Endovascular treatment of aortic arch using Relay branched stent grafts
|
|
|
- Agatha Arnold
- 5 years ago
- Views:
Transcription
1 Endovascular treatment of aortic arch using Relay branched stent grafts B. Saint-Lèbes Vascular surgery unit Rangueil Universitary hospital Toulouse France
2 Disclosure of Interest Speaker name: SAINT-LEBES I do not have any potential conflict of interest
3 Introduction Endovascular treatment of aortic arch aneurysms using branched stent graft provide attractive alternativ for elderly patients Feasibility study Prospective, multicentre study Assessment of morbidity and effectiveness 1st step: mono branched, after double branched
4 Relay branched stent graft 25-26Fr Custom-made version Based on Relay NBS (Non-Bare Stent) platform Nosecone shorter: 40 mm (LV Trauma) Window with one or two internal tunnels, 14 mm Ø for the extension to the supra-aortic trunks Introduced by a trans femoral approach Implementation of branches by cervical approach
5 Device overview Delivery system is based on relay NBS Plus Thoracic Stent-Graft Proximal Clasping mechanism to allow stent-graft repositioning and pre-curved guidewire lumen to allow self-orientation V-Patch inner sheath to allow expansion and optimal alignment of the inferior portion of the graft to the inner aortic curve Atraumatic Support Wires to control the expansion of the inferior portion of the graft and prevent retroflex
6 Device overview Radiopaque markers Tunnel entrance Tunnel window End of tunnel
7 Mono-branched Internal branch proximally oriented and window-targeted to be deployed under ostium of target vessel(s) Single internal branch (innominate) Intended for zone 0 deployment combined with extra-anatomic arch branch bypass(es): carotidcarotid (-LSA)
8 Double-branched
9 Sizing: case assessment Anatomical Limitations Subject must have a proximal landing neck with: Diameter of 42 mm or less and a healthy proximal neck length of 40mm (measurement 1 and 2) Minimum required distance between the sinotubular junction and the innominate artery of 60mm (measurement 4) Distance between proximal end of ostium of BCT and distal end of ostium of LCCA of 45mm or less (measurement 9) Access Vessels: Compatible with sheath caliber (24 FR to 26FR outer diameter)
10 Computer Assisted Design Design attributes of previous request Graft Diameters Window Dimensions Tunnel Dimensions Marker Locations Zone 0 length
11 In-vitro analysis After approval Construction of anatomical model based on converted CT data Manufacturing of prototype graft and delivery system In-vitro deployment testing under fluoroscopy Submit proposed procedural steps and deployment images to treating physician Deployment in anatomical model under fluoroscopy with treating physician the day before Perform implant
12 Device Deployment Technique STEP 1 Advance graft with tunnel (Tunnel Graft) to deployment site in Ascending Aorta
13 Device Deployment Technique STEP 2 Full deploy tunnel graft with PACING
14 Device Deployment Technique STEP 3 Cannulate tunnel prior to deployment of branch graft (bridging graft)
15 Device Deployment Technique STEP 4 Deploy branch graft
16
17 Single-branched Clinical experience Implanting centers Center Investigator City Country Ospedale Niguarda Ca Granda Dr. Rampoldi dr. Martinelli Milano Italy Ospedale G. Brotzu Dr. Camparini Roma Italy Ospedale di Circolo Prof. Castelli dr. Piffaretti Varese Italy Ospedale San Camillo Forlanini Prof. Cao Roma Italy Policlinico di Bari Prof. A. S. Bortone Bari Italy Osaka University Hospital Dr. Kuratani Osaka Japan Linköping University Hospital dr. C. Forssell Linköping Sweden Utrecht University Hospital prof. F. Moll, dr. J. Van Herwaarden Utrecht Netherlands
18 Mono-branched Results Total Male Female N 8 75% (6/8) 25% (2/8) Age TAA 3 (37,5%) 2 1 PAU 4 (50%) 3 1 Type B Dissection 1 (12,5%) 1 0 General anesthesia 100% Target vessel bridged Procedures completed Freedom from endoleak 100% 100% 100% 100% 100% 100% 87,5% (7/8) 83,3% (5/6) 100% (2/2) Perioperative death 25% (2/8) 33,3% (2/6) 0% (0/2)
19 3D CT reconstruction
