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THE USAGE OF “E-VITA OPEN NEO” FOR TREATMENT OF AORTIC ARCH DISEASE AT VIET DUC UNIVERSITY HOSPITAL: INITIAL RESULTS
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Abstract
Objective: Artivion's Jotec E-vita Open NEO hybrid prothesis is used for frozen elephant trunk surgery (FET) for treatment of aortic arch disease. It was first used in 2020, this is the 3rd generation of Artivion's product with many improvements, in Vietnam this type of hybrid prothesis has only been used since November 2022. This study aims to inform the initial experience in Viet Duc hospital in using this type of product. Subjects and Methods: Retrospective, descriptive case cluster study. There are 5 patients using Jotec E-vita Open NEO hybrid prothesis at Viet Duc University Hospital in 2022. Results: There were 5 patients studied with 4 men and 1 woman, the average age was 46.2±12.5 (28-58 years old). Comorbidities include high blood pressure 5(100%), kidney failure 1(20%), Marfan syndrome 2(50%). Indications for surgery include dissection of the aorta, non A, non B 3(60%), aortic aneurysm 2(40%). The postoperative mortality rate is 0%. CPR time, aortic clamping time, selective cerebral perfusion time were 160±44.9; 103.2±40.5; 31.6±24.4 minutes, respectively. Time of mechanical ventilation, time of resuscitation, time in hospital are: 2.2±2.2; 6.8±2.5; 12.6 ± 5.9 days, respectively. There were no patients with cerebrovascular accident, spinal cord injury, or re-bleeding. Conclusion: The initial use of Jotec E-vita Open NEO hybrid prothesis for FET surgery is convenient and safe. Long-term follow-up in a larger patient population is needed to further evaluate the progression of aortic pathology and outcomes related to this artificial vessel.
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Keywords
Aortic arch disease; FET; E-vita Open Neo, Viet Duc University Hospital.
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