Preliminary Data from the Gore EXCLUDER Thoracoabdominal Branch Endoprosthesis Early Feasibility Study

Size: px
Start display at page:

Download "Preliminary Data from the Gore EXCLUDER Thoracoabdominal Branch Endoprosthesis Early Feasibility Study"

Transcription

1 Preliminary Data from the Gore EXCLUDER Thoracoabdominal Branch Endoprosthesis Early Feasibility Study Mark A Farber, MD Professor of Surgery and Radiology Director, UNC Aortic Network University of North Carolina

2 Disclosures WL Gore: Consultant, Clinical Trial Support

3 Gore TAMBE VBX TAMBE

4 TAMBE Configurations Gore will be evaluating both configurations during the Early Feasibility Study, with a focus on: Device ease of use (e.g., procedure time) Anatomic applicability

5 TAMBE Device Features (Antegrade & Retrograde) Multi-stage deployment with proximal, distal, and rotational repositionability to aid in branch vessel access and deployment accuracy

6 TAMBE Device Features Conformable, kink-resistant side branch components with CBAS Heparin Surface GORE VIABAHN BX Endoprosthesis

7 Partial Deployment

8 Completion Angiogram

9 Post-Op CT

10 Enrollment: 13 patients TAMBE - EFS Brazil: 3 patients 11/9/14 - ongoing US: 10 pts 5 months (Dec May 2016) More rapid enrollment than other complex EVAR trials Study US Fen Feas US Fen Piv US TAMBE Sites Enrollment Time 1 yr 7 yrs 5 m Rate (pt/ctr-mn)

11 Screening Review Panel All subjects submitted underwent film review for suitability for TAMBE (anatomic inclusion and potential procedural issues) Screend Enrolled Percent Brazil 15 4* 27% US % Total % * 1 patient withdrew after approval

12 Clinical Experience 13 Implants Worldwide Florianopolis - 3 RG Mayo Clinic - 5 (2 RG/3 AG) UNC - 2 (1RG/ 1AG) UPMC - 1 AG Mt Sinai - 1 AG Dartmouth - 1 AG 46% Ante 54 % Retro

13 US Patient Demographics TAMBE Cohort (N=10) Male 9 (90.0%) Race - White 10 (100.0%) Mean Age: yrs (Std Dev) 70.2 (7.13) Median 72.0 Range (54.0, 79.0)

14 Aneurysm Type/Size Location Pararenal Type IV Mean Size US (N=10) mm Brazil (N=3) mm Total mm

15 Devices Implanted Number of Subjects by Count of Devices Implanted 7 Devices 1(10.0%) 8 Devices 1(10.0%) 9 Devices 2(20.0%) 10 Devices 1(10.0%) 11 Devices 2(20.0%) 12 Devices 1(10.0%) 13 Devices 1(10.0%) 17 Devices 1(10.0%) Total Number of Devices Implanted 107 Number of Devices Per Subject Mean (Std Dev) 10.7 (2.87) Median 10.5 Range (7, 17)

16 VBX Bridging Stent Available in Diameters 5-11 Lengths 15,19, 29, 39, 59, and 79 Final diameter and length dependent upon inflation pressure

17 Procedure Details Procedure Time (minutes) Mean (Std Dev) (135.6) Median 289 Range (213,678) Anesthesia Method General 10(100.0%) Contrast Used During Procedure (ml) Mean (Std Dev) 172.7(127.3) Median 134 Range (44,490) Estimated Blood Loss During Procedure (ml) Mean (Std Dev) 783.0(621.3) Median 575 Range (100,1700) Transfusion Required 4(40.0%) Additional Procedures Performed 2(20.0%) Length of Stay (days) N=9 Mean (Std Dev) 5.6(2.4) Median 5 Range (3,10)

18 Stability Over Time Pre-Op 1 Month 1 Year

19 Stability Over Time Pre-Op 1 Month 6 Month

20 Outcomes Technical Success was 92.3% One intra-procedural right renal artery occlusion Likely secondary to dissection Primary safety endpoints occurred in 4 patients EBL > 1000 mls During follow-up of 9.7 months there has been one death

21 Upper Extremity Access All procedures utilized 12 Fr x 45 cm Cook HF sheath which utilized a single valve Compared to other branch cases 4 wires are maintained within the sheath resulting in loss of valve competence increase blood loss during the procedure. All excess blood loss was in the prolonged cases

22 Peripheral Kinking Based upon the original curvature, length of stented artery, type of stent used, alignment of device Analysis of distal renal artery kinking is paramount Initial Implant Anecdotal cases of renal artery occlusion May be responsible for inducing IH and subsequent need for secondary intervention 6 mn Post-op

23 Waiting Time for CMD Complex EVAR Unresolved Issues Custom Manufactured Devices can take between 3-12 weeks for production Concern that this waiting period places the patient at some additional risk of rupture Ideal Branched Stent Graft Current branched components work well Adapted from other indication Failure rates are low be do exist

24 Vessel Tortuosity Kinking Difficult to visualize AP angulation in renals Proximal renal stent is fixed

25 Fenestrations versus Branches VBX in ZFEN I-Cast in ZFEN VBX was designed for BEVAR. Its role in FEVAR is unknown and should be investigated before routine use

26 Conclusions TAMBE EFS shows promise. One-year results for all patients will be available in May VBX is now approved for iliac indications and its role in complex aortic repair will be determined by future TAMBE use

Off-the-Shelf Devices. Mark A Farber, MD FACS Director, Aortic Center Professor of Radiology and Surgery University of North Carolina

Off-the-Shelf Devices. Mark A Farber, MD FACS Director, Aortic Center Professor of Radiology and Surgery University of North Carolina Off-the-Shelf Devices Mark A Farber, MD FACS Director, Aortic Center Professor of Radiology and Surgery University of North Carolina Disclosures Cook - Research Support, Consultant, Clinical Trials WL

