5. Conclusion
The present meta-analysis of 5068 patients with TAAD and/or thoracic
aortic aneurysm undergoing FET procedure provides a clear understanding
of the incidence of FET complications, including negative aortic
remodeling, dSINE and endoleak. These events may necessitate secondary
endovascular intervention, thus minimizing their incidence is ideal.
Therefore, the choice of FET graft type, size and length must be taken
with great care. In addition, patients’ clinical/anatomical
characteristics should be seriously taken consideration. Nevertheless,
Thoraflex Hybrid can be considered the primary FET device choice due to
its superior results. Finally, in our results the type of stent-graft
and the study location were sources of heterogeneity, emphasizing the
need for multicenter studies directly comparing FET grafts.