20 Double-branched Clinical experiences Implanting centers # Center Country Investigators 1 Ospedale G. Brotzu - Cagliari Italy Dr. S. Camparini 2 Osaka University Hospital Japan Dr. T. Kuratani 3 Hopital Rangueil - Toulouse France Pr. H. Rousseau Dr. Saint-Lèbes 4 Ospedale San Camillo - Roma Italy Pr. P.G. Cao 5 Hôpital George Pompidou - Paris France Dr. J. M. Alsac 6 St. Mary's Hospital - London United Kingdom Dr. M. Hamady 7 Linköping University Hospital - Linköping Sweden Dr. C. Forssell 8 Hospital UCA de Oviedo Spain Dr. M. Alonso 9 Utrecht University Hospital - Utrecht Netherlands Dr. F. Moll, Dr. J. Van Herwaarden 10 Mainz Hospital Germany Dr. M. Youssef 11 Hospital de La Coruña Spain Dr. V. Mosquera 12 Heart Center Freiburg University Germany Dr. M. Czerny 13 Universitätsklinikum Standort Gießen Germany Dr. A. Koshty
21 Double-branched Results Total Male Female N 26 69,2% (18/26) 30,8% (8/26) Age TAA 21 (80,8%) 14 7 PAU 1 (3,8%) 1 0 Type B Dissection 4 (15,4%) 3 1 General anesthesia 100% Target vessels bridged Procedures completed Freedom from endoleak 100% 100% 100% 100% 100% 100% 92,3% 88,9% 100% Perioperative death 11,5% (3/26) 11,1% (2/18) 12,5% (1/8) late death 11,5% (3/26) 11,5% 0
22 Arch graft Clinical experience Branch usage Manufacturer N Cook-Zenith AAA 7 Medtronic-Endurant AAA 6 Atrium (combination with Viabhan) 1* Innomed Bently 2 Trivascular-Ovation 5 Gore-Excluder AAA 38 Gore-Viabahn 3* Jotec covered stent (combination with Viabhan) 1*
23 Double branched Clinical experience Case 1: First in Human Courtesy of Dr. Camparini, Az. Osp. Brotzu, Cagliari (IT) Case Courtesy of Dr. Kuratani, Osaka University Hospital, Osaka (JP) Pre-op CT scan 1 month F. up Pre-op CT scan 1 month F. up
24 Computational Fluid Dynamic
25 Computational Fluid Dynamic
26 Conclusion We have demonstrated the technical feasibility of a new modular trans femoral branched stent graft for treatment of aortic arch aneurysms The method is relatively safe, based on initial experience and we currently recommend it to high-risk patients and suitable anatomy Safety and efficacy will be better defined with longer follow-up and increased worlwide experience
Endovascular Branched Aortic Arch Repair
Houston Aortic Symposium 2018 Endovascular Branched Aortic Arch Repair Nimesh D. Desai MD PhD Associate Professor of Surgery, University of Pennsylvania Co-Director, Penn Thoracic Aortic Surgery Program
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
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
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
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,
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
Access More Patients. Customize Each Seal.
Access More. Customize Each Seal. The Least Invasive Path Towards Proven Patency ULTRA LOW PROFILE TO EASE ADVANCEMENT The flexible, ultra-low 12F ID Ovation ix delivery system enables you to navigate
Zenith Renu AAA Converter Graft. Device Description Planning and Sizing Deployment Sequence Patient Follow-Up
Zenith Renu AAA Converter Graft Device Description Planning and Sizing Deployment Sequence Patient Follow-Up Device description: Device indications The Zenith Renu AAA Converter Graft with Z-Trak Introduction
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
Cite this article as:
doi: 10.21037/acs.2018. 04.08 Cite this article as: Ferrer C, Cao P. Endovascular arch replacement with a dual branched endoprosthesis.. doi: 10.21037/acs.2018.04.08 This is a PDF file of an edited manuscript
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
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
Techniques For Endovascular Aortic Arch Repair. Mario Lachat, MD University Hospital of Zurich Matteo Orrico, MD San Camillo-Forlanini Hospital, Rome
Techniques For Endovascular Aortic Arch Repair Mario Lachat, MD University Hospital of Zurich Matteo Orrico, MD San Camillo-Forlanini Hospital, Rome Disclosure Speaker name: Mario Lachat Endospan, Jotec,
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
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
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
Ascending Aorta: Is The Endovascular Approach Realistic?