More information

FLEXIBLE, BALOON EXPANDABLE

FLEXIBLE, BALOON EXPANDABLE EARLY RESULTS OF A CLINICAL TRIAL OF FLEXIBLE, BALOON EXPANDABLE COVERED STENT GRAFT IN ILIAC OCCLUSIVE DISEASE Chris LeCroy Coastal Vascular and Interventional Pensacola, Florida Clinical Trial WL GORE

More information

Robert F. Cuff, MD FACS SHMG Vascular Surgery

Robert F. Cuff, MD FACS SHMG Vascular Surgery Robert F. Cuff, MD FACS SHMG Vascular Surgery Objectives To become familiar with the commercially available fenestrated EVAR graft Discuss techniques to increase success Review available data to determine

More information

Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry

Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry University of Milan Thoracic Aortic Research Center Performance of the conformable GORE TAG device in Type B aortic dissection from the GORE GREAT real world registry Santi Trimarchi, MD, PhD Associate

More information

RETROGRADE BRANCH. Gustavo S. Oderich MD Professor of Surgery Director of Endovascular Therapy Division of Vascular and Endovascular Surgery

RETROGRADE BRANCH. Gustavo S. Oderich MD Professor of Surgery Director of Endovascular Therapy Division of Vascular and Endovascular Surgery RETROGRADE BRANCH Gustavo S. Oderich MD Professor of Surgery Director of Endovascular Therapy Division of Vascular and Endovascular Surgery FACULTY DISCLOSURE Consulting* Cook Medical Inc., WL Gore Research

More information

Percutaneous Axillary Artery Access For Branch Grafting for complex TAAAs and pararenal AAAs: How to do it safely

Percutaneous Axillary Artery Access For Branch Grafting for complex TAAAs and pararenal AAAs: How to do it safely Percutaneous Axillary Artery Access For Branch Grafting for complex TAAAs and pararenal AAAs: How to do it safely Daniela Branzan, MD, Department of Vascular Surgery University Hospital Leipzig Disclosure

More information

INCRAFT system: Update from the Pivotal INSPIRATION Study

INCRAFT system: Update from the Pivotal INSPIRATION Study INCRAFT system: Update from the Pivotal INSPIRATION Study Michel S. Makaroun MD Co-Director, UPMC Heart and Vascular Institute Professor and Chair, Division of Vascular Surgery University of Pittsburgh

More information

US clinical trial update on the Gore Excluder iliac branch endoprosthesis (IBE)

US clinical trial update on the Gore Excluder iliac branch endoprosthesis (IBE) US clinical trial update on the Gore Excluder iliac branch endoprosthesis (IBE) Robert Y. Rhee, MD Chief, Vascular and Endovascular Surgery Director, Maimonides Aortic Center Maimonides Medical Center

More information

Anatomical applicability of current off-the-shelf branched endografts in thoracoabdominal aortic aneurysms managed by open surgery.

Anatomical applicability of current off-the-shelf branched endografts in thoracoabdominal aortic aneurysms managed by open surgery. Leipzig Interventional Course Update on clinical trials Tuesday, January 30 th, 2018 Anatomical applicability of current off-the-shelf branched endografts in thoracoabdominal aortic aneurysms managed by

More information

Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan

Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan The Gore GREAT Registry: Update about a real life data collection Santi Trimarchi, MD, PhD Vascular Surgeon Thoracic Aortic Research Center, Director IRCCS Policlinico San Donato University of Milan Disclosures

More information

Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS. Arch Pathology: The Endovascular Era is here

Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS. Arch Pathology: The Endovascular Era is here Jean M Panneton, MD Professor of Surgery Program Director Vascular Surgery Chief EVMS Arch Pathology: The Endovascular Era is here Disclosures Consultant: Cook Medical, Bolton Medical, Medtronic Inc, Volcano,

More information

Durability of The Endurant Stent-Graft through 5 Years

Durability of The Endurant Stent-Graft through 5 Years Durability of The Endurant Stent-Graft through 5 Years Michel S. Makaroun MD Co-Director, UPMC Heart and Vascular Institute Professor and Chair, Division of Vascular Surgery University of Pittsburgh School

More information

OUTCOMES OF ENDOVASCULAR TAAA REPAIR

OUTCOMES OF ENDOVASCULAR TAAA REPAIR OUTCOMES OF ENDOVASCULAR TAAA REPAIR Gustavo S. Oderich MD Professor of Surgery Director of Aortic Center Director of Advanced Endovascular Aortic Program Division of Vascular and Endovascular Surgery

More information

GORE EXCLUDER AAA Endoprosthesis demonstrates long-term durability. Michel Reijnen Rijnstate Hospital Arnhem, The Netherlands

GORE EXCLUDER AAA Endoprosthesis demonstrates long-term durability. Michel Reijnen Rijnstate Hospital Arnhem, The Netherlands GORE EXCLUDER AAA Endoprosthesis demonstrates long-term durability Michel Reijnen Rijnstate Hospital Arnhem, The Netherlands Disclosure Speaker name: Michel Reijnen I have the following potential conflicts

More information

Endovascular Repair of Aortic Arch/Thoracic Aneurysms: Bolton RelayBranch Device

Endovascular Repair of Aortic Arch/Thoracic Aneurysms: Bolton RelayBranch Device Endovascular Repair of Aortic Arch/Thoracic Aneurysms: Bolton RelayBranch Device Luis A. Sanchez MD Gregorio A. Sicard Distinguished Professor of Surgery & Radiology Chief, Section of Vascular Surgery

