Endovascular
28Pages

{{requestButtons}}

Catalog excerpts

Endovascular - 1

ADVANCING ENDOVASCULAR OPTIONS NEW ENDOVASCULAR DEVICES AND INSIGHTS TO EXTEND AORTIC TREATMENT TO MORE PATIENTS. Sponsored by Gore & Associates

Open the catalog to page 1
Endovascular - 3

CONTENTS 4 Early Experience Using the GORE ® TAG ® Conformable Thoracic Stent Graft With ACTIVE CONTROL System: Why It Is My Preferred TEVAR Device TEVAR delivery system allows staged, predictable endograft deployment and in situ A new angulation control, while avoiding windsocking and bird-beaking. By Giovanni B. Torsello, MD; Martin Austermann, MD; and Giovanni F. Torsello, MD, BA 8 Precision and Accuracy in the Distal Landing Zone A case report demonstrating the precise deployment qualities of the GORE ® TAG ® Conformable Thoracic Stent Graft with ACTIVE CONTROL System. By Hence J.M....

Open the catalog to page 3
Endovascular - 4

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates Early Experience Using the GORE® TAG® Conformable Thoracic Stent Graft With ACTIVE CONTROL System: Why It Is My Preferred TEVAR Device A new TEVAR delivery system allows staged, predictable endograft deployment and in situ angulation control, while avoiding windsocking and bird-beaking. BY GIOVANNI B. TORSELLO, MD; MARTIN AUSTERMANN, MD; AND GIOVANNI F. TORSELLO, MD, BA he introduction of thoracic endovascular aortic repair (TEVAR) has completely changed clinicians’ attitudes and approaches in the treatment of thoracic aortic...

Open the catalog to page 4
Endovascular - 5

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates Figure 3. Staged deployment allows the device to first be opened to an intermediate diameter along its entire length while ensuring continuous blood flow (A). A separate deployment step expands the device to its full diameter (B). Figure 2. The nested handle of the GORE ®TAG® Conformable Thoracic Stent Graft with ACTIVE CONTROL System enables stepwise deployment and optional angulation of the device. This figure shows the device deployed to its intermediate diameter after removal of the primary deployment handle. the user has the...

Open the catalog to page 5
Endovascular - 6

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates can decide during deployment whether and to what degree angulation is beneficial in that specific anatomy. This ability to optimize proximal device apposition may help to avoid complications such as type Ia endoleak. CASE REPORT A 79-year-old man with a documented medical history of a type B aortic dissection presented with thoracic pain (Figure 5). A CT scan revealed an aneurysm of the false lumen and collapse of the true lumen (Figure 6). Endovascular exclusion of the aneurysm was deemed to be appropriate to prevent aneurysm...

Open the catalog to page 6
Endovascular - 7

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates Figure 8. After deployment of the device to its full diameter, the completion angiogram shows adequate placement of the graft in the arch without any endoleak. Figure 9. The postoperative CT scan shows exclusion of the aneurysm with no endoleak and good perfusion of the left subclavian artery. aneurysm with no endoleak and good perfusion of the left subclavian artery (Figure 9) and visceral arteries. The patient had no neurologic complications and was discharged from the hospital a few days later. At 3 months, the patient is...

Open the catalog to page 7
Endovascular - 8

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates Precision and Accuracy in the Distal Landing Zone A case report demonstrating the precise deployment qualities of the GORE® TAG® Conformable Thoracic Stent Graft with ACTIVE CONTROL System. BY HENCE J.M. VERHAGEN, MD, P h D; SANDER TEN RAA, MD, P h D; AND MARIE JOSEE VAN RIJN, MD, P h D tent graft deployment systems for thoracic endovascular aneurysm repair (TEVAR) are often designed with a focus on proximal landing accuracy due to the common challenges associated with implantations in arch anatomies and with landing zones near...

Open the catalog to page 8
Endovascular - 9

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates Figure 3. Deployment of the proximal device at intermediate diameter with continuous blood flow (A) and at full diameter (B). Figure 2. CTA image of the distal aortic arch at the level of the LSA. The thick IMH has almost completely vanished, resulting in a relatively healthy proximal landing zone. Six months after onset of his IMH, he returned for a scheduled follow-up visit including new imaging that showed almost complete resolution of the IMH (Figure 2) and a slight increase in maximum diameter to 59 mm. He was discussed in...

Open the catalog to page 9
Endovascular - 10

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates WATCH THE ANGIO VIDEO 1 Angiography of the distal device at its intermediate diameter. Staged deployment to intermediate diameter allows for visualization, and if necessary, refinement of the stent graft position. At this stage, there is no vessel wall apposition and continuous blood flow is ensured. Angiography of the distal device during secondary deployment to full diameter. The device opens from trailing to leading end during this step, thus allowing for vessel wall apposition and passive fixation on the distal end before the...

Open the catalog to page 10
Endovascular - 11

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates device to the catheter that enhances control and precision throughout the deployment process. These advancements are beneficial in ensuring accurate device placement and maximizing seal length in anatomies where the distal, as well as proximal, landing zone is critical. Importantly, the system remains easy to use and the handle operation is intuitive.  n Hence J.M. Verhagen, MD, PhD Professor and Chief of Vascular Surgery Erasmus University Medical Center Rotterdam, the Netherlands h.verhagen@erasmusmc.nl Disclosures: Paid...

Open the catalog to page 11
Endovascular - 12

ADVANCING ENDOVASCULAR OPTIONS Sponsored by Gore & Associates Early Results and Lessons Learned With the GORE® TAG® Conformable Thoracic Stent Graft With ACTIVE CONTROL System Device-related factors that are designed to overcome the existing limitations in TEVAR. BY DITTMAR BÖCKLER, MD; MORITZ S. BISCHOFF, MD; VERA ZIPSE, BS c ; AND PHILIPP GEISBÜSCH, MD ver the past 3 decades, since its introduction by Dake et al in the 1990s,1 thoracic endovascular aortic repair (TEVAR) has become the firstline modality for the treatment of thoracic aortic pathologies.2 Clinical registries such as the...

Open the catalog to page 12

All Gore catalogs and technical brochures

  1. Introducing

    4 Pages

  2. GORE-TEX®

    4 Pages