Ascending Aorta: Is The Endovascular Approach Realistic? Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Disclosures Research-grants, travelling, proctoring speaking-fees,
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
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
Subclavian Artery Plug Embolization (SAPE study): a real experience about endovascular subclavian occlusion prior to thoracic vascular repair
Subclavian Artery Plug Embolization (SAPE study): a real experience about endovascular subclavian occlusion prior to thoracic vascular repair Simone Salvati, Luca Bertoglio, Alessandra Fittipaldi, Andrea
THE THE MORE MORE NATURAL APPROACH TO OPTIMAL FIT
THE THE MORE MORE NATURAL APPROACH Natural Approach TO Optimal Fit TO OPTIMAL FIT Conformability without Compromise THE STANDARD IN Conformability AND Designed for flexibility and conformability in tortuous
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
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
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
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
The Current Status Of Endovascular Repair Of Ascending Aorta And Aortic Arch
The Current Status Of Endovascular Repair Of Ascending Aorta And Aortic Arch Tilo Kölbel German Aortic Center Dpt. of Vascular Medicine University Heart Center Hamburg Disclosures Research-grants, travelling,
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
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
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
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
Challenges with Complex Anatomies Advancing Care in Endovascular Aortic Treatment
Challenges with Complex Anatomies Advancing Care in Endovascular Aortic Treatment Robert Y. Rhee, MD Chief, Vascular and Endovascular Surgery Director, Aortic Center Maimonides Medical Center Brooklyn,
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
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
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
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
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
Objective assessment of current stent grafts: which graft for which lesion. Ludovic Canaud, MD, PhD Pierre Alric, MD, PhD Montpellier, France
Objective assessment of current stent grafts: which graft for which lesion Ludovic Canaud, MD, PhD Pierre Alric, MD, PhD Montpellier, France Conflict of interest: none 1 Introduction Different diseases
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
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
Tips and Tricks to Deliver a Stengraft to the Ascending Aorta
Tips and Tricks to Deliver a Stengraft to the Ascending Aorta Tilo Kölbel, MD, PhD University Heart Center University Hospital Eppendorf Hamburg, Germany Disclosures Research-grants, travelling, proctoring
Total Endovascular Repair Type A Dissection. Eric Herget Interventional Radiology
Total Endovascular Repair Type A Dissection Eric Herget Interventional Radiology 65 year old male Acute Type A Dissection Severe Aortic Regurgitation No co-morbidities Management? Part II Evolving Global
Prospective Study of the E-liac Stent Graft System in Patients with Common Iliac Artery Aneurysm: 30-Day Results
Prospective Study of the E-liac Stent Graft System in Patients with Common Iliac Artery Aneurysm: 30-Day Results J. Brunkwall MD, Ph.D, FEBVS On behalf of the Pliant study groups E-liac Stent Graft System
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
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
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
Pioneering EVAR techniques in aortic dissection
Pioneering EVAR techniques in aortic dissection Jianing Yue, Weiguo Fu Department of Vascular Surgery Zhongshan Hospital Fudan University Shanghai, China LINC Asia-Pacific 2016 March 8-10, 2016 Hong Kong
Presente e futuro negli aneurismi dell arco aortico
Sessione Congiunta SICVE, SEACV, SCVE, SPACV Presente e futuro negli aneurismi dell arco aortico Roberto Chiesa Vascular Surgery, Vita-Salute University Scientific Institute San Raffaele Milano, Italy
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
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
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
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,
Development of a Branched LSA Endograft & Ascending Aorta Endograft