More information

A New EVAR Device for Infrarenal AAAs

A New EVAR Device for Infrarenal AAAs A New EVAR Device for Infrarenal AAAs Peter Nelson, MD, MS Assistant Professor of Surgery MM0203 Rev. 01 Current U.S. EVAR Devices Anatomical Fixation Proximal Fixation Powerlink - Endologix Excluder WL

More information

Jean M. Panneton, MD, FRCSC, FACS. Professor of Surgery, Chief & Program Director Division of Vascular Surgery. Norfolk, VA

Jean M. Panneton, MD, FRCSC, FACS. Professor of Surgery, Chief & Program Director Division of Vascular Surgery. Norfolk, VA Jean M. Panneton, MD, FRCSC, FACS Professor of Surgery, Chief & Program Director Division of Vascular Surgery Eastern Virginia Medical School Norfolk, VA The Houston Aortic Symposium Houston TX, February

More information

Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry

Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry Bilateral use of the Gore IBE device for bilateral CIA aneurysms and a first interim analysis of the prospective Iceberg registry Michel MPJ Reijnen, MD, PhD Department of Vascular Surgery, Rijnstate Hospital

More information

Durable outcomes. Proven performance.

Durable outcomes. Proven performance. Durable outcomes. Proven performance. GORE EXCLUDER AAA Endoprosthesis GORE EXCLUDER Iliac Branch Endoprosthesis GORE EXCLUDER AAA Endoprosthesis The most-studied* EVAR stent graft designed for durable

More information

for Thoracoabdominal Aneurysms

for Thoracoabdominal Aneurysms Durability of F/BEVAR for Thoracoabdominal Aneurysms Athanasios Katsargyris, MD, Eric Verhoeven MD, PhD Department of Vascular and Endovascular Surgery Paracelsus Medical University, Nuremberg, Germany

More information

Endoleaks after F-BEVAR How to Assess & Treat? Gustavo S. Oderich, MD Mayo Clinic Rochester, MN

Endoleaks after F-BEVAR How to Assess & Treat? Gustavo S. Oderich, MD Mayo Clinic Rochester, MN Endoleaks after F-BEVAR How to Assess & Treat? Gustavo S. Oderich, MD Mayo Clinic Rochester, MN FACULTY DISCLOSURE Gustavo S. Oderich MD Consulting, DSMB, CEC* Cook Medical Inc., WL Gore, Lombardi Honoraria

More information

MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE

MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE MODERN METHODS FOR TREATING ABDOMINAL ANEURYSMS AND THORACIC AORTIC DISEASE AAA FACTS 200,000 New Cases Each Year Ruptured AAA = 15,000 Deaths per Year in U.S. 13th Leading Cause of Death 80% Chance of

More information

Optimizing Accuracy of Aortic Stent Grafts in Short Necks

Optimizing Accuracy of Aortic Stent Grafts in Short Necks Optimizing Accuracy of Aortic Stent Grafts in Short Necks Venkatesh Ramaiah, MD, FACS Medical Director Arizona Heart Hospital Director Peripheral Vascular and Endovascular Research Arizona Heart Institute

More information

My personal experience with INCRAFT in standard and challenging cases

My personal experience with INCRAFT in standard and challenging cases My personal experience with INCRAFT in standard and challenging cases G Pratesi, MD Vascular Surgery University of Rome Tor Vergata giovanni.pratesi@uniroma2.it Disclosure Speaker name: Giovanni Pratesi,

More information

Ovation. Sean Lyden, MD Department Chair, Vascular Surgery Cleveland Clinic

Ovation. Sean Lyden, MD Department Chair, Vascular Surgery Cleveland Clinic Ovation Sean Lyden, MD Department Chair, Vascular Surgery Cleveland Clinic Disclosure Statement of Financial Interest Within the past 12 months, I or my spouse/partner have had a financial interest/arrangement

More information

EVAR replaced standard repair in most cases. Why?

EVAR replaced standard repair in most cases. Why? EVAR replaced standard repair in most cases. Why? Initial major steps in endograft evolution Papazoglou O. Konstantinos M.D. The story of a major breakthrough in vascular surgery 1991 Parodi introduces

More information

DISCLOSURES ISOLATED DTA LESION? TYPE B DISSECTIONS TREATMENT OPTIONS

DISCLOSURES ISOLATED DTA LESION? TYPE B DISSECTIONS TREATMENT OPTIONS Endovascular Repair of Aortic Arch Pathologies; What is available/possible in the U.S. in 2018? Kaiser Permanente Endovascular Symposium 6/2/18 Sukgu M Han, MD, MS Assistant Professor of Clinical Surgery

More information

Title. Different arch branched devices are available, is morphology the. main criteria of choice? Ciro Ferrer, MD

Title. Different arch branched devices are available, is morphology the. main criteria of choice? Ciro Ferrer, MD Different arch branched devices are available, is morphology the Title main criteria of choice? Ciro Ferrer, MD Vascular Surgery Unit Sapienza University of Rome Disclosure Speaker name: Ciro Ferrer Proctoring/speaking

More information

THORACOABDOMINAL AORTIC ANEURYSMS HYBRID REPAIR

THORACOABDOMINAL AORTIC ANEURYSMS HYBRID REPAIR Update on Open and Endovascular Therapeutic Option for Aortic Repair CENTRE CARDIO-TORACIQUE DE MONACO Friday November 7 th, 2014 THORACOABDOMINAL AORTIC ANEURYSMS HYBRID REPAIR Roberto Chiesa Vascular

More information

Associate Professor Walter W. Buckley Endowed Chair in Research Cleveland Clinic Lerner College of Medicine-CWRU. Houston Aortic Symposium 2017

