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Favourable Neurological Outcomes in Thoracic Endovascular Aortic Repair with RELAY™ Branched – An International Perspective
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  • Matti Jubouri,
  • Sven Zhen Cian Patrick Tan,
  • Abedalaziz Surkhi,
  • Sidhant Singh,
  • Damian Bailey,
  • Ian Williams,
  • mohamad bashir
Matti Jubouri
Hull York Medical School
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Sven Zhen Cian Patrick Tan
Queen Mary University of London Barts and The London School of Medicine and Dentistry
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Abedalaziz Surkhi
Al Quds University Faculty of Medicine
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Sidhant Singh
Queen Mary University of London Barts and The London School of Medicine and Dentistry
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Damian Bailey
University of South Wales Faculty of Life Sciences and Education
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Ian Williams
University Hospital of Wales
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mohamad bashir
NHS Wales Health Education and Improvement Wales
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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 multi-centre 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 centres across Europe was retrospectively analysed with descriptive and distributive analysis. Follow up data from 30 days and 6-, 12-, and 24 months postoperatively was included. Patients 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, 6 (4.1%) patients suffered DS and 8 (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 favourable 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.
12 Aug 2022Submitted to Journal of Cardiac Surgery
16 Aug 2022Assigned to Editor
16 Aug 2022Submission Checks Completed
16 Aug 2022Reviewer(s) Assigned
19 Aug 2022Review(s) Completed, Editorial Evaluation Pending
19 Aug 2022Editorial Decision: Accept