Favorable neurological outcomes in thoracic endovascular aortic repair with RELAY™ branched—An international perspective

Sven Z. C. P. Tan, Abedalaziz O. Surkhi, Sidhant Singh, Matti Jubouri, Damian M. Bailey, Ian M. Williams, Mohamad Bashir

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Abstract

Background
While open surgical repair continues to be the mainstay option for aortic arch reconstruction, the associated mortality, morbidity, and high turn-down rates have led to a need for the development of minimally invasive options for aortic arch repair. Though RELAY™ Branched (Terumo Aortic, Inchinnan, UK) represents a promising option for complex endovascular aortic arch repair, neurological complications remain a pertinent risk. Herein we seek to present multicenter data from Europe documenting the neurological outcomes associated with RELAY™ Branched.

Methods
Prospective data collected between January 2019 and January 2022 associated with patients treated with RELAY™ single-, double-, and triple-branched endoprostheses from centers across Europe was retrospectively analyzed with descriptive and distributive analysis. Follow-up data from 30 days and 6, 12, and 24 months postoperatively were included. Patient follow-up was evaluated for the onset of disabling stroke (DS) and non-disabling stroke (NDS).

Results
Technical success was achieved in 147 (99.3%) cases. Over 24 months period, in total, six (4.1%) patients suffered DS, and eight (5.4%) patients suffered NDS after undergoing aortic arch repair with RELAY™. All patients that developed postoperative DS had been treated with the double-branched RELAY™ endoprosthesis.

Discussion
The data presented herein demonstrates that RELAY™ Branched is associated with favorable neurological outcomes and excellent technical success rates. Key design features of the endoprosthesis and good perioperative management can contribute greatly to mitigating neurological complications following endovascular aortic arch repair.
Original languageEnglish
Pages (from-to)3556-3563
Number of pages8
JournalJournal of Cardiac Surgery
Volume37
Issue number11
Early online date19 Aug 2022
DOIs
Publication statusPublished - 10 Oct 2022

Keywords

  • TEVAR
  • aortic arch
  • branched endograft

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