Associate Professor Walter W. Buckley Endowed Chair in Research Cleveland Clinic Lerner College of Medicine-CWRU. Houston Aortic Symposium 2017 Matthew J. Eagleton, MD Associate Professor Walter W. Buckley Endowed Chair in Research Cleveland Clinic Lerner College of Medicine-CWRU Houston Aortic Symposium 2017 Aortica: Advisory Board Centerline

More information

Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui

Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui Endovascular Management of Thoracic Aortic Pathology Stéphan Haulon, J Sobocinski, B Maurel, T Martin-Gonzalez, R Spear, A Hertault, R Azzaoui Aortic Center, Lille University Hospital, France Disclosures

More information

Introducing the GORE TAG Conformable Thoracic Stent Graft with ACTIVE CONTROL System

Introducing the GORE TAG Conformable Thoracic Stent Graft with ACTIVE CONTROL System Introducing the GORE TAG Conformable Thoracic Stent Graft with ACTIVE CONTROL System K. Oikonomou Department of Vascular Surgery Regensburg University Disclosures W.L. Gore & Associates Sponsored Presentation

More information

Conflicts of Interest. When and Why Complex EVAR in Tx of juxta/suprarenal AAA? Summary. Infrarenal EVAR for short necks 2y postop

Conflicts of Interest. When and Why Complex EVAR in Tx of juxta/suprarenal AAA? Summary. Infrarenal EVAR for short necks 2y postop When and Why Complex EVAR in Tx of juxta/suprarenal AAA? Tim Resch MD Vascular Center Skane University Hospital Conflicts of Interest COOK Medical - Consulting, Speakers Bureau, IP, Research support Medtronic

More information

TEVAR for the Ascending Aorta

TEVAR for the Ascending Aorta TEVAR for the Ascending Aorta Himanshu J. Patel MD Joe D. Morris Collegiate Professor Section Head, Adult Cardiac Surgery University of Michigan Frankel Cardiovascular Center Disclosures Himanshu J. Patel

More information

Arch Repair with the Bolton Medical RelayBranch Thoracic Stent-graft system: Multicenter experience

Arch Repair with the Bolton Medical RelayBranch Thoracic Stent-graft system: Multicenter experience Arch Repair with the Bolton Medical RelayBranch Thoracic Stent-graft system: Multicenter experience Joost van Herwaarden, MD, PhD University Medical Center, Utrecht Disclosure I have the following potential

More information

Technique and Outcome of Laser Fenestration For Arch Vessels

Technique and Outcome of Laser Fenestration For Arch Vessels Technique and Outcome of Laser Fenestration For Arch Vessels Jean M. Panneton MD, FRCSC, FACS Professor of Surgery Chief & Program Director Division of Vascular Surgery Eastern Virginia Medical School

More information

Current State of Thoracic Branch Devices and Ongoing Clinical Trials

Current State of Thoracic Branch Devices and Ongoing Clinical Trials Current State of Thoracic Branch Devices and Ongoing Clinical Trials Hiroo Takayama, MD, PhD Associate Professor of Surgery Director of Cardiovascular Institute Co-Director of Aortic Center NY Presbyterian/Columbia

More information

The Ventana Off-the-Shelf Graft for Pararenal AAA. Andrew Holden Associate Professor of Radiology Auckland Hospital

The Ventana Off-the-Shelf Graft for Pararenal AAA. Andrew Holden Associate Professor of Radiology Auckland Hospital The Ventana Off-the-Shelf Graft for Pararenal AAA Andrew Holden Associate Professor of Radiology Auckland Hospital Disclosures Andrew Holden, MBChB, FRANZCR Investigator in Nellix and Ventana Trials Clinical

More information

Expanding to every demand: The GORE VIABAHN VBX Stent Graft

Expanding to every demand: The GORE VIABAHN VBX Stent Graft Expanding to every demand: The GORE VIABAHN VBX Stent Graft GORE, VIABAHN, and designs are trademarks of W. L. Gore & Associates. 2017 W. L. Gore & Associates, Inc. Program Faculty Martin Austermann, MD

More information

Thoracoabdominal Aorta: Advances and Novel Therapies

Thoracoabdominal Aorta: Advances and Novel Therapies Thoracoabdominal Aorta: Advances and Novel Therapies Robert Meisner, MD FACS Sidney Kimmel Medical Center Assistant Professor of Surgery Vascular / Endovascular Surgeon at Lankenau Medical Center November

More information

Talent Abdominal Stent Graft

Talent Abdominal Stent Graft Talent Abdominal with THE Xcelerant Hydro Delivery System Expanding the Indications for EVAR Treat More Patients Short Necks The Talent Abdominal is the only FDA-approved device for proximal aortic neck

More information

Balloon Expandable Covered Stents. Suddenly a Crowded Space

Balloon Expandable Covered Stents. Suddenly a Crowded Space Novel Balloon Expandable Covered Stents for Aorto-iliac Occlusive Disease: New Trial Data makes for an Interesting Balloon Expandable Covered Stents Comparison in Aorto-iliac Occlusive Disease: Andrew

More information

14F OD Ovation Abdominal Stent Graft System

14F OD Ovation Abdominal Stent Graft System 14F OD Ovation Abdominal Stent Graft System 2 Year Results from the European Study Dierk Scheinert, MD Center for Vascular Medicine Angiology and Vascular Surgery Park Hospital Leipzig, Germany Disclosure

More information

Lessons learned from Ch-EVAR for the treatment of. Miltos Matsagkas MD, PhD, FEBVS Professor of Vascular Surgery University of Thessaly

Lessons learned from Ch-EVAR for the treatment of. Miltos Matsagkas MD, PhD, FEBVS Professor of Vascular Surgery University of Thessaly Lessons learned from Ch-EVAR for the treatment of pararenal AAAs Miltos Matsagkas MD, PhD, FEBVS Professor of Vascular Surgery University of Thessaly Ch-EVAR Ch-EVAR = Chimney-EVAR Placement of single

