RELAYTM Branched–International Results of Vessel Patency and Reintervention
BackgroundSurgical intervention remains the mainstay treatment for aortic arch aneurysm and dissection, but the high mortality and morbidity rates have led to a need for the development of minimally invasive alternatives to arch reconstruction. RELAY™ Branched (Terumo Aortic, Inchinnan, UK) represen...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2022-06-01
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| Series: | Frontiers in Cardiovascular Medicine |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fcvm.2022.962884/full |
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| author | Sidhant Singh Abedalaziz O. Surkhi Sven Z. C. P. Tan Matti Jubouri Damian M. Bailey Ian Williams Mohamad Bashir Mohamad Bashir |
| author_facet | Sidhant Singh Abedalaziz O. Surkhi Sven Z. C. P. Tan Matti Jubouri Damian M. Bailey Ian Williams Mohamad Bashir Mohamad Bashir |
| author_sort | Sidhant Singh |
| collection | DOAJ |
| description | BackgroundSurgical intervention remains the mainstay treatment for aortic arch aneurysm and dissection, but the high mortality and morbidity rates have led to a need for the development of minimally invasive alternatives to arch reconstruction. RELAY™ Branched (Terumo Aortic, Inchinnan, UK) represents a viable option for complex endovascular aortic arch repair. We present multi-center data from Europe documenting the efficacy of the endograft in terms of its target vessel patency and reintervention rates.MethodsProspective 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 was included. Patient follow up was evaluated in terms of target vessel patency and reintervention rates.ResultsTechnical success was achieved in 147 (99.3%) cases. Over 24 months period, target vessel patency was maintained in 80.2% (n = 118) of patients. Target vessel cannulation was achieved in 146 (99.3%) cases. Over the 24-month follow-up period, 30 reintervention procedures were required, of which 29 (97%) took place within the South Europe region which accounted for 19.6% (n = 29) of total cases. Zero reinterventions were required in patients that were treated with single- or triple-branched endoprostheses.DiscussionThe data presented herein demonstrates that RELAY™ Branched is a technically efficacious device for endovascular aortic arch repair and is associated with favorable target vessel patency and reintervention rates. Key design features of the endoprosthesis and good perioperative management can contribute greatly to mitigating reintervention and loss of vessel patency following endovascular aortic arch repair. |
| first_indexed | 2024-04-13T16:43:16Z |
| format | Article |
| id | doaj.art-de6188219f9b4387ae662c1442728f4f |
| institution | Directory Open Access Journal |
| issn | 2297-055X |
| language | English |
| last_indexed | 2024-04-13T16:43:16Z |
| publishDate | 2022-06-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Cardiovascular Medicine |
| spelling | doaj.art-de6188219f9b4387ae662c1442728f4f2022-12-22T02:39:10ZengFrontiers Media S.A.Frontiers in Cardiovascular Medicine2297-055X2022-06-01910.3389/fcvm.2022.962884962884RELAYTM Branched–International Results of Vessel Patency and ReinterventionSidhant Singh0Abedalaziz O. Surkhi1Sven Z. C. P. Tan2Matti Jubouri3Damian M. Bailey4Ian Williams5Mohamad Bashir6Mohamad Bashir7Barts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United KingdomFaculty of Medicine, Al-Quds University, Jerusalem, PalestineBarts and The London School of Medicine and Dentistry, Queen Mary University of London, London, United KingdomHull-York Medical School, University of York, Heslington, United KingdomDepartment of Vascular Surgery, University Hospital of Wales, Cardiff, United KingdomNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Treforest, United KingdomNeurovascular Research Laboratory, Faculty of Life Sciences and Education, University of South Wales, Treforest, United KingdomVascular and Endovascular Surgery, Health Education and Improvement Wales, Wales, United KingdomBackgroundSurgical intervention remains the mainstay treatment for aortic arch aneurysm and dissection, but the high mortality and morbidity rates have led to a need for the development of minimally invasive alternatives to arch reconstruction. RELAY™ Branched (Terumo Aortic, Inchinnan, UK) represents a viable option for complex endovascular aortic arch repair. We present multi-center data from Europe documenting the efficacy of the endograft in terms of its target vessel patency and reintervention rates.MethodsProspective 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 was included. Patient follow up was evaluated in terms of target vessel patency and reintervention rates.ResultsTechnical success was achieved in 147 (99.3%) cases. Over 24 months period, target vessel patency was maintained in 80.2% (n = 118) of patients. Target vessel cannulation was achieved in 146 (99.3%) cases. Over the 24-month follow-up period, 30 reintervention procedures were required, of which 29 (97%) took place within the South Europe region which accounted for 19.6% (n = 29) of total cases. Zero reinterventions were required in patients that were treated with single- or triple-branched endoprostheses.DiscussionThe data presented herein demonstrates that RELAY™ Branched is a technically efficacious device for endovascular aortic arch repair and is associated with favorable target vessel patency and reintervention rates. Key design features of the endoprosthesis and good perioperative management can contribute greatly to mitigating reintervention and loss of vessel patency following endovascular aortic arch repair.https://www.frontiersin.org/articles/10.3389/fcvm.2022.962884/fullTEVARaortic archbranched endograftvessel patencyreintervention |
| spellingShingle | Sidhant Singh Abedalaziz O. Surkhi Sven Z. C. P. Tan Matti Jubouri Damian M. Bailey Ian Williams Mohamad Bashir Mohamad Bashir RELAYTM Branched–International Results of Vessel Patency and Reintervention Frontiers in Cardiovascular Medicine TEVAR aortic arch branched endograft vessel patency reintervention |
| title | RELAYTM Branched–International Results of Vessel Patency and Reintervention |
| title_full | RELAYTM Branched–International Results of Vessel Patency and Reintervention |
| title_fullStr | RELAYTM Branched–International Results of Vessel Patency and Reintervention |
| title_full_unstemmed | RELAYTM Branched–International Results of Vessel Patency and Reintervention |
| title_short | RELAYTM Branched–International Results of Vessel Patency and Reintervention |
| title_sort | relaytm branched international results of vessel patency and reintervention |
| topic | TEVAR aortic arch branched endograft vessel patency reintervention |
| url | https://www.frontiersin.org/articles/10.3389/fcvm.2022.962884/full |
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