A new device as an open stent graft for extended aortic repair: a multicentre early experience in Japan

Uchida, Naoshige; Katayama, Akira; Higashiue, Shinichi; Shiono, Motomi; Hata, Mitsumasa; Minami, Kazutomo; Yamanaka, Kazuhiro; Miyamoto, Shinj̀i; Sawa, Yoshiki; Kuratani, Toru; Kato, Masaaki

doi:10.1093/ejcts/ezv310

Cited by 52 publications

(51 citation statements)

References 14 publications

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“…According to incomplete data, spinal cord injury occurred in 1.9% (43/2216), including paraparesis in 13 cases (0.6%) and paraplegia in 30 (1.3%). This incidence was much lower than the 6.7% reported in the premarket trial [61], which may be the result of avoidance of implanting below T8, and earlier distal perfusion after delivery of stent graft [Hideki Kataoka. Personal communication (email), January 2016].…”

Section: J Graft Open Stent Graftmentioning

confidence: 89%

“…For distal anastomosis, four 4-0 polypropylene stay sutures are placed first, followed by running stiches of 4-0 polypropylene reinforced by a felt strip [62]. The arch vessels are reconstructed with a separate branched graft in an end-to-end fashion [61,63].…”

Section: Cronusmentioning

confidence: 99%

“…Compared with other open stent grafts, one major advantage of the J Graft lies in its unique interconnected double-layered oval-shaped nitinol stents that allow for sliding between two the two layers, which may represent the best design for conforming to the curvature of the aorta [61]. (1400 days).…”

Section: J Graft Open Stent Graftmentioning

confidence: 99%

“…During its premarketing clinical trial from March 2008 to September 2010, the J Graft OSG was implanted in 60 patients [61,64]. Mean age was 71.6 ± 8.6 years and there were 44 males (73.3%).…”

Section: J Graft Open Stent Graftmentioning

confidence: 99%

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Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Zheng

Sun

et al. 2015

Aorta

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With growing experience in patients with aneurysms and dissections in the arch and proximal descending aorta, the frozen elephant trunk (FET) technique has been shown to be safe and effective, and has achieved favorable short to mid-term outcomes. As the FET technique is gaining wider acceptance, there is a growing need for versatile, technically simple, and highly durable open stented grafts involving less complicated deployment mechanisms enabling use in various indications. This paper gives a brief review on the technical aspects and clinical outcomes of currently available open stented grafts used in the FET technique, including the E-vita Open Plus, Thoraflex Hybrid, Cronus, and J Graft. While none of these grafts can claim to be an ideal device, technology continues to improve towards this goal. As newer devices and systems are developed, more widespread use of the FET technique can be expected; such progress promises to improve the clinical outcomes and quality of life for patients with complex aortic diseases. With growing experience in patients with aneurysms and dissections of the arch and proximal descending aorta, the FET technique has been shown to be safe and effective, with favorable early and long-term outcomes [16][17][18][19][20][21][22][23][24]. Accordingly, the FET technique is gaining wider acceptance among the cardiovascular surgical community, resulting

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Section: J Graft Open Stent Graftmentioning

confidence: 89%

Section: Cronusmentioning

confidence: 99%

Section: J Graft Open Stent Graftmentioning

confidence: 99%

Section: J Graft Open Stent Graftmentioning

confidence: 99%

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Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Zheng

Sun

et al. 2015

Aorta

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“…This stress is called the spring-back force. 4,5) The J Graft Open Stent Graft (JOSG, Japan Lifeline Co., Ltd., Tokyo, Japan), which is currently the only commercially available device in Japan used in conducting the frozen elephant trunk technique, 6,7) has a considerable spring-back force. We hereby report a typical case of DSINE caused by the spring-back force of this device after the treatment of true saccular arch aneurysm.…”

Section: Introductionmentioning

confidence: 99%

Rapidly Progressed Distal Arch Aneurysm with Distal Open Stent Graft-Induced New Entry Caused by “Spring-Back” Force

Takagaki

Midorikawa

Yamaguchi

et al. 2020

Annals of Vascular Diseases

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The J Graft Open Stent Graft (JOSG) is used for the frozen elephant trunk procedure in Japan. We report a 70-yearold male who developed a rapidly progressing distal arch aneurysm caused by a distal stent graft-induced new entry (DSINE) 7 months after the procedure. The JOSG was originally implanted at the curved part of the distal arch. It created its initial DSINE on the greater curve and rapidly sprang back in 2 months. Urgent thoracic endovascular aortic repair fixed this serious complication. We should remember such rapid progression of DSINE by JOSG and treat its initial sign earlier.

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Endovascular treatment after the fenestrated frozen elephant trunk technique

Okugi

Koide

Kunii

et al. 2022

Clinical Case Reports

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Recently, several centers have performed total arch replacement using the fenestrated frozen elephant trunk technique for acute Stanford type‐A aortic dissection. However, the long‐term results and need for additional treatment following this procedure are unclear. We report a case of a 54‐year‐old man who underwent endovascular therapy for endoleaks after total arch replacement using the fenestrated frozen elephant trunk technique for acute type‐A aortic dissection with an isolated left vertebral artery. After the surgery, the endoleak was resolved, and the patient was asymptomatic with no neurological deficits. This strategy might be effective in similar cases.

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A new device as an open stent graft for extended aortic repair: a multicentre early experience in Japan

Abstract: The safety and effectiveness of this investigational device was verified over a period up to 36 months after operation. A long-term follow-up would be necessary to further verify the effectiveness of the device in the future.

Cited by 52 publications

References 14 publications

Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Open Stented Grafts for Frozen Elephant Trunk Technique: Technical Aspects and Current Outcomes

Rapidly Progressed Distal Arch Aneurysm with Distal Open Stent Graft-Induced New Entry Caused by “Spring-Back” Force

Endovascular treatment after the fenestrated frozen elephant trunk technique

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