More information

Abdominal and thoracic aneurysm repair

Abdominal and thoracic aneurysm repair Abdominal and thoracic aneurysm repair William A. Gray MD Director, Endovascular Intervention Cardiovascular Research Foundation Columbia University Medical Center Abdominal Aortic Aneurysm Endografts

More information

Reinterventions After Fenestrated and Branched Endovascular Aortic Aneurysm Repair

Reinterventions After Fenestrated and Branched Endovascular Aortic Aneurysm Repair Reinterventions After Fenestrated and Branched Endovascular Aortic Aneurysm Repair Andres Schanzer, MD Division of Vascular and Endovascular Surgery UMass Medical School June 15 th, 2018 PNEC, Seattle,

More information

Residual Dissection and False Lumen Aneurysm After TEVAR

Residual Dissection and False Lumen Aneurysm After TEVAR WHAT WOULD YOU DO? Residual Dissection and False Lumen Aneurysm After MODERATOR: MARK FARBER, MD PANEL: YAZAN DUWAYRI, MD; MATTHEW J. EAGLETON, MD; WILLIAM D. JORDAN Jr, MD; TILO KÖLBEL, MD, PhD; AND ERIC

More information

Current Status of Abdominal Aortic Stent Grafts. John R. Laird Professor of Medicine Director of the Vascular Center UC Davis Medical Center

Current Status of Abdominal Aortic Stent Grafts. John R. Laird Professor of Medicine Director of the Vascular Center UC Davis Medical Center Current Status of Abdominal Aortic Stent Grafts John R. Laird Professor of Medicine Director of the Vascular Center UC Davis Medical Center Autumn Greetings Disclosure Statement of Financial Interest Within

More information

Home-made Fenestrations for Various Pathologies of Abdominal Aorta

Home-made Fenestrations for Various Pathologies of Abdominal Aorta Home-made Fenestrations for Various Pathologies of Abdominal Aorta Chen, Jer-Shen Director of Vascular Surgery, Far Eastern Memorial Hospital Clinical Assistant Professor, National Yang-Ming University

More information

First in Human Experience with the Gore Conformable Excluder Endoprosthesis

First in Human Experience with the Gore Conformable Excluder Endoprosthesis A new conformable abdominal endovascular device First in Human Experience with the Gore Conformable Excluder Endoprosthesis Robert Y. Rhee, MD Chief, Vascular and Endovascular Surgery Director, Maimonides

More information

How to select FEVAR versus EVAR + endoanchors in short-necked AAAs

How to select FEVAR versus EVAR + endoanchors in short-necked AAAs How to select FEVAR versus EVAR + endoanchors in short-necked AAAs Jean-Paul P.M. de Vries, Richte C.L. Schuurmann St. Antonius Hospital Nieuwegein, The Netherlands 21st Critical Issues Congress Nuernberg,

More information

Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm

Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm Retrograde Embolization of a Symptomatic Hypogastric Artery Aneurysm Andrew Unzeitig MD Piedmont Atlanta Hospital Georgia Vascular Society 2017 Annual Meeting Lake Oconee, Georgia Disclosures None Case

More information

Considerations for a Durable Repair

Considerations for a Durable Repair Considerations for a Durable Repair Eric Verhoeven, MD, PhD, A. Katsargyris, MD Department of Vascular and Endovascular Surgery, Paracelsus Medical University, Nuremberg, Germany Disclosures William Cook

More information

Challenges. 1. Sizing. 2. Proximal landing zone 3. Distal landing zone 4. Access vessels 5. Spinal cord ischemia 6. Endoleak

Challenges. 1. Sizing. 2. Proximal landing zone 3. Distal landing zone 4. Access vessels 5. Spinal cord ischemia 6. Endoleak Disclosure I have the following potential conflicts of interest to report: Consulting: Medtronic, Gore Employment in industry Stockholder of a healthcare company Owner of a healthcare company Other(s)

More information

Aorfix Pythagoras US Clinical Trial:

Aorfix Pythagoras US Clinical Trial: Overall 1 Year Results from the Aorfix Pythagoras US Clinical Trial: 1 st IDE Study in Highly Angulated 60 133 Aortic Necks Mark Fillinger MD for the PYTHAGORAS Investigators Disclosure Speaker name: Mark

More information

Endovascular Treatment of the Aorta with Fenestrated and Branched Grafts

Endovascular Treatment of the Aorta with Fenestrated and Branched Grafts Endovascular Treatment of the Aorta with Fenestrated and Branched Grafts Eric LG Verhoeven,MD, PhD, A. Katsargyris, MD Vascular and Endovascular Surgery, Paracelsus Medical University, Nuremberg, Germany

More information

All-In-One. Iliac Branch System. PER F ORM ANC E b y d e s i g n ILIAC BRANCH ENDOPROSTHESIS

All-In-One. Iliac Branch System. PER F ORM ANC E b y d e s i g n ILIAC BRANCH ENDOPROSTHESIS All-In-One Iliac Branch System PER F ORM ANC E b y d e s i g n ILIAC BRANCH ENDOPROSTHESIS Exclusively Designed for Use in The GORE EXCLUDER Iliac Branch designed for the iliac branch, built from the same

More information

Indications for use. Contraindications within the United States

Indications for use. Contraindications within the United States Indications for use Indications within the United States The GORE TAG Thoracic Endoprosthesis is intended for endovascular repair of all lesions of the descending thoracic aorta, including: Isolated lesions

More information

FEVAR FIFTEEN YEARS OF EFFICIENCY E.DUCASSE MD PHD FEBVS CHU DE BORDEAUX

FEVAR FIFTEEN YEARS OF EFFICIENCY E.DUCASSE MD PHD FEBVS CHU DE BORDEAUX FEVAR FIFTEEN YEARS OF EFFICIENCY E.DUCASSE MD PHD FEBVS CHU DE BORDEAUX 2018 A BIT OF HISTORY First use of F-EVAR : 1990s Park et al. J Vasc Interv Radiol. 1996;7:819-823. Faruqi et al. J Endovasc Surg.