Development of a Branched LSA Endograft & Ascending Aorta Endograft Frank R. Arko III, MD Sanger Heart & Vascular Institute Carolinas Medical Center Charlotte, North Carolina, USA Disclosures Proximal
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,
Cook Medical. Zenith Flex AAA Endovascular Graft with Z-Trak Introduction System Physician Training
Cook Medical Zenith Flex AAA Endovascular Graft with Z-Trak Introduction System Physician Training Bifurcated system Proximal suprarenal stent Modular (aortic main body and two iliac legs) Full-thickness,
Endoanchor-assisted TEVAR
Endoanchor-assisted TEVAR May 29, 2015 NCVH2015 Grayson H. Wheatley III, MD Director of Aortic and Endovascular Surgery Associate Professor of Surgery Temple University School of Medicine Disclosures Consultant
Mid-term results from ANCHOR: How does this data influence the treatment algorithm for hostile EVAR anatomies
Mid-term results from ANCHOR: How does this data influence the treatment algorithm for hostile EVAR anatomies Jean-Paul P.M. de Vries Head Department of Surgery, University Medical Centre Groningen The
thoracic stent graft system Smallest delivery profile as from 20 F
thoracic stent graft system Smallest delivery profile as from 20 F Third-generation thoracic stent graft system effective, precise and safe JOTEC develops stent graft systems in close collaboration with
Transcatheter Aortic Valve Implantation as a Bailout Procedure for Acute Aortic Valve Regurgitation During Endovascular Arch Repair
719880JETXXX10.1177/1526602817719880Journal of Endovascular TherapyHertault et al case-report2017 A SAGE Publication Case Reports Transcatheter Aortic Valve Implantation as a Bailout Procedure for Acute
Ancillary Components with Z-Trak Introduction System
Ancillary Components with Z-Trak Introduction System Zenith Flex AAA Endovascular Graft Ancillary Components Converter Converters can be used to convert a bifurcated graft into an aortouniiliac graft if
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
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
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
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
TriVascular Ovation Prime Abdominal Stent Graft System
TriVascular Ovation Prime Abdominal Stent Graft System Science of the Seal O-Ring Sealing Technology O-Ring Sealing in Proven Engineering Solutions O-rings are designed to seal by blocking the flow of
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
EVAS using Nellix in my practice Where are we today?
EVAS using Nellix in my practice Where are we today? Prof. dr. Michel MPJ Reijnen Department of Vascular Surgery, Rijnstate Hospital Arnhem Faculty of Science and Technology, University of Twente The Netherlands
Treatment of complex thoracic cases Focus on the new Gore Active Control TAG device
Treatment of complex thoracic cases Focus on the new Gore Active Control TAG device Professor Christoph A. Nienaber The Royal Brompton and Harefield NHS Trust Cardiology and Aortic Centre C.Nienaber@rbht.nhs.uk
Hostile Proximal Neck: A New Conformable EVAR Device
Hostile Proximal Neck: A New Conformable EVAR Device Young-Guk Ko, M.D., Seoul, Korea Currently Available Devices for EVAR in Korea, 2018 Zenith Flex, Cook Endurant IIs, Medtronic INCRAFT, Cordis AFX2,
Preliminary Data from the Gore EXCLUDER Thoracoabdominal Branch Endoprosthesis Early Feasibility Study
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
STROKE PREVENTION IN AORTIC ARCH PROCEDURES
5 th Aortic Live Symposium STROKE PREVENTION IN AORTIC ARCH PROCEDURES RICHARD GIBBS IMPERIAL VASCULAR UNIT LONDON Disclosure Speaker name:richard Gibbs... I have the following potential conflicts of interest
LOWERING THE PROFILE RAISING THE BAR
LOWERING THE PROFILE RAISING THE BAR INNOVATIVE LOW PROFILE. ADVANCED CLINICAL PERFORMANCE. The AFX TM Endovascular AAA System integrates anatomical fixation with an advanced delivery system and graft
Treatment of Thoracoabdominal Aneurysms Is there a need for custom-made devices?
: FETURED TECHNOLOGY: JOTEC E-XTR DESIGN ENGINEERING Treatment of Thoracoabdominal neurysms Is there a need for custom-made devices? INTERVIEW ND CSE PRESENTTIONS WITH DNIEL RNZN, MD, ND NDREJ SCHMIDT,
Distal Arch and Descending Aorta: What Is the Optimal Therapy in 2017?
Distal Arch and Descending Aorta: What Is the Optimal Therapy in 2017? Eric E. Roselli, MD Chief, Adult Cardiac Surgery Director, Aorta Center Heart and Vascular Institute, Cleveland Clinic Disclosures
Endo-Bentall: Fact or Fiction?
