Results of endovascular aortic arch repair using the Relay Branch system
| Autor: | Hervé Rousseau, Robin H. Heijmen, Toru Kuratani, Luís Mendes Pedro, Stephen W.K. Cheng, Bertrand Saint Lebes, Mateja Andic, Joost A. van Herwaarden, Emma van der Weijde, S. A. Braithwaite, Constatijn Hazenberg, Tim Berger, Piotr Szopiński, Pedro Amorim, Matthias Siepe, Alexander Hyhlik-Dürr, Yvonne Gosslau, Stoyan Kondov, F Z Mokrane, Eliza Pleban, Bartosz Rylski, Trijntje Bloemert-Tuin, Christian Schlensak, Mario Lescan, Martin Czerny |
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| Rok vydání: | 2021 |
| Předmět: |
Pulmonary and Respiratory Medicine
Aortic arch medicine.medical_specialty Technical success Aorta Thoracic 030204 cardiovascular system & hematology Blood Vessel Prosthesis Implantation 03 medical and health sciences Postoperative Complications 0302 clinical medicine medicine.artery Humans Medicine In patient ddc:610 Stroke Retrospective Studies Aortic dissection Aorta Aortic Aneurysm Thoracic business.industry Endovascular Procedures General Medicine medicine.disease Blood Vessel Prosthesis Surgery Early type Dissection Treatment Outcome 030228 respiratory system Stents Cardiology and Cardiovascular Medicine business |
| Zdroj: | European Journal of Cardio-Thoracic Surgery. 60:662-668 |
| ISSN: | 1873-734X 1010-7940 |
| Popis: | OBJECTIVES 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. |
| Databáze: | OpenAIRE |
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