More information

Young-Guk Ko, M.D. Severance Cardiovascular Hospital, Yonsei University Health System,

Young-Guk Ko, M.D. Severance Cardiovascular Hospital, Yonsei University Health System, Young-Guk Ko, M.D., Dangas G, J Am Coll Cardiol Intv 2012;5:1071 All-cause Mortality Dangas Severance G, J Am Coll Cardiovascular Cardiol Intv Hospital, 2012;5:1071 Yonsei University Health System Aneurysm-related

More information

Vascular V12. Covered Stent. The New Standard of Care

Vascular V12. Covered Stent. The New Standard of Care Vascular V12 Covered Stent The New Standard of Care Innovation Novel Thermo-Conformable Covered Stent 316L stainless steel stent completely encapsulated in a proprietary one piece eptfe film cast covering

More information

Aortic stents, types, selection, tricks in deployment.

Aortic stents, types, selection, tricks in deployment. Aortic stents, types, selection, tricks in deployment. Hamdy Soliman.M.D,FSCAI Consultant of Cardiology&Head of Endovascular Unit National Heart Institute Endovascular Treatment of Thoracic Aortic Aneurysms

More information

Animesh Rathore, MD, RPVI Sentara Vascular Specialists. Debate 4: Complex endovascular aortic repair will make open surgery obsolete

Animesh Rathore, MD, RPVI Sentara Vascular Specialists. Debate 4: Complex endovascular aortic repair will make open surgery obsolete Animesh Rathore, MD, RPVI Sentara Vascular Specialists Debate 4: Complex endovascular aortic repair will make open surgery obsolete Definition Complex aortic pathology (aneurysms/dissection) Involvement

More information

No Neck Is Needed! Treat the Aneurysm Instead! Andrew Holden, MD Associate Professor of Radiology Auckland City Hospital

No Neck Is Needed! Treat the Aneurysm Instead! Andrew Holden, MD Associate Professor of Radiology Auckland City Hospital No Neck Is Needed! Treat the Aneurysm Instead! Andrew Holden, MD Associate Professor of Radiology Auckland City Hospital Disclosures Andrew Holden, MBChB, FRANZCR No financial investment to disclose Investigator

More information

Daniela Branzan MD, Department of Vascular Surgery and Department of Interventional Angiology University Hospital Leipzig

Daniela Branzan MD, Department of Vascular Surgery and Department of Interventional Angiology University Hospital Leipzig Ischemic Preconditioning with Minimally Invasive Segmental Artery Coil Embolization (MISACE) prior to Endovascular TAAA Repair: Clinical Experience in 50+ Patients Daniela Branzan MD, Department of Vascular

More information

Improving Endograft Durability with EndoAnchors

Improving Endograft Durability with EndoAnchors Improving Endograft Durability with EndoAnchors William D. Jordan, Jr., M.D. John E. Skandalakis Chair in Surgery Professor and Chief Division of Vascular Surgery and Endovascular Therapy Emory University

More information

Current Status of EVAR for Infrarenal AAA. 31 st Annual Florida Vascular Society. PENN Surgery

Current Status of EVAR for Infrarenal AAA. 31 st Annual Florida Vascular Society. PENN Surgery Current Status of EVAR for Infrarenal AAA 31 st Annual Florida Vascular Society PENN Surgery No Disclosures Stent Grafts Design Related Differences What really matters? Modular Unibody Supported Unsupported

More information

Toward Total Endovascular Therapy of the Aorta. Adam W. Beck, MD. Associate Professor of Surgery Division of Vascular Surgery and Endovascular Therapy

Toward Total Endovascular Therapy of the Aorta. Adam W. Beck, MD. Associate Professor of Surgery Division of Vascular Surgery and Endovascular Therapy Toward Total Endovascular Therapy of the Aorta Adam W. Beck, MD Associate Professor of Surgery Division of Vascular Surgery and Endovascular Therapy University of Alabama at Birmingham Disclosures Grant

More information

Thoracic Aortic Research Center. University of Milan

Thoracic Aortic Research Center. University of Milan University of Milan Thoracic Aortic Research Center Update on IRAD Santi Trimarchi, MD, PhD Associate Professor of Vascular Surgery, University of Milan Head, Unit of Vascular Surgery II Director, Thoracic

More information

Aortic Neck Issues Associated Clinical Sequelae/Implications for Graft Choice

Aortic Neck Issues Associated Clinical Sequelae/Implications for Graft Choice Aortic Neck Issues Associated Clinical Sequelae/Implications for Graft Choice Eric Verhoeven, MD, PhD, A. Katsargyris, MD Department of Vascular and Endovascular Surgery, Paracelsus Medical University,

More information

European Experience with a New Thoracic Device. D.Böckler University Hospital Heidelberg Germany

European Experience with a New Thoracic Device. D.Böckler University Hospital Heidelberg Germany European Experience with a New Thoracic Device D.Böckler University Hospital Heidelberg Germany Disclosures Speaker name: Dittmar Böckler I have the following potential conflicts of interest to report:

More information

Percutaneous access and closure of the axillary artery during complex aortic endovascular procedures

Percutaneous access and closure of the axillary artery during complex aortic endovascular procedures Percutaneous access and closure of the axillary artery during complex aortic endovascular procedures Luca Bertoglio, Andrea Melloni, Maria Katsarou, Alessandra Fittipaldi, Simone Salvati, Andrea Kahlberg,

More information

Right Choice for Right Angles

Right Choice for Right Angles Right Choice for Right Angles The Anatomy of Technology Aorfix gives you technology that conforms to patient anatomy, optimising both procedure and post-operative performance. Fishmouth for optimum neck

More information

History of the Powerlink System Design and Clinical Results. Edward B. Diethrich Arizona Heart Hospital Phoenix, AZ

History of the Powerlink System Design and Clinical Results. Edward B. Diethrich Arizona Heart Hospital Phoenix, AZ History of the Powerlink System Design and Clinical Results Edward B. Diethrich Arizona Heart Hospital Phoenix, AZ Powerlink System: Unibody-Bifurcated Design Long Main Body Low-Porosity Proprietary eptfe

More information

Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when?

Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when? Acute Type B dissection. Closure of the infra diaphragmatic tear: how and when? Prof. Olgierd Rowiński II Department of Clinical Radiology Medical University of Warsaw Disclosure Speaker name: Olgierd

More information

Dr Peter Bungay Derbyshire Vascular Services Royal Derby Hospital Derby UK

Dr Peter Bungay Derbyshire Vascular Services Royal Derby Hospital Derby UK Dr Peter Bungay Derbyshire Vascular Services Royal Derby Hospital Derby UK Disclosure I have the following potential conflicts of interest to report Consultant, proctor and paid speaker for Vascutek UK

More information

The Auckland Experience with the Nellix EVAS System. Andrew Holden, MBChB, FRANZCR

The Auckland Experience with the Nellix EVAS System. Andrew Holden, MBChB, FRANZCR The Auckland Experience with the Nellix EVAS System Andrew Holden, MBChB, FRANZCR Disclosure Speaker name: Associate Professor Andrew Holden I have the following potential conflicts of interest to report:

More information

RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved.

RadRx Your Prescription for Accurate Coding & Reimbursement Copyright All Rights Reserved. Interventional Radiology Coding Case Studies Prepared by Stacie L. Buck, RHIA, CCS-P, RCC, CIRCC, AAPC Fellow President & Senior Consultant INDICATION: Abdominal aortic aneurysm. INTERVENTIONAL RADIOLOGIST:

More information

Nellix Endovascular System: Clinical Outcomes and Device Overview

Nellix Endovascular System: Clinical Outcomes and Device Overview Nellix Endovascular System: Clinical Outcomes and Device Overview Jeffrey P. Carpenter, MD Professor and Chief, Department of Surgery CAUTION: Investigational device. This product is under clinical investigation

More information

Zenith Alpha T HORACIC ENDOVASCULAR GRAFT

Zenith Alpha T HORACIC ENDOVASCULAR GRAFT Device description Zenith Alpha T HORACIC ENDOVASCULAR GRAFT www.cookmedical.com AI-D21181-EN-F Modular design The two-piece modular system allows the physician to customize a graft system to fit each

More information

CUSTOM-MADE SCALLOPED THORACIC ENDOGRAFTS IN DIFFERENT HOSTILE AORTIC ANATOMIES

CUSTOM-MADE SCALLOPED THORACIC ENDOGRAFTS IN DIFFERENT HOSTILE AORTIC ANATOMIES CUSTOM-MADE SCALLOPED THORACIC ENDOGRAFTS IN DIFFERENT HOSTILE AORTIC ANATOMIES A SERIES OF THREE CASE REPORTS Joel Sousa Department of Department of Angiology and Vascular Surgery Hospital S. João, Porto,

More information

Standardization of the CHEVAR procedure: How a standard approach has improved outcomes. Prof Peter Holt St George s, London

Standardization of the CHEVAR procedure: How a standard approach has improved outcomes. Prof Peter Holt St George s, London Standardization of the CHEVAR procedure: How a standard approach has improved outcomes Prof Peter Holt St George s, London Disclosure Speaker name: Prof Peter Holt I have the following potential conflicts

More information

Three year experience with multilayer stent in the treatment of thoracoabdominal aneurysms no evidence for aneurysm stabilization

Three year experience with multilayer stent in the treatment of thoracoabdominal aneurysms no evidence for aneurysm stabilization Three year experience with multilayer stent in the treatment of thoracoabdominal aneurysms no evidence for aneurysm stabilization Thomas Larzon, MD, PhD Head of Vascular Surgery Dept of Cardiothoracic

More information

Accessi Iliaci Ostili

Accessi Iliaci Ostili Alma Mater Studiorum Bologna University S.Orsola-Malpighi, Bologna, Italy Vascular Surgery Accessi Iliaci Ostili nel trattamento della patologia aortica E. Gallitto Iliac Navigations Alma Mater Studiorum

More information

Aortic Arch pathology options: Open,Hybrid, fenestration, Chimney or branched stent-graft?

Aortic Arch pathology options: Open,Hybrid, fenestration, Chimney or branched stent-graft? Aortic Arch pathology options: Open,Hybrid, fenestration, Chimney or branched stent-graft? Chang Shu, M.D., Ph.D Vascular Surgery Center National Center for Cardiovascular Diseases. Fuwai Hospital, CAMS

More information

Antegrade Thoracic Stent Grafting during Repair of Acute Debakey I Dissection: Promotes Distal Aortic Remodeling and Reduces Late Open Re-operation

Antegrade Thoracic Stent Grafting during Repair of Acute Debakey I Dissection: Promotes Distal Aortic Remodeling and Reduces Late Open Re-operation Antegrade Thoracic Stent Grafting during Repair of Acute Debakey I Dissection: Promotes Distal Aortic Remodeling and Reduces Late Open Re-operation Vallabhajosyula, P: Szeto, W; Desai, N; Pulsipher, A;

More information

EXPERIENCE AFTER 500 ENDOLUMINAL STENT GRAFTS. DEVICES SPECIFIC OUTCOME AND LESSONS LEARNED.

