Initial human experience with the GORE EXCLUDER Conformable AAA Endoprosthesis

Robert Rhee, Brian Peterson, Erin Moore, Michael Lepore, Gustavo Oderich

Research output: Contribution to journalArticlepeer-review

4 Scopus citations

Abstract

Endovascular repair has become the standard of care for treatment of abdominal aortic aneurysms. The endografts and delivery systems for endovascular aneurysm repair have undergone multiple generations of technologic advancements. However, a significant remaining challenge for a satisfactory long-term outcome is to improve the performance of these devices in nonideal proximal sealing zones. In particular, short (<15 mm) and highly angulated (>60 degrees) necks can threaten long-term exclusion of the aneurysm even with the current generation of endografts. One of the main reasons for proximal infrarenal neck failure is the inability to accurately position the endograft precisely below both renal arteries. This is a report of the first-in-human implantations of the GORE EXCLUDER Conformable AAA Endoprosthesis (W. L. Gore & Associates, Flagstaff, Ariz), an investigational device, in anatomies with standard neck lengths and angulation. This device has been designed to provide repositionability, conformability, and, for the first time, optional angulation control. This device is commercially available in Europe.

Original languageEnglish (US)
Pages (from-to)319-322
Number of pages4
JournalJournal of Vascular Surgery Cases and Innovative Techniques
Volume5
Issue number3
DOIs
StatePublished - Sep 2019

Keywords

  • Conformable
  • Excluder
  • Gore
  • High neck angle

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

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