The Cook Zenith AAA endovascular graft

Joseph Ricotta, Gustavo Oderich

Research output: Contribution to journalReview article

5 Citations (Scopus)

Abstract

From its inception in 1993, the Cook Zenith endovascular abdominal aortic aneurysm (AAA) graft presented a more complex but very controlled deployment mechanism. It has undergone several modifications since its first implantation and now can accommodate aortic neck diameters up to 32 mm and iliac artery diameters up to 20 mm. In addition, it possesses an uncovered, barbed suprarenal stent to allow for transrenal fixation of the device and has been loaded into low-profile, flexible, hydrophilic sheaths, which facilitate device delivery. The major advantages of the Zenith endograft include suprarenal fixation, a flexible delivery system, and the ability to treat a broad range of aortic and iliac artery diameters. This review will discuss the evolution of the Cook Zenith abdominal aortic aneurysm endovascular graft and will focus on the history and development of the device, device description and characteristics, and a thorough literature review focusing on the US Pivotal Study 4-year results, device-specific outcomes, factors associated with poor results, transrenal fixation and renal function, endoleaks, migration, aneurysm sac shrinkage, secondary procedures, and device cost.

Original languageEnglish (US)
Pages (from-to)167-173
Number of pages7
JournalPerspectives in Vascular Surgery and Endovascular Therapy
Volume20
Issue number2
DOIs
StatePublished - Jun 1 2008

Fingerprint

Abdominal Aortic Aneurysm
Transplants
Equipment and Supplies
Iliac Artery
Endoleak
Stents
Aneurysm
History
Kidney
Costs and Cost Analysis

Keywords

  • Abdominal aortic aneurysm (AAA)
  • Aneurysm
  • Cook Zenith
  • Endograft
  • Endovascular
  • EVAR
  • Stent-graft

ASJC Scopus subject areas

  • Surgery
  • Cardiology and Cardiovascular Medicine

Cite this

The Cook Zenith AAA endovascular graft. / Ricotta, Joseph; Oderich, Gustavo.

In: Perspectives in Vascular Surgery and Endovascular Therapy, Vol. 20, No. 2, 01.06.2008, p. 167-173.

Research output: Contribution to journalReview article

@article{aa4b93ed73a0493dbf1450b39bba3855,
title = "The Cook Zenith AAA endovascular graft",
abstract = "From its inception in 1993, the Cook Zenith endovascular abdominal aortic aneurysm (AAA) graft presented a more complex but very controlled deployment mechanism. It has undergone several modifications since its first implantation and now can accommodate aortic neck diameters up to 32 mm and iliac artery diameters up to 20 mm. In addition, it possesses an uncovered, barbed suprarenal stent to allow for transrenal fixation of the device and has been loaded into low-profile, flexible, hydrophilic sheaths, which facilitate device delivery. The major advantages of the Zenith endograft include suprarenal fixation, a flexible delivery system, and the ability to treat a broad range of aortic and iliac artery diameters. This review will discuss the evolution of the Cook Zenith abdominal aortic aneurysm endovascular graft and will focus on the history and development of the device, device description and characteristics, and a thorough literature review focusing on the US Pivotal Study 4-year results, device-specific outcomes, factors associated with poor results, transrenal fixation and renal function, endoleaks, migration, aneurysm sac shrinkage, secondary procedures, and device cost.",
keywords = "Abdominal aortic aneurysm (AAA), Aneurysm, Cook Zenith, Endograft, Endovascular, EVAR, Stent-graft",
author = "Joseph Ricotta and Gustavo Oderich",
year = "2008",
month = "6",
day = "1",
doi = "10.1177/1531003508321441",
language = "English (US)",
volume = "20",
pages = "167--173",
journal = "Perspectives in Vascular Surgery and Endovascular Therapy",
issn = "1531-0035",
publisher = "SAGE Publications Inc.",
number = "2",

}

TY - JOUR

T1 - The Cook Zenith AAA endovascular graft

AU - Ricotta, Joseph

AU - Oderich, Gustavo

PY - 2008/6/1

Y1 - 2008/6/1

N2 - From its inception in 1993, the Cook Zenith endovascular abdominal aortic aneurysm (AAA) graft presented a more complex but very controlled deployment mechanism. It has undergone several modifications since its first implantation and now can accommodate aortic neck diameters up to 32 mm and iliac artery diameters up to 20 mm. In addition, it possesses an uncovered, barbed suprarenal stent to allow for transrenal fixation of the device and has been loaded into low-profile, flexible, hydrophilic sheaths, which facilitate device delivery. The major advantages of the Zenith endograft include suprarenal fixation, a flexible delivery system, and the ability to treat a broad range of aortic and iliac artery diameters. This review will discuss the evolution of the Cook Zenith abdominal aortic aneurysm endovascular graft and will focus on the history and development of the device, device description and characteristics, and a thorough literature review focusing on the US Pivotal Study 4-year results, device-specific outcomes, factors associated with poor results, transrenal fixation and renal function, endoleaks, migration, aneurysm sac shrinkage, secondary procedures, and device cost.

AB - From its inception in 1993, the Cook Zenith endovascular abdominal aortic aneurysm (AAA) graft presented a more complex but very controlled deployment mechanism. It has undergone several modifications since its first implantation and now can accommodate aortic neck diameters up to 32 mm and iliac artery diameters up to 20 mm. In addition, it possesses an uncovered, barbed suprarenal stent to allow for transrenal fixation of the device and has been loaded into low-profile, flexible, hydrophilic sheaths, which facilitate device delivery. The major advantages of the Zenith endograft include suprarenal fixation, a flexible delivery system, and the ability to treat a broad range of aortic and iliac artery diameters. This review will discuss the evolution of the Cook Zenith abdominal aortic aneurysm endovascular graft and will focus on the history and development of the device, device description and characteristics, and a thorough literature review focusing on the US Pivotal Study 4-year results, device-specific outcomes, factors associated with poor results, transrenal fixation and renal function, endoleaks, migration, aneurysm sac shrinkage, secondary procedures, and device cost.

KW - Abdominal aortic aneurysm (AAA)

KW - Aneurysm

KW - Cook Zenith

KW - Endograft

KW - Endovascular

KW - EVAR

KW - Stent-graft

UR - http://www.scopus.com/inward/record.url?scp=48249143145&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=48249143145&partnerID=8YFLogxK

U2 - 10.1177/1531003508321441

DO - 10.1177/1531003508321441

M3 - Review article

C2 - 18644808

AN - SCOPUS:48249143145

VL - 20

SP - 167

EP - 173

JO - Perspectives in Vascular Surgery and Endovascular Therapy

JF - Perspectives in Vascular Surgery and Endovascular Therapy

SN - 1531-0035

IS - 2

ER -