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Article: Results of redovascular aortic arch repair using the Relay Branch system

TitleResults of redovascular aortic arch repair using the Relay Branch system
Authors
KeywordsAortic arch
Thoracic endovascular aortic repair
Endovascular aortic repair
Issue Date2021
PublisherOxford University Press. The Journal's web site is located at http://ejcts.oxfordjournals.org/
Citation
European Journal of Cardio-Thoracic Surgery, 2021, v. 60 n. 3, p. 662-668 How to Cite?
AbstractOBJECTIVES Our goal was to evaluate results of endovascular aortic arch repair using the Relay Branch system. METHODS Forty-three patients with thoracic aortic pathology involving the aortic arch have been treated with the Relay Branch system (Terumo Aortic, Sunrise, FL, USA) in 10 centres. We assessed in-hospital mortality, neurological injury, treatment success according to current reporting standards and the need for secondary interventions. In addition, outcome was analysed according to the underlying pathology: non-dissective disease versus residual aortic dissection (RAD) (defined as remaining dissection after previous type A repair, chronic type B aortic dissections). RESULTS In-hospital mortality was 9% (0% in patients with RAD). Disabling stroke occurred in 7% (0% in patients with RAD); non-disabling stroke occurred in 19% (7% in patients with RAD). Early type IA and B endoleak formation occurred in 4%. Median follow-up was 16 ± 18 months. During the follow-up period, 23% of the patients died. Aortic-related deaths were low (3% in patients with RAD). CONCLUSIONS The results of endovascular aortic arch repair using the Relay Branch system in a selected patient population with regard to technical success are good. In-hospital mortality is acceptable, the number of disabling strokes is low and technical success is high. Non-disabling stroke is a major concern, and every effort has to be taken to reduce this to a minimum. The best outcome is seen in patients with underlying RAD. Finally, more data are needed.
Persistent Identifierhttp://hdl.handle.net/10722/311916
ISSN
2023 Impact Factor: 3.1
2023 SCImago Journal Rankings: 0.974
ISI Accession Number ID

 

DC FieldValueLanguage
dc.contributor.authorCzerny, M-
dc.contributor.authorBerger, T-
dc.contributor.authorKondov, S-
dc.contributor.authorSiepe, M-
dc.contributor.authorSaint Lebes, B-
dc.contributor.authorMokrane, F-
dc.contributor.authorRousseau, H-
dc.contributor.authorLescan, M-
dc.contributor.authorSchlensak, C-
dc.contributor.authorAndic, M-
dc.contributor.authorHazenberg, C-
dc.contributor.authorBloemert-Tuin, T-
dc.contributor.authorBraithwaite, S-
dc.contributor.authorvan Herwaarden, J-
dc.contributor.authorHyhlik-Durr, A-
dc.contributor.authorGosslau, Y-
dc.contributor.authorPedro, LM-
dc.contributor.authorAmorim, P-
dc.contributor.authorKuratani, T-
dc.contributor.authorCheng, S-
dc.contributor.authorHeijmen, R-
dc.contributor.authorvan der Weijde, E-
dc.contributor.authorPleban, E-
dc.contributor.authorSzopiński, P-
dc.contributor.authorRylski, B-
dc.date.accessioned2022-04-04T09:58:14Z-
dc.date.available2022-04-04T09:58:14Z-
dc.date.issued2021-
dc.identifier.citationEuropean Journal of Cardio-Thoracic Surgery, 2021, v. 60 n. 3, p. 662-668-
dc.identifier.issn1010-7940-
dc.identifier.urihttp://hdl.handle.net/10722/311916-
dc.description.abstractOBJECTIVES Our goal was to evaluate results of endovascular aortic arch repair using the Relay Branch system. METHODS Forty-three patients with thoracic aortic pathology involving the aortic arch have been treated with the Relay Branch system (Terumo Aortic, Sunrise, FL, USA) in 10 centres. We assessed in-hospital mortality, neurological injury, treatment success according to current reporting standards and the need for secondary interventions. In addition, outcome was analysed according to the underlying pathology: non-dissective disease versus residual aortic dissection (RAD) (defined as remaining dissection after previous type A repair, chronic type B aortic dissections). RESULTS In-hospital mortality was 9% (0% in patients with RAD). Disabling stroke occurred in 7% (0% in patients with RAD); non-disabling stroke occurred in 19% (7% in patients with RAD). Early type IA and B endoleak formation occurred in 4%. Median follow-up was 16 ± 18 months. During the follow-up period, 23% of the patients died. Aortic-related deaths were low (3% in patients with RAD). CONCLUSIONS The results of endovascular aortic arch repair using the Relay Branch system in a selected patient population with regard to technical success are good. In-hospital mortality is acceptable, the number of disabling strokes is low and technical success is high. Non-disabling stroke is a major concern, and every effort has to be taken to reduce this to a minimum. The best outcome is seen in patients with underlying RAD. Finally, more data are needed.-
dc.languageeng-
dc.publisherOxford University Press. The Journal's web site is located at http://ejcts.oxfordjournals.org/-
dc.relation.ispartofEuropean Journal of Cardio-Thoracic Surgery-
dc.rightsPost-print: This is a pre-copy-editing, author-produced PDF of an article accepted for publication in [insert journal title] following peer review. The definitive publisher-authenticated version [insert complete citation information here] is available online at: xxxxxxx [insert URL that the author will receive upon publication here].-
dc.subjectAortic arch-
dc.subjectThoracic endovascular aortic repair-
dc.subjectEndovascular aortic repair-
dc.titleResults of redovascular aortic arch repair using the Relay Branch system-
dc.typeArticle-
dc.identifier.emailCheng, S: wkcheng@hkucc.hku.hk-
dc.identifier.authorityCheng, S=rp00374-
dc.description.naturelink_to_subscribed_fulltext-
dc.identifier.doi10.1093/ejcts/ezab160-
dc.identifier.pmid33956958-
dc.identifier.scopuseid_2-s2.0-85107883359-
dc.identifier.hkuros332508-
dc.identifier.volume60-
dc.identifier.issue3-
dc.identifier.spage662-
dc.identifier.epage668-
dc.identifier.isiWOS:000697389800033-
dc.publisher.placeUnited Kingdom-

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