Endo-Bentall: Fact or Fiction? Eric E. Roselli, MD Chief, Adult Cardiac Surgery Surgical Director, Aorta Center Heart and Vascular Institute, Cleveland Clinic Disclosures Bolton Cook Cryolife Edwards Gore
Percutaneous Approaches to Aortic Disease in 2018
Percutaneous Approaches to Aortic Disease in 2018 Wendy Tsang, MD, SM Assistant Professor, University of Toronto Toronto General Hospital, University Health Network Case 78 year old F Lower CP and upper
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:
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,
Chungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University Hospital Sangmin Kim
Endovascular Procedures for Isolated Common Iliac and Internal Iliac Aneurysm Chungbuk Regional Cardiovascular Center, Division of Cardiology, Departments of Internal Medicine, Chungbuk National University
Hostile Neck During EVAR, The Role Of Endoanchores
Hostile Neck During EVAR, The Role Of Endoanchores Samer Koussayer, MD, FACS, RVT Prof, Al Faisal University Section Head and consultant Vascular & Endovascular Surgery Division King Faisal Specialist
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
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
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
Ascending Aorta: The Endovascular Approach
University Heart Center Hamburg GERMAN AORTIC CENTER Ascending Aorta: The Endovascular Approach Tilo Kölbel, MD, PhD University Heart Center Hamburg University Hospital Eppendorf Gold Standard for Ascending
Role of Gender in TEVAR and EVAR results from the GREAT registry
Role of Gender in TEVAR and EVAR results from the GREAT registry Mauro Gargiulo Vascular Surgery University of Bologna - DIMES Policlinico S.Orsola-Malpighi Bologna, Italy mauro.gargiulo2@unibo.it Disclosure
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
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
Redo treatment and open conversion after TEVAR
Redo treatment and open conversion after TEVAR Roberto Chiesa Vascular Surgery, Vita-Salute University Scientific Institute San Raffaele Milan, Italy Number of procedures Off-Label indications for TEVAR
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
Endovascular options of treating iliac aneurysms
Endovascular options of treating iliac aneurysms Marek Majewski Department of Vascular Surgery of P. Desgranges Henri Mondor Hospital University Paris XII Créteil, France Common Iliac Artery Aneurysms
Combined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR
Combined Endovascular and Surgical Repair of Thoracoabdominal Aortic Pathology: Hybrid TEVAR William J. Quinones-Baldrich MD Professor of Surgery Director UCLA Aortic Center UCLA Medical Center Los Angeles,
Endovascular Ascending Repair: Is This the Next Frontier?
Endovascular Ascending Repair: Is This the Next Frontier? The 11 th Houston Aortic Symposium Session II: Ascending Aorta/Aortic Dissection (Proximal) February 15, 2018 Michael D. Dake, M.D. Thelma and
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;
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
Patient selection in Hostile Necks and how. to prevent endoleaks a word of caution
Patient selection in Hostile Necks and how to prevent endoleaks a word of caution P M Kasprzak, K. Pfister Department of Vascular Surgery Endovascular Surgery University Hospital Regensburg, Germany Conflict
Anatomy and Classification of Aortic Dissection
Aortic dissection is the most common disorder of the aorta that brings a patient to the emergency room. If left untreated, 75 percent of sufferers die in the first two weeks and 90 percent die in the first
Minimally Invasive Aortic Arch Surgery:
Minimally Invasive Aortic Arch Surgery: Where are we? Where are we headed? Jehangir J. Appoo Libin Cardiovascular Institute University of Calgary www.aorta.ca June 15, 2016 Cardiac Masters Day: Minimally
Best surgical option for arch extension of type B dissection: the endovascular approach
Perspective Best surgical option for arch extension of type B dissection: the endovascular approach Toru Kuratani Department of Minimally Invasive Cardiovascular Medicine, Osaka University Graduate School
Experience of endovascular procedures on abdominal and thoracic aorta in CA region
Experience of endovascular procedures on abdominal and thoracic aorta in CA region May 14-15, 2015, Dubai Dr. Viktor Zemlyanskiy National Research Center of Emergency Care Astana, Kazakhstan Region Characteristics
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
WHAT IS THE BEST OPTION FOR ARCH ANEURYSMS?
WHAT IS THE BEST OPTION FOR ARCH ANEURYSMS? Prof. Furuzan Numan M.D Chief of Interventional Radiology Department Cerrahpasa Medical Faculty & Memorial Hospital, ISTANBUL, TURKIYE 3ad INTERNATIONAL MEETING