Purpose: Endovascular aneurysm repair is becoming increasingly popular. This technical note describes the usefulness of the upside-down technique of Gore Excluder or Cook Zenith legs.
Methods: Four patients with iliac or abdominal aortic aneurysms were treated. Three patients with isolated iliac artery aneurysms and one patient with an abdominal aortic aneurysm, in which the neck diameters were unfit for commercially available stent-grafts, were treated using an Excluder or a Zenith leg in an upside-down technique.
Results: The aneurysms were completely excluded and no endoleak occurred. There were no serious adverse events.
Conclusions: The upside-down technique using an Excluder leg or a Zenith leg is both feasible and effective.
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http://dx.doi.org/10.1007/s00270-013-0802-0 | DOI Listing |
Vasc Specialist Int
December 2024
Department of Vascular Surgery, "AHEPA" University Hospital of Thessaloniki, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Isolated iliac aneurysms are rare, and their management becomes complex when accompanied by ectopic pelvic kidneys due to altered vascular anatomy. We report a 58-year-old male with an incidentally discovered 53.5 mm left common iliac artery (CIA) aneurysm and an ectopic pelvic kidney.
View Article and Find Full Text PDFJ Vasc Surg
November 2024
McGovern Medical School, University of Texas Health Science Center at Houston, Houston, TX. Electronic address:
Objective: This study aimed to compare the completion of gate cannulation task performed by participants of varying experience using fluoroscopy, the Intraoperative Positioning System (IOPS)-a United States Food and Drug Administration-cleared endovascular navigation system that has been developed to reduce dependence on fluoroscopy-or an investigational augmented reality electromagnetic navigation technology based on IOPS.
Methods: The task consisted in the cannulation of the gate of a GORE Excluder AAA endoprosthesis bifurcated aortic stent graft (W.L.
Cardiovasc Intervent Radiol
December 2024
Department of Vascular and Endovascular Surgery, Rhein Main Vascular Center, AsklepiosClinicsLangen, Seligenstadt, Wiesbaden, Germany.
Purpose: To evaluate retrospectively the 2-year outcomes of the Gore Excluder Iliac Branch Endoprosthesis (IBE) in patients with and without coexisting hypogastric artery (HA) aneurysms in a large contemporary multicentric European experience using dedicated bridging devices.
Methods: The study included all consecutive patients treated at participating institutions with the Gore Excluder IBE device who received a covered stent (i.e.
EJVES Vasc Forum
September 2024
GEPROMED, Strasbourg, France.
Objective: The physical impact of the application of Heli-FX EndoAnchors (EA; Medtronic, Minneapolis, USA) on endograft (EG) material is unclear. This study aimed to examine the possible EG membrane alterations after EA implantation.
Methods: Heli-FX EndoAnchors were applied into four aortic endocuffs: AFX2 (Endologix Inc.
J Vasc Surg Cases Innov Tech
December 2024
Department of Cardiology, Hyogo Prefectural Amagasaki General Medical Center, Amagasaki, Hyogo, Japan.
Endovascular aneurysm repair for abdominal aortic aneurysms with a severely angulated proximal neck remains challenging because of the higher rates of type 1a endoleaks and secondary interventions. In this study, we reviewed six consecutive patients with a severely angulated proximal neck (>60°) treated with endovascular aneurysm repair at a single center. They were treated with a Gore Excluder Conformable endograft using a pre-constrain technique to prevent type 1a endoleaks.
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