EXPERIENCE AFTER 500 ENDOLUMINAL STENT GRAFTS. DEVICES SPECIFIC OUTCOME AND LESSONS LEARNED. EXPERIENCE AFTER 500 ENDOLUMINAL STENT GRAFTS. DEVICES SPECIFIC OUTCOME AND LESSONS LEARNED. A/Prof. B. Patrice Mwipatayi MD, MMed (Surg), MClinEd (Melb), FCS, FRACS Department of Vascular Surgery, Royal

More information

Taming The Aorta. David Minion, MD Program Director, Vascular Surgery University of Kentucky Medical Center Lexington, Kentucky, USA

Taming The Aorta. David Minion, MD Program Director, Vascular Surgery University of Kentucky Medical Center Lexington, Kentucky, USA Taming The Aorta David Minion, MD Program Director, Vascular Surgery University of Kentucky Medical Center Lexington, Kentucky, USA Faculty Disclosure Consulting: Endologix, Cook 1 Objectives Review the

More information

Exceptions to the Rules: Abdominal and Thoracic Aneurysms

Exceptions to the Rules: Abdominal and Thoracic Aneurysms Exceptions to the Rules: Abdominal and Thoracic Aneurysms Jason Bayne MD, FRCSC Vascular Surgery Jewish General Hospital Assistant Professor, Program Director McGill University Objectives Risk factors

More information

Low profile TEVAR: is it an added value? Michel Bosiers, G. Torsello Münster

Low profile TEVAR: is it an added value? Michel Bosiers, G. Torsello Münster Low profile TEVAR: is it an added value? Michel Bosiers, G. Torsello Münster Disclosure Speaker name:...michel Bosiers... I have the following potential conflicts of interest to report: Consulting Employment

More information

How to achieve a successful proximal sealing in TEVAR? Pr L Canaud

How to achieve a successful proximal sealing in TEVAR? Pr L Canaud How to achieve a successful proximal sealing in TEVAR? Pr L Canaud CHU de Montpellier France Disclosure I have the following potential conflicts of interest to report: Consulting: Medtronic. Proximal neck

More information

UC SF. Disclosures. Thoracic Endovascular Aortic Repair 4/24/2009. Management of Acute Dissections: Is There Still a Role for Open Surgery?

UC SF. Disclosures. Thoracic Endovascular Aortic Repair 4/24/2009. Management of Acute Dissections: Is There Still a Role for Open Surgery? UC SF Management of Acute Dissections: Is There Still a Role for Open Surgery? Darren B. Schneider, M.D. Assistant Professor of Surgery and Radiology Division of Vascular Surgery University of California

More information

What's on the Horizon for AAA: Unilateral & Percutaneous, "UP-EVAR" System Zoran Rancic M.D., Ph.D.

What's on the Horizon for AAA: Unilateral & Percutaneous, UP-EVAR System Zoran Rancic M.D., Ph.D. What's on the Horizon for AAA: Unilateral & Percutaneous, "UP-EVAR" System Zoran Rancic M.D., Ph.D. Clinic for Cardiovascular Surgery University Hospital Zurich DISCLOSURES COMMON SITUATIONS FOR UNILATERAL

More information

The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations

The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations The Petticoat Technique Managing Type B Dissection with both Early and Long Term Considerations Joseph V. Lombardi, MD Professor & Chief, Division of Vascular & Endovascular Surgery Department of Surgery,

More information

Bifurcated system Proximal suprarenal stent Modular (aortic main body and two iliac legs) Full thickness woven polyester graft material Fully

Bifurcated system Proximal suprarenal stent Modular (aortic main body and two iliac legs) Full thickness woven polyester graft material Fully Physician Training Bifurcated system Proximal suprarenal stent Modular (aortic main body and two iliac legs) Full thickness woven polyester graft material Fully supported by self-expanding z-stents H&L-B

More information

Endovascular Repair o Abdominal. Aortic Aneurysms. Cesar E. Mendoza, M.D. Jackson Memorial Hospital Miami, Florida

Endovascular Repair o Abdominal. Aortic Aneurysms. Cesar E. Mendoza, M.D. Jackson Memorial Hospital Miami, Florida Endovascular Repair o Abdominal Aortic Aneurysms Cesar E. Mendoza, M.D. Jackson Memorial Hospital Miami, Florida Disclosure Nothing to disclose. 2 Mr. X AAA Mr. X. Is a 70 year old male who presented to

More information

6. Endovascular aneurysm repair

6. Endovascular aneurysm repair Introduction The standard treatment for aortic aneurysm, open repair, involves a large abdominal incision and cross-clamping of the aorta. In recent years, a minimally invasive technique, endovascular

More information

Early Clinical Results with the Valiant Mona LSA Branch Stent-Graft

Early Clinical Results with the Valiant Mona LSA Branch Stent-Graft Early Clinical Results with the Valiant Mona LSA Branch Stent-Graft Frank R. Arko III, MD Professor of Cardiovascular Surgery Director, Endovascular Surgery Co-Director, Aortic Institute Carolinas Medical

More information

2/28/2010. Speakers s name: Paul Chiam. I have the following potential conflicts of interest to report: NONE. Antegrade transvenous transseptal route

2/28/2010. Speakers s name: Paul Chiam. I have the following potential conflicts of interest to report: NONE. Antegrade transvenous transseptal route Transcatheter Aortic Valve Implantation Asian perspective Speakers s name: Paul Chiam Paul TL Chiam MBBS, MRCP, FACC I have the following potential conflicts of interest to report: NONE Consultant National

More information