.org/article/S0022-5223(19)32242-1/

Author(s)

Ourania Preventza, Jane L. Liao, Jacqueline K. Olive, Katherine Simpson, Andre C. Critsinelis, Matt D. Price, Marianne Galati, Lorraine D. Cornwell, Vicente Orozco-Sevilla, Shuab Omer, Ernesto Jimenez, Scott A. LeMaire, and Joseph S. Coselli

Dr Preventza and associates performed a meta-analysis of 3,154 patients who underwent frozen elephant trunk procedure to determine the incidence of neurologic complications. The incidences were 4.7% for spinal cord injury and 7.6% for stroke. Operative mortality was 8.8%. Stent longer than 15 cm or coverage of T8 and beyond was assoicated with a higher incidence of spinal cord injury compared to stent length